Published in:
01-02-2017 | Commentary
Commentary regarding a recent collaborative consensus statement addressing prostate MRI and MRI-targeted biopsy in patients with a prior negative prostate biopsy
Authors:
Sadhna Verma, Andrew B. Rosenkrantz, Peter Choyke, Steven C. Eberhardt, Scott E. Eggener, Krishnanath Gaitonde, Masoom A. Haider, Daniel J. Margolis, Leonard S. Marks, Peter Pinto, Geoffrey A. Sonn, Samir S. Taneja
Published in:
Abdominal Radiology
|
Issue 2/2017
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Excerpt
Technology and experience in prostate cancer imaging have increased, along with its importance. Additionally, standards for the conduct and reporting of prostate MRI and MRI-targeted biopsy have been developed and refined [
1,
2]. Moreover, the emergence of systems for MRI-targeted prostate biopsy has catalyzed greater incorporation of prostate imaging into routine patient care. Although standards from various organizations exist to guide physicians on the use of repeat prostate biopsy after an initial negative prostate biopsy, well-developed guidelines regarding the role of imaging in repeat biopsies are lacking [
3]. In the recent joint statement of the American Urological Association (AUA) and the Society of Abdominal Radiology (SAR),
Prostate MRI and MRI-
Targeted Biopsy in Patients with Prior Negative Biopsy, a 12-member expert panel of radiologists and urologists appraised the peer-reviewed literature on the application of prostate MRI and MRI-targeted biopsy in patients with at least one negative prior biopsy in order to provide guidance on the use of MRI-targeted prostate biopsy in this setting. The full document is publicly available online and provides a series of individual consensus statements to assist clinical decisions for MRI-targeted prostate biopsy [
4]. Issues addressed by the consensus statements include the impact of MRI-targeted biopsy on detection of clinically significant cancer, the approach for performing MRI-targeted biopsy, as well as the significance of a negative prostate MRI. This commentary summarizes the recommendations from the consensus statement. …