MP55-06 IS SYSTEMATIC BIOPSY STILL NEEDED IN MRI GUIDED PROSTATE BIOPSY? A MULTI-CENTRE ASIAN COHORT

Abstract

You have accessJournal of UrologyCME1 Apr 2023MP55-06 IS SYSTEMATIC BIOPSY STILL NEEDED IN MRI GUIDED PROSTATE BIOPSY? A MULTI-CENTRE ASIAN COHORT Peter Ka-Fung Chiu, Alex Mok, Jeffrey J Leow, Kai Zhang, Chih Hung Chiang, Po Fan Hsieh, Wayne Lam, Woon Chau Tsang, Hoi Chak Chan, Yu Hua Fan, Tzu Ping Lin, Tetsu Hayashi, Kazumi Kamoi, Hiromi Uno, Jason Letran, Yao Zhu, Hai Feng Wan, Tsz Yeung Chan, Chao Yuan Huang, Gang Zhu, Hsi-Chin Wu, Edmund Chiong, Chi Fai Ng, and Sunao Shoji Peter Ka-Fung ChiuPeter Ka-Fung Chiu More articles by this author , Alex MokAlex Mok More articles by this author , Jeffrey J LeowJeffrey J Leow More articles by this author , Kai ZhangKai Zhang More articles by this author , Chih Hung ChiangChih Hung Chiang More articles by this author , Po Fan HsiehPo Fan Hsieh More articles by this author , Wayne LamWayne Lam More articles by this author , Woon Chau TsangWoon Chau Tsang More articles by this author , Hoi Chak ChanHoi Chak Chan More articles by this author , Yu Hua FanYu Hua Fan More articles by this author , Tzu Ping LinTzu Ping Lin More articles by this author , Tetsu HayashiTetsu Hayashi More articles by this author , Kazumi KamoiKazumi Kamoi More articles by this author , Hiromi UnoHiromi Uno More articles by this author , Jason LetranJason Letran More articles by this author , Yao ZhuYao Zhu More articles by this author , Hai Feng WanHai Feng Wan More articles by this author , Tsz Yeung ChanTsz Yeung Chan More articles by this author , Chao Yuan HuangChao Yuan Huang More articles by this author , Gang ZhuGang Zhu More articles by this author , Hsi-Chin WuHsi-Chin Wu More articles by this author , Edmund ChiongEdmund Chiong More articles by this author , Chi Fai NgChi Fai Ng More articles by this author , and Sunao ShojiSunao Shoji More articles by this author View All Author Informationhttps://doi.org/10.1097/JU.0000000000003308.06AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: To evaluate the additional role of systematic biopsy in predicting clinically significant prostate cancer(csPCa) among Asian men with MRI-guided prostate biopsies performed. METHODS: The analyses were done in 5240 Asian men in a multicenter MRI-guided biopsy database of 21 Asian centers in Hong Kong, Shanghai, Beijing, Taiwan, Singapore, Japan, and the Philippines. Each men underwent MRI-targeted and systematic biopsy. The role of systematic biopsy in various PI-RADS and PSA levels in predicting clinically significant prostate cancer(ISUP>=2) was evaluated. RESULTS: 3080 men with prostate volume and PI-RADS score available, and systematic and targeted biopsies reported separately, were included. 4.9%, 42.6%, 35.8% and 14.7% patients had highest PI-RADS score 2, 3, 4 and 5, respectively. The median PSA, PSA density, targeted cores, and systematic cores were 8.2, 0.19, 3 and 12 respectively. 54.9% had PCa and 41.1% had csPCa. csPCa was diagnosed in 9.7%, 22.5%, 57.2% and 78.1% of men with PI-RADS score 2,3,4 and 5, respectively. csPCa diagnosed only on systematic biopsy but not on targeted biopsy is shown in Table 1. CONCLUSIONS: csPCa on additional systematic biopsy was only 5.6% in men with PSA density<0.15. Additional systematic biopsy has limited role in men with highest PI-RADS score of 2 or 3, and PI-RADS 4 with PSA density<0.15. Source of Funding: None © 2023 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 209Issue Supplement 4April 2023Page: e765 Advertisement Copyright & Permissions© 2023 by American Urological Association Education and Research, Inc.MetricsAuthor Information Peter Ka-Fung Chiu More articles by this author Alex Mok More articles by this author Jeffrey J Leow More articles by this author Kai Zhang More articles by this author Chih Hung Chiang More articles by this author Po Fan Hsieh More articles by this author Wayne Lam More articles by this author Woon Chau Tsang More articles by this author Hoi Chak Chan More articles by this author Yu Hua Fan More articles by this author Tzu Ping Lin More articles by this author Tetsu Hayashi More articles by this author Kazumi Kamoi More articles by this author Hiromi Uno More articles by this author Jason Letran More articles by this author Yao Zhu More articles by this author Hai Feng Wan More articles by this author Tsz Yeung Chan More articles by this author Chao Yuan Huang More articles by this author Gang Zhu More articles by this author Hsi-Chin Wu More articles by this author Edmund Chiong More articles by this author Chi Fai Ng More articles by this author Sunao Shoji More articles by this author Expand All Advertisement PDF downloadLoading ...