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MRI Fusion Guided TP Prostate Biopsy

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MRI Fusion Guided TP Prostate Biopsy

MRI Fusion-Guided Prostate Biopsy

At Southern Westchester Urology, we offer advanced screening and diagnostic tools for prostate cancer, which is the most common cancer among men (other than skin cancer) and the third leading cause of cancer-related deaths in men in the United States.

Fusion-guided prostate biopsy, which combines magnetic resonance imaging (MRI) with ultrasound, is a highly effective method for targeted biopsy of the prostate. This technique is especially useful for patients with persistently elevated or rising PSA levels and is also referred to as targeted MR/ultrasound biopsy.

Screening and Diagnosis

Men should discuss with their physicians the risks and benefits of prostate cancer screening to make informed decisions about testing. Prostate screenings typically include:

  • PSA (Prostate-Specific Antigen) Blood Test
  • DRE (Digital Rectal Exam)

If either the DRE or PSA test is abnormal, a transrectal ultrasound-guided (TRUS) biopsy may be performed. If the TRUS biopsy results are negative, the patient can be monitored with periodic PSA tests. However, if a positive DRE is found or a negative TRUS biopsy is followed by a continued elevated or rising PSA, a fusion-guided prostate biopsy may be recommended for further screening and diagnosis.

How It Works

A fusion-guided prostate biopsy uses pre-biopsy MRI images of the prostate alongside ultrasound images during the biopsy procedure. The steps include:

  1. MRI Imaging: The patient first undergoes an MRI of the prostate to identify any suspicious areas.
  2. Ultrasound-Guided Biopsy: The patient then has an ultrasound-guided prostate biopsy.
  3. Image Fusion: During the biopsy, the MRI images are fused in real-time with the ultrasound images, providing a highly accurate, simultaneous view of the prostate.

This combination of images allows the physician to precisely visualize and evaluate suspicious areas, improving the accuracy of the biopsy. The fusion of 2D and 3D views also helps differentiate between healthy prostate tissue and potentially cancerous cells, giving the physician a clearer view of the biopsy needle’s placement.

Benefits

  • Increased Accuracy: Fusion imaging enhances the ability to identify suspicious areas and target the biopsy more precisely.

Real-Time Imaging: The real-time fusion of MRI and ultrasound images provides immediate guidance, improving biopsy precision.