title: In-Bore MR-Guided Biopsy Systems and Utility of PI-RADS.
abstract: A diagnostic dilemma exists in cases wherein a patient with clinical suspicion for prostate cancer has a negative transrectal ultrasound-guided biopsy session. Although transrectal ultrasound-guided biopsy is the standard of care, a paradigm shift is being observed. In biopsy-naive patients and patients with at least 1 negative biopsy session, multiparametric magnetic resonance imaging (MRI) is being utilized for tumor detection and subsequent targeting. Several commercial devices are now available for targeted prostate biopsy ranging from transrectal ultrasound-MR fusion biopsy to in bore MR-guided biopsy. In this review, we will give an update on the current status of in-bore MRI-guided biopsy systems and discuss value of prostate imaging-reporting and data system (PIRADS).
authors.affiliation: *Department of Radiology, Radboud University Nijmegen Medical Centre, Nijmegen †MIRA Institute for Biomedical Technology and Technical Medicine, University of Twente, Enschede, The Netherlands ‡Department of Diagnostic and Interventional Radiology, University Hospital, Leipzig, Germany.
authors.forename: Jurgen J
authors.initials: JJ
authors.lastname: Fütterer
authors.forename: Michael
authors.initials: M
authors.lastname: Moche
authors.forename: Harald
authors.initials: H
authors.lastname: Busse
authors.forename: Derya
authors.initials: D
authors.lastname: Yakar
mesh_terms: D055088:Early Detection of Cancer / Q000295:instrumentation* / Q000592:standards; D004867:Equipment Design; D019544:Equipment Failure Analysis; D006801:Humans; D061705:Image-Guided Biopsy / Q000295:instrumentation* / Q000592:standards; D008279:Magnetic Resonance Imaging / Q000295:instrumentation* / Q000592:standards; D008297:Male; D009367:Neoplasm Staging / Q000592:standards*; D017410:Practice Guidelines as Topic; D011471:Prostatic Neoplasms / Q000175:diagnosis / Q000473:pathology*; D011873:Radiology Information Systems / Q000592:standards*; D013673:Technology Assessment, Biomedical