You have accessJournal of UrologyProstate Cancer: Detection & Screening I1 Apr 2016MP16-10 DIAGNOSTIC ACCURACY AND EFFICIENCY OF COGNITIVE FUSION-TRANSRECTAL ULTRASOUND GUIDED BIOPSY COMPARED TO TRADITIONAL 12-CORE TRANSRECTAL ULTRASOUND GUIDED BIOPSY IN MEN SCHEDULED FOR REPEAT PROSTATE BIOPSY Ricardo Lopez del Campo, Ana Celma Domenech, Lucas Regis Placido, Pol Servian Vives, Carlos Gasanz Serrano, Jacques Planas Morin, Ines de Torres Ramirez, Sarai Roche Valles, and Juan Morote Robles Ricardo Lopez del CampoRicardo Lopez del Campo More articles by this author , Ana Celma DomenechAna Celma Domenech More articles by this author , Lucas Regis PlacidoLucas Regis Placido More articles by this author , Pol Servian VivesPol Servian Vives More articles by this author , Carlos Gasanz SerranoCarlos Gasanz Serrano More articles by this author , Jacques Planas MorinJacques Planas Morin More articles by this author , Ines de Torres RamirezInes de Torres Ramirez More articles by this author , Sarai Roche VallesSarai Roche Valles More articles by this author , and Juan Morote RoblesJuan Morote Robles More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2016.02.2575AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookTwitterLinked InEmail INTRODUCTION AND OBJECTIVES Targeted prostate biopsies from suspicious lesions detected in multiparametric magnetic resonance image (mpMRI) can be performed in three different ways: in-bore fusion (IBF), MRI-US fusion (MRI-USF) platforms or cognitive fusion (CF). The aim of this study is to compare the diagnostic accuracy and efficiency of CF targeted biopsies with systematic 12-core transrectal ultrasound guided biopsies (12TRUSGB) in men scheduled for a repeat prostate biopsy (PB) due to the persistence of prostate cancer (PCa) suspicion. METHODS We prospectively performed a 3-Tesla mpMRI (Magnetom Trio, Siemens Healthcare, Germany), using a pelvic phased-array coil, in 201 consecutive men scheduled for a repeat PB, due to persistence of PCa suspicion. An expert radiologist generated a standardized report that included key images depicting the location, boundaries, maximal diameter, and cross-sectional area for each suspicious region (SR). This report was used for visual guidance at the time of biopsy. One or more SR were found in 168 men (83.6%). They were PIRADS 2 in 20 men (11.9%), PIRADS 3 in 61 (36.3%) and PIRADS 4-5 in 87 (51.8%). Under local anaesthesia and antibiotic prophylaxis, two cores of the most suspicious areas were obtained by CF-TRUSGB, and thereafter a 12TRUSGB was performed. End points were detection rates of PCa and high grade PCa (HGPCa: Gleason >6). Efficiency was calculated as the number of cores needed to detect one PCa and one HGPCa. RESULTS PCa was diagnosed in 53 of 168 men (31.5%), 44 of them (83.0%) by 12TRUSGB and 38 (71.7%) by CF-TRUSGB, p=0.047. HGPCa was present in 39 men (73.6%), 31 (79.5%) in 12TRUSGB specimens and 33 (86.4%) in CF-TRUSFB ones, p=0.024. 12TRUSGB missed 9 PCa (17.0%), being 8 of them HGPCa (88.9%), and CF-TRUSGB missed 15 PCa (28.3%), being 4 of them HGPCa (26.7%), p=0.026. 12TRUSGB needed 53.5 cores to detect one men with PCa and 75.9 to detect one HGPCa, however CF-TRUSGB needed 12.3 and 14.1 respectively, p=0.001. CONCLUSIONS We conclude that CF-TRUSGB, in men scheduled for repeat PB, helps us to improve the detection of HGPCa and is more efficient to detect PCa and HGPCa. However, we can not avoid the performance of 12TRUSGB since 15 PCa were missed by CF-TRUSGB. © 2016FiguresReferencesRelatedDetails Volume 195Issue 4SApril 2016Page: e164-e165 Advertisement Copyright & Permissions© 2016MetricsAuthor Information Ricardo Lopez del Campo More articles by this author Ana Celma Domenech More articles by this author Lucas Regis Placido More articles by this author Pol Servian Vives More articles by this author Carlos Gasanz Serrano More articles by this author Jacques Planas Morin More articles by this author Ines de Torres Ramirez More articles by this author Sarai Roche Valles More articles by this author Juan Morote Robles More articles by this author Expand All Advertisement Advertisement PDF downloadLoading ...