Comparison Between "In-Bore" Mri Guided Prostate Biopsy And Standard Ultrasound Guided Biopsy In The Patient With Suspicious Prostate Cancer: Preliminary Results

Objectives: To evaluate the detection rate of prostate cancer (PCa) in patients who underwent to "in bore" Magnetic Resonance Imaging - guided prostate (MRI-GB) biopsy compared to the standard transrectal ultrasound guided prostate biopsy (TRUS-GB).Materials and methods: Between January 2017 and March 2015 a cohort of 39 consecutive patients was prospectively enrolled. All the patients underwent an "in-bore" guided MRI prostatic biopsy and subsequently ultrasound-guided standard prostate biopsy.Results: Median age of patients was 65.5 years (SD +/- 6.6), median total PSA serum level was 6.6 ng/ml (SD +/- 4.1), median prostate total volume was 51.1 cc (SD +/- 26.7). Thirty of 39 (76.9%) were biopsy-naive patients while 7/39 (17.9%) had at least one previous negative random TRUS-GB; 2/39 (5.1%) patients were already diagnosed as PCa and were on active surveillance. In 18/39 (53.8%) men Pca was diagnosed; as regards the MRI-GB results related to the PI-RADS score, biopsies of PI-RADS 3 lesions were positive in 5/18 cases (27.8%), while the number of positive cases of PI-RADS 4 and 5 lesions was 7/11 (63.6%) and 6/10 (60%) respectively. At the histological examination, 4/39 (10.3%) had a PCa ISUP grade group 1, 11/39 (28.2%) had a ISUP 2, 6/39 (15.4%) had a ISUP grade group 3 and 2/39 (5.1%) had a ISUP 4-5.Conclusions: MRI-GB represents a promising technique that may offer some of advantages compared to standard systematic TRUS-GB. Our preliminary experience in MRI-GB resulted safe and feasible and represents a viable procedure for the diagnosis and characterization of PCa.