RT Journal Article
SR Electronic
T1 Transperineal versus transrectal multi-parametric magnetic resonance imaging fusion targeted prostate biopsy
JF Saudi Medical Journal
JO Saudi Med J
FD Prince Sultan Military Medical City
SP 649
OP 654
DO 10.15537/smj.2021.42.6.20200771
VO 42
IS 6
A1 Rabah, Danny
A1 Al-Taweel, Waleed
A1 Khan, Farrukh
A1 Arafa, Mostafa
A1 Mehmood, Shahbaz
A1 Mokhtar, Alaa
A1 Farhat, Karim
YR 2021
UL http://smj.org.sa/content/42/6/649.abstract
AB Objectives: To compare transperineal biopsies (TPBx) with transrectal ultrasound-guided biopsy (TRUSBx) in order to provide evidence, making clinicians able to select the appropriate biopsy approach under different conditions.Methods: A comparative prospective study, conducted in King Khalid University Hospital (KKUH) and King Faisal Specialist Hospital and Research Centre (KFSH&RC), Riyadh, Kingdom of Saudi Arabia, between March 2019 and February 2020. All patients with raised prostate-specific antigen or atypical digital rectal examination findings were subjected to multi-parametric magnetic resonance imaging (MRI). Those with positive findings were referred to targeted fusion- guided biopsy either TPBx or TRUSBx, randomly. Complication rate, cancer detection rate, and procedure time were recorded.Results: Transperineal biopsies and TRUSBx had an equivalent complication rate. However, both case detection rate and clinically significant cancer detection rate were significantly higher in TPBx versus TRUSBx (45.1% versus 29.1%, p=0.003; and 71.8% versus 43.7%, p=0.002; respectively). Transperineal biopsies was a longer procedure than TRUSBx (41.2±0.7 min versus 13±2.3 min, p=0.0001).Conclusion: No difference in complication rate was detected between the 2 procedures; however, TPBx was more effective for cancer detection in general and clinically significant cancer detection in particular.