title: [Prostate biopsy: Procedure in the clinical routine].
abstract: Over the last decade there has been a 25% decrease in the mortality rates for prostate cancer. The reasons for this significant decrease are most likely associated with the application of urological screening tests. The main tools for early detection are currently increased public awareness of the disease, prostate-specific antigen (PSA) tests and transrectal ultrasound (TRUS) guided topographically assignable biopsy sampling. Together with the histopathological results these features provide essential information for risk stratification, diagnostics and therapy decisions. The evolution of prostate biopsy techniques as well as the use of PSA testing has led to an increased identification of asymptomatic men, where further clarification is necessary. Significant efforts and increased clinical research focus on determining the appropriate indications for a prostate biopsy and the optimal technique to achieve better detection rates. The most widely used imaging modality for the prostate is TRUS; however, there are no clearly defined standards for the clinical approach for each individual biopsy procedure, dealing with continuous technical optimization and in particular the developments in imaging. In this review the current principles, techniques, new approaches and instrumentation of prostate biopsy imaging control are presented within the framework of the structured educational approach.
authors.affiliation: Klinik für Urologie und Kinderurologie, Klinikum Brandenburg, Hochschulklinikum der Medizinischen Hochschule Brandenburg Theodor Fontane, Brandenburg an der Havel, Deutschland.
authors.forename: T
authors.initials: T
authors.lastname: Enzmann
authors.affiliation: Urologische Klinik des Ev. Luth. Diakonissenkrankenhauses, Akademisches Lehrkrankenhaus der Christian-Albrechts-Universität zu Kiel, Knuthstr. 1, 24939, Flensburg, Deutschland.
authors.forename: T
authors.initials: T
authors.lastname: Tokas
authors.affiliation: Urologische Klinik des Ev. Luth. Diakonissenkrankenhauses, Akademisches Lehrkrankenhaus der Christian-Albrechts-Universität zu Kiel, Knuthstr. 1, 24939, Flensburg, Deutschland.
authors.forename: K
authors.initials: K
authors.lastname: Korte
authors.affiliation: Klinik für Urologie, Universitätsmedizin Mannheim, Mannheim, Deutschland.
authors.forename: M
authors.initials: M
authors.lastname: Ritter
authors.affiliation: Klinik für Urologie und Uroonkologie, Städtisches Klinikum Braunschweig gGmbH, Braunschweig, Deutschland.
authors.forename: P
authors.initials: P
authors.lastname: Hammerer
authors.affiliation: Kemperhof, Urologie und Kinderurologie, Gemeinschaftsklinikum Mittelrhein, Koblenz, Deutschland.
authors.forename: L
authors.initials: L
authors.lastname: Franzaring
authors.affiliation: Universitätsklinik und Poliklinik für Urologie, Martin-Luther-Universität Halle-Wittenberg, Halle (Saale), Deutschland.
authors.forename: H
authors.initials: H
authors.lastname: Heynemann
authors.affiliation: Urologie und Kinderurologie, Evangelisches Krankenhaus Göttingen-Weende, Göttingen, Deutschland.
authors.forename: H-W
authors.initials: HW
authors.lastname: Gottfried
authors.affiliation: Urologische Gemeinschaftspraxis Prüner Gang, Kiel, Deutschland.
authors.forename: H
authors.initials: H
authors.lastname: Bertermann
authors.affiliation: Uologische Praxisklinik Essen, Essen, Deutschland.
authors.forename: M
authors.initials: M
authors.lastname: Meyer-Schwickerath
authors.affiliation: Urologie, Hospital zum Heiligen Geist, Kempen, Deutschland.
authors.forename: B
authors.initials: B
authors.lastname: Wirth
authors.affiliation: Urologische Klinik, Klinikum Ingolstadt, Ingolstadt, Deutschland.
authors.forename: A
authors.initials: A
authors.lastname: Pelzer
authors.affiliation: Urologische Klinik des Ev. Luth. Diakonissenkrankenhauses, Akademisches Lehrkrankenhaus der Christian-Albrechts-Universität zu Kiel, Knuthstr. 1, 24939, Flensburg, Deutschland. lochti@diako.de.
authors.forename: T
authors.initials: T
authors.lastname: Loch
mesh_terms: D003955:Diagnostic Tests, Routine / Q000592:standards*; D055088:Early Detection of Cancer / Q000592:standards*; D061765:Endoscopic Ultrasound-Guided Fine Needle Aspiration / Q000592:standards*; D005858:Germany; D006801:Humans; D007089:Image Enhancement / Q000592:standards*; D008297:Male; D056888:Patient Positioning / Q000592:standards; D017410:Practice Guidelines as Topic; D011471:Prostatic Neoplasms / Q000473:pathology*; D014572:Urology / Q000592:standards
keywords: Biopsy; Diagnostic imaging; Fusion; Prostate cancer; Transrectal ultrasound