Lesion Targeted CT-Guided Transgluteal Prostate Biopsy in Combination With Prebiopsy MRI in Patients Without Rectal Access

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• 作者：Iztok Caglic^a ; ^{iztok.caglic@addenbrookes.nhs.uk} ; S. Breznik^a ; J. Matela^a ; T. Barrett^b ; ^c
• 关键词：Prostate cancer ; Transgluteal biopsy ; CT ; Abdominoperineal resection ; Prebiopsy MRI
• 刊名：Urology Case Reports
• 出版年：2017
• 出版时间：January 2017
• 年：2017
• 卷：10
• 期：Complete
• 页码：6-8
• 全文大小：814 K
• 卷排序：10

文摘

With prostate and colorectal malignancies being the most common cancers in men, elevated prostate specific antigen (PSA) in patients without rectal access due to prior surgery poses a diagnostic dilemma. We report the first use of CT-guided biopsy in combination with prebiopsy MRI in 2 patients with a clinical suspicion of prostate cancer and no rectal access. In both cases, a diagnostic multiparametric MRI of the prostate was performed to detect and to localize a potential suspicious lesion. The localization served as a cognitive map for guiding needle placement using a CT-guided transgluteal approach.