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|a 10.14989/ActaUrolJap_68_4_99
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|a jpn
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|a Hattori, Yuto
|e verfasserin
|4 aut
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|a Diagnostic Accuracy of Transperineal MRI-Ultrasound Fusion Biopsy at the Introduction Period
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|c 2022
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|a Text
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|a ƒaComputermedien
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|a Date Completed 27.05.2022
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|a Date Revised 27.05.2022
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|a published: Print
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|a Citation Status MEDLINE
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|a Magnetic resonance imaging (MRI) ultrasound fusion biopsy is becoming popular owing to the better detection rate of clinically significant prostate cancer (csPCa). We retrospectively evaluated the accuracy of MRI-targeted biopsy during the period of introduction at a single academic center by comparing findings of its specimen and whole-mount histopathology. Between June 2018 and January 2021, 106 transperineal MRI-ultrasound fusion biopsies using BioJet software were performed. Among the cases, 15 subsequently underwent robotic-assisted laparoscopic radical prostatectomy and were eligible for analysis. This study included all regions of interest (ROIs) with a Prostate Imaging Reporting and Data System v2 category of 3 or greater on pre-biopsy MRI.For each lesion, grade group of MRI-targeted biopsy specimens and prostatectomy specimens were compared. From a total of 25 ROIs identified among 15 males, csPCa was found in 21 (84%) of the concordant locations of prostatectomy specimens. However, MRI-targeted biopsy could diagnose csPCa in only 12 (48%) of them. In the csPCa undetected group, the ROI volume was significantly smaller (median volume 0.23 ml vs 0.40 ml, p=0.03). We also found that in cases where PCa was not detected through MRI-targeted biopsy, the biopsy sample length was significantly shorter (median length 9 mm vs 17 mm, p=0.01). Our data suggest that failure of detecting PCa in MRI-targeted biopsy could be due to technical errors at the introduction period of the technique. A sufficient sampling length of 10 mm or more is desirable, especially for small lesions
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|a Journal Article
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|a Kono, Jin
|e verfasserin
|4 aut
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|a Yoshino, Takayuki
|e verfasserin
|4 aut
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|a Masui, Kimihiko
|e verfasserin
|4 aut
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|a Sato, Takuma
|e verfasserin
|4 aut
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|a Kashima, Soki
|e verfasserin
|4 aut
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|a Sano, Takeshi
|e verfasserin
|4 aut
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|a Goto, Takayuki
|e verfasserin
|4 aut
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|a Sawada, Atsuro
|e verfasserin
|4 aut
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|a Akamatsu, Shusuke
|e verfasserin
|4 aut
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|a Kobayashi, Takashi
|e verfasserin
|4 aut
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|a Inoue, Takahiro
|e verfasserin
|4 aut
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|a Ogawa, Osamu
|e verfasserin
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|i Enthalten in
|t Hinyokika kiyo. Acta urologica Japonica
|d 1962
|g 68(2022), 4 vom: 31. Apr., Seite 99-105
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|g day:31
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