In:
The Prostate, Wiley, Vol. 84, No. 12 ( 2024-09), p. 1165-1172
Abstract:
Magnetic resonance imaging‐transrectal ultrasound (MRI‐TRUS)‐fusion biopsy (FBx) of the prostate allows targeted sampling of suspicious lesions within the prostate, identified by multiparametric MRI. Due to its reliable results and feasibility, perineal MRI/TRUS FBx is now the gold standard for prostate cancer (PC) diagnosis. There are various systems for performing FBx on the market, for example, software‐based, semirobotic, or robot‐assisted platform solutions. Their semiautomated workflow promises high process quality independent of the surgeon's experience. The aim of this study was to analyze how the surgeon's experience influences the cancer detection rate (CDR) via targeted biopsy (TB) and the procedure's duration in robot‐assisted FBx. Patients and Methods A total of 1716 men who underwent robot‐assisted FBx involving a combination of targeted and systematic sampling between October 2015 and April 2022 were analyzed. We extracted data from the patients' electronic medical records retrospectively. Primary endpoints were the CDR by TB and the procedure's duration. For our analysis, surgeons were divided into three levels of experience: ≤20 procedures (little), 21–100 procedures (intermediate), and 〉 100 procedures (high). Statistical analysis was performed via regression analyses and group comparisons. Results Median age, prostate‐specific antigen level, and prostate volume of the cohort were 67 (±7.7) years, 8.13 (±9.4) ng/mL, and 53 (±34.2) mL, respectively. Median duration of the procedure was 26 (±10.9) min. The duration decreased significantly with the surgeon's increasing experience from 35.1 (little experience) to 28.4 (intermediate experience) to 24.0 min (high experience) ( p 〈 0.001). Using TB only, significant PC (sPC) was diagnosed in 872/1758 (49.6%) of the men. The CDR revealed no significant correlation with the surgeon's experience in either group comparison ( p = 0.907) or in regression analysis ( p = 0.65). Conclusion While the duration of this procedure decreases with increasing experience, the detection rate of sPC in TB is not significantly associated with the experience of the surgeon performing robot‐assisted FBx. This robot‐assisted biopsy system's diagnostic accuracy therefore appears to be independent of experience.
Type of Medium:
Online Resource
ISSN:
0270-4137
,
1097-0045
Language:
English
Publisher:
Wiley
Publication Date:
2024
detail.hit.zdb_id:
1494709-2
detail.hit.zdb_id:
604707-5
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