Dismiss Systematic Transrectal Ultrasound-guided and Embrace Targeted Magnetic Resonance Imaging-informed Prostate Biopsy: Is the Paradigm Ready to Shift?

Multiparametric magnetic resonance imaging-informed prostate biopsy is attracting increasing interest among practicing urologists.

Whether this will become the new gold standard in prostate cancer diagnosis and supplant systematic transrectal ultrasound-guided sampling remains to be determined. Here we present the main open questions and current concerns regarding this new approach.

Eur Urol. 2015 Jun 9. pii: S0302-2838(15)00455-8. doi: 10.1016/j.eururo.2015.05.049. [Epub ahead of print]

Giannarini G1, Briganti A2, Crestani A3, Rossanese M3, Montorsi F2, Ficarra V4.

1 Urology Unit, Academic Medical Centre Hospital Santa Maria della Misericordia, Udine, Italy.
2 Division of Oncology/Urology Unit, Urological Research Institute, Ospedale San Raffaele, Milan, Italy.
3 Urology Unit, Academic Medical Centre Hospital Santa Maria della Misericordia, Udine, Italy.
4 Urology Unit, Academic Medical Centre Hospital Santa Maria della Misericordia, Udine, Italy; Department of Experimental and Clinical Medical Sciences, University of Udine, Udine, Italy.