Sangam: A Confluence of Knowledge Streams

Evaluation of a novel precision template-guided biopsy system for detecting prostate cancer

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dc.contributor Department of Urology, University of Michigan School of Medicine, Ann Arbor, MI,
dc.contributor * Division of Urology,
dc.contributor Siteman Cancer Center, Washington University School of Medicine, St. Louis, MO,
dc.contributor Division of Urology, Duke University School of Medicine, Durham, NC, and
dc.contributor Department of Urology, New York University School of Medicine, New York, NY, USA
dc.creator Megwalu, Ifeanyichukwu I.
dc.creator Ferguson, Genoa G.
dc.creator Wei, John T.
dc.creator Mouraviev, Vladimir
dc.creator Polascik, Thomas J.
dc.creator Taneja, Samir
dc.creator Black, Linda
dc.creator Andriole, Gerald L.
dc.creator Kibel, Adam S.
dc.date 2010-06-01T20:23:11Z
dc.date 2010-06-01T20:23:11Z
dc.date 2008-09
dc.date.accessioned 2022-05-19T13:30:14Z
dc.date.available 2022-05-19T13:30:14Z
dc.identifier Megwalu, Ifeanyichukwu I.; Ferguson, Genoa G.; Wei, John T.; Mouraviev, Vladimir; Polascik, Thomas J.; Taneja, Samir; Black, Linda; Andriole, Gerald L.; Kibel, Adam S. (2008). "Evaluation of a novel precision template-guided biopsy system for detecting prostate cancer." BJU International 102(5): 546-550. <http://hdl.handle.net/2027.42/73501>
dc.identifier 1464-4096
dc.identifier 1464-410X
dc.identifier http://hdl.handle.net/2027.42/73501
dc.identifier http://www.ncbi.nlm.nih.gov/sites/entrez?cmd=retrieve&db=pubmed&list_uids=18694408&dopt=citation
dc.identifier 18694408
dc.identifier 10.1111/j.1464-410X.2008.07832.x
dc.identifier BJU International
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dc.identifier.uri http://localhost:8080/xmlui/handle/CUHPOERS/117337
dc.description To explore the ability of a novel transrectal ultrasonography (TRUS) device (TargetScan TM , Envisioneering Medical Technologies, St. Louis MO) that creates a three-dimensional map of the prostate and calculates an optimal biopsy scheme, to accurately sample the prostate and define the true extent of disease, as standard TRUS-guided prostate biopsy relies on the operator to distribute the biopsy sites, often resulting in under- and oversampling regions of the gland. PATIENTS AND METHODS In a multicentre retrospective chart review evaluating patients who had a TargetScan prostate biopsy between January 2006 and June 2007, we determined the overall cancer detection rate in all patients and in subgroups based on prostate specific antigen level, digital rectal examination, and indication for biopsy. We assessed the pathological significance of cancer detected, defined as a Gleason score of ≥7, positive margins, extracapsular disease or >20% tumour volume in the prostatectomy specimen. We also evaluated the concordance in Gleason score between the biopsy and prostatectomy specimen. RESULTS Cancer was detected in 50 (35.7%) of the 140 patients biopsied, including 39 (47.6%) with no previous biopsies. Of 23 prostatectomy specimens, 20 (87%) had pathologically significant disease. The biopsy predicted the prostatectomy Gleason score in 12 patients (52%), overestimated in two (9%), underestimated in eight (35%), and biopsy Gleason score could not be assigned in one (4%). CONCLUSIONS Template-guided biopsy potentially produces a higher cancer detection rate and more accurate assessment of grade. Prostatectomy specimens did not have a high rate of pathologically insignificant disease.
dc.description Peer Reviewed
dc.description http://deepblue.lib.umich.edu/bitstream/2027.42/73501/1/j.1464-410X.2008.07832.x.pdf
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dc.format 3109 bytes
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dc.publisher Blackwell Publishing Ltd
dc.rights © 2008 BJU International
dc.subject Prostatic Neoplasms
dc.subject Diagnosis
dc.subject Biopsy
dc.subject Sampling
dc.subject Internal Medicine and Specialties
dc.subject Health Sciences
dc.title Evaluation of a novel precision template-guided biopsy system for detecting prostate cancer
dc.type Article


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