Advances of image-guided techniques in prostate biopsy
10.3969/j.issn.1009-8291.2025.11.014
- VernacularTitle:新兴影像引导技术用于前列腺靶向穿刺的进展
- Author:
Wenlong SU
1
;
Weiwei CUI
Author Information
1. 德州市立医院泌尿外科,山东德州 253000
- Publication Type:Journal Article
- Keywords:
prostate cancer;
prostate biopsy;
targeted biopsy;
image-guided techniques;
artificial intelligence
- From:
Journal of Modern Urology
2025;30(11):1006-1010
- CountryChina
- Language:Chinese
-
Abstract:
The early diagnosis of prostate cancer(PCa)heavily relies on advances of biopsy techniques.Traditional transrectal ultrasound(TRUS)-guided biopsy is associated with high infection risks and significant miss rates.Transperineal prostate biopsy,with the advantage of spatial sampling,can reduce infection and has the potential for image fusion.With the development of image-guided technology,multimodal image fusion technology has achieved a paradigm shift from"probabilistic sampling"to"precise localization"through the visualization of lesion structure and function.Among them,ultrasound-guided techniques,including transrectal real-time elastography(TRTE),transrectal contrast-enhanced ultrasound(TRCEUS),micro-ultrasound(Micro-US),and multiparametric ultrasound(mpUS),have significantly improved the accuracy of prostate biopsy.MRI-guided techniques,including multiparametric magnetic resonance imaging(mpMRI),MRI-fusion targeted biopsy(MRI-fusion-TB),and the integration of MRI-guided targeted biopsy and systematic biopsy can enhance the specificity of detection and reduce the misdiagnosis rate of clinically significant prostate cancer(csPCa).PET-guided technology can integrate metabolic function information of lesions with high-resolution structural features,demonstrating significant advantages in PCa diagnosis.AI-assisted technology also shows great potential in prostate targeted biopsy.Future research should focus on the integration of targeted biopsy with emerging imaging technologies or AI tools to improve the early diagnosis rate of PCa and optimize clinical decision-making.
