Publication year
2018Source
Diagnostic and Interventional Imaging, 99, 11, (2018), pp. 743-753ISSN
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Publication type
Article / Letter to editor
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Organization
Medical Imaging
Radboudumc Extern
Journal title
Diagnostic and Interventional Imaging
Volume
vol. 99
Issue
iss. 11
Page start
p. 743
Page end
p. 753
Subject
Radboudumc 15: Urological cancers RIHS: Radboud Institute for Health Sciences; Medical Imaging - Radboud University Medical CenterAbstract
Prostate interventional magnetic resonance imaging (MRI) is now routinely performed in many centers. Its more widespread acceptance is limited by the cost of the use of MRI largely related to the long duration time of the procedures. However, the benefit of a robotic assistance has generated a new interest, because it substantially shortens the procedure time, while improving the accuracy. MRI-guided biopsy is considered as an appealing alternative to transrectal ultrasound (TRUS)-guided fusion biopsy, given the limitations of TRUS-MRI image registration systems. MRI-guided focal treatment also benefits from robotic assistance and from the unique property of MRI, which allows the measurement of the temperature in real-time during tumor ablation. The transrectal and transperineal approaches can be used and the respective indications of each pathway will depend on several factors, including the location of the tumor and the examination time, which will condition the occupation time of the MR room, a major factor influencing the overall cost of MRI-guided procedures. This review addresses the current practice of prostate MRI-guided interventional procedures and potential future applications.
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- Faculty of Medical Sciences [93209]
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