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Prostate biopsy in the supine position in a standard 1.5-T scanner under real time MR-imaging control using a MR-compatible endorectal biopsy device

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Abstract

Thirty-seven consecutive patients with elevated PSA levels and negative tumor prostate biopsies underwent a MR-guided prostate biopsy in a 1.5-T scanner in the supine position. After localization of suspected tumor areas using an endorectal coil and two body-phased array coils, the biopsy device was positioned without any repositioning of the patient. The biopsy device consisted of a mount, a ball joint, a positioning stage and an insertion stage with a needle guide, which was filled with a MR-visible fluid to control positioning of the needle using a balanced steady-state free precession sequence (TrueFISP) and a high-resolution turbo spin echo (T2-TSE) sequence. Core biopsies were taken manually in the magnet. The biopsy needle could be correctly positioned in all cases. Suspected lesions with a diameter ≥10 mm could be successfully punctured. Four to nine (mean =6) biopsies were taken per patient. In 14 patients, prostate cancer was confirmed at histology. Twenty-four biopsies positive for cancer were performed in 14 patients. A correct correlation was found between the site of biopsy and histology. MR-guided prostate biopsy can be effective in increasing primary positive tumor biopsy results in patients with a history of negative tumor TRUS-guided prostate biopsies.

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Authors and Affiliations

  1. Radiologische Abteilung, Krankenhaus Martha-Maria, Stadenstr. 59, 90491, Nürnberg, Germany

    K. Engelhard & K. Goeb

  2. Siemens Medical Solutions, Erlangen, Germany

    H. P. Hollenbach & B. Kiefer

  3. Invivo Germany GmbH, Schwerin, Germany

    A. Winkel

  4. Urologische Klinik der Universität Erlangen-Nürnberg, Erlangen, Germany

    D. Engehausen

Authors
  1. K. Engelhard
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  2. H. P. Hollenbach
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  3. B. Kiefer
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  4. A. Winkel
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  5. K. Goeb
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  6. D. Engehausen
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Correspondence to K. Engelhard.

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Engelhard, K., Hollenbach, H.P., Kiefer, B. et al. Prostate biopsy in the supine position in a standard 1.5-T scanner under real time MR-imaging control using a MR-compatible endorectal biopsy device. Eur Radiol 16, 1237–1243 (2006). https://doi.org/10.1007/s00330-005-0100-6

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  • DOI: https://doi.org/10.1007/s00330-005-0100-6

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