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European Radiology
Published in: European Radiology 5/2013

01-05-2013 | Urogenital

MRI-guided core biopsy of the prostate in the supine position—introduction of a simplified technique using large-bore magnet systems

Authors: Siegfried A. Schwab, Michael A. Kuefner, Boris Adamietz, Karl Engelhard, Bastian Keck, Frank Kunath, Sven Wach, Bernd Wullich, Michael Uder, Dirk G. Engehausen

Published in: European Radiology | Issue 5/2013

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Abstract

Objectives

To introduce a simplified technique for MRI-guided core biopsies (MRGB) of the prostate in the supine position using large-bore magnet systems.

Methods

Fifty men with a history of negative transrectal ultrasound-guided biopsies underwent MRGB in either a 1.5-T (13/50) or 3.0-T (37/50) wide-bore MRI unit. MRGBs were conducted with the patients in a supine position using a dedicated MR-compatible biopsy device.

Results

We developed a dedicated positioning device for the supine position. Using this device, the biopsies were performed successfully in all patients. Apart from minor rectal bleeding, only one patient developed a major side effect (urosepsis). Histology revealed prostate cancer in 25/50 (50 %) patients.

Conclusions

The new technique appears feasible. Its major advantage is the more comfortable and patient-friendly supine position during the biopsy without the need to modify the MRI system’s patient table.

Key Points

• A novel positioning device for MRI-guided prostate biopsies has been developed.
• Biopsies can be performed in the patient-friendly supine position.
• The positioning device can be utilised without modifying the MRI’s patient table.
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Metadata
Title
MRI-guided core biopsy of the prostate in the supine position—introduction of a simplified technique using large-bore magnet systems
Authors
Siegfried A. Schwab
Michael A. Kuefner
Boris Adamietz
Karl Engelhard
Bastian Keck
Frank Kunath
Sven Wach
Bernd Wullich
Michael Uder
Dirk G. Engehausen
Publication date
01-05-2013
Publisher
Springer-Verlag
Published in
European Radiology / Issue 5/2013
Print ISSN: 0938-7994
Electronic ISSN: 1432-1084
DOI
https://doi.org/10.1007/s00330-012-2698-5

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