Comparison on efficacy of MRI-transrectal ultrasound software fusion-guided biopsy and cognitive fusion-guided biopsy for detecting prostate cancer
10.13929/j.issn.1672-8475.2024.07.005
- VernacularTitle:对比MRI-经直肠超声软件融合导航穿刺与认知融合导航穿刺检出前列腺癌效果
- Author:
Jing YANG
1
,
2
;
Hao FENG
;
Han XIA
;
Yanhui MA
;
Xiao XIAO
;
Zhiyuan WANG
;
Wenjuan XU
;
Zheng WANG
;
Qibing FAN
;
Yuyong SHEN
;
Jing DING
;
Tingyue QI
Author Information
1. 扬州大学附属医院医学影像中心超声科,江苏 扬州 225000
2. 扬州大学附属江都人民医院超声科,江苏 扬州 225200
- Keywords:
prostatic neoplasms;
magnetic resonance imaging;
ultrasonography
- From:
Chinese Journal of Interventional Imaging and Therapy
2024;21(7):403-407
- CountryChina
- Language:Chinese
-
Abstract:
Objective To compare the efficacy of MRI-transrectal ultrasound(TRUS)software fusion-guided biopsy and cognitive fusion-guided biopsy for detecting prostate cancer(PC).Methods Data of 120 patients with suspected PC(127 lesions)who underwent transperineal prostate biopsy with 2-3 times of target biopsy(TB)and 10 times of system biopsy were retrospectively analyzed.According to TB guidance methods,73 cases(78 lesions)received MRI-TRUS software fusion-guided biopsy were classified into group A,and 47 cases(49 lesions)received cognitive fusion-guided biopsy were classified into group B.The positive rate of PC,clinic significant PC(csPC)and PC in different sized lesions by TB were compared between groups,and the positive rate of PC between 2 or 3 times TB was also compared within each group.Results The positive rate of PC and csPC detected by TB was 55.13%(43/78)and 39.74%(31/78)in group A,53.06%(26/49)and 34.69%(17/49)in group B,respectively,no significant difference was found(all P＞0.05).The positive rate of PC in lesions with the maximum diameter≤10 mm detected by TB in group A was higher than that in group B(P＜0.05),but no significant difference of lesions with the maximum diameter＞10 mm and＜15 mm nor≥15 mm was found between groups(all P＞0.05).No significant difference of positive rate of PC was found between 2 and 3 times TB in group A(P＞0.05),while positive rate of PC of 3 times TB was significantly higher than that of 2 times TB in group B(P＜0.05).Conclusion MRI-TRUS software fusion-guided biopsy had positive rate of PC and csPC similar to that of cognitive fusion-guided biopsy,but was helpful for reducing times of TB and increasing detecting rate for lesions with the maximum diameter≤10 mm.
