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Feasibility of a 2nd generation MR-compatible manipulator for transrectal prostate biopsy guidance
| Content Provider | Paperity |
|---|---|
| Author | Bosboom, D. G. H. Tigelaar, G. H. Sabisch, J. Yakar, D. Bomers, J. G. R. Fütterer, J. J. |
| Abstract | ObjectivesTo assess the feasibility of a 2nd generation MR-compatible, remote-controlled manipulator (RCM) as an aid to perform MR-guided transrectal prostate biopsy in males with suspicion of prostate cancer (PCa).MethodsThis prospective phase I study was approved by the local ethical committee and written informed consent was obtained from each patient. Twenty patients with ≥1 cancer suspicious region (CSR) with a PI-RADS score of ≥3 detected on the diagnostic multi-parametric MRI and no prior prostate treatment underwent MR-guided biopsy with the aid of the RCM. Complications were classified according to the modified Clavien system for reporting surgical complications. For evaluation of the workflow, procedure- and manipulation times were recorded.ResultsAll CSR’s (n=20) were reachable with the MR-compatible RCM and the cancer detection rate was 70 %. The median procedure time was 36:44 minutes (range, 23 – 61 minutes) and the median manipulation time for needle guide movement was 5:48 minutes (range, 1:15 – 18:35 minutes). Two Clavien grade 1 complications were reported.ConclusionsIt is feasible and safe to perform transrectal MR-guided prostate biopsy using a MR-compatible RCM as an aid. It is a fast and efficient way to biopsy suspicious prostate lesions with a minimum number of biopsies per patient. Key Points • It is feasible to perform transrectal prostate biopsy using a MR-compatible RCM. • Using a RCM for MR-guided biopsy is safe, fast, and efficient. • All cancer suspicious regions were reachable with the RCM. |
| Starting Page | 1776 |
| Ending Page | 1782 |
| File Format | HTM / HTML |
| ISSN | 09387994 |
| DOI | 10.1007/s00330-016-4504-2 |
| Issue Number | 4 |
| Journal | European Radiology |
| Volume Number | 27 |
| e-ISSN | 14321084 |
| Language | English |
| Publisher | Springer Berlin Heidelberg |
| Publisher Date | 2016-07-19 |
| Access Restriction | Open |
| Subject Keyword | Feasibility Prostate cancer Mri Biopsy Robotics |
| Content Type | Text |
| Resource Type | Article |
| Subject | Radiology, Nuclear Medicine and Imaging |
