3D versus 2D Systematic Transrectal Ultrasound-Guided Prostate Biopsy: Higher Cancer Detection Rate in Clinical Practice

Objectives. To compare prostate cancer detection rates of extended 2D versus 3D biopsies and to further assess the clinical impact of this method in day-to-day practice. Methods. We analyzed the data of a cohort of 220 consecutive patients with no prior history of prostate cancer who underwent an in...

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Main Authors: Alexandre Peltier, Fouad Aoun, Fouad El-Khoury, Eric Hawaux, Ksenija Limani, Krishna Narahari, Nicolas Sirtaine, Roland van Velthoven
Format: Article
Language:English
Published: Wiley 2013-01-01
Series:Prostate Cancer
Online Access:http://dx.doi.org/10.1155/2013/783243
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author Alexandre Peltier
Fouad Aoun
Fouad El-Khoury
Eric Hawaux
Ksenija Limani
Krishna Narahari
Nicolas Sirtaine
Roland van Velthoven
author_facet Alexandre Peltier
Fouad Aoun
Fouad El-Khoury
Eric Hawaux
Ksenija Limani
Krishna Narahari
Nicolas Sirtaine
Roland van Velthoven
author_sort Alexandre Peltier
collection DOAJ
description Objectives. To compare prostate cancer detection rates of extended 2D versus 3D biopsies and to further assess the clinical impact of this method in day-to-day practice. Methods. We analyzed the data of a cohort of 220 consecutive patients with no prior history of prostate cancer who underwent an initial prostate biopsy in daily practice due to an abnormal PSA and/or DRE using, respectively, the classical 2D and the new 3D systems. All the biopsies were done by a single experienced operator using the same standardized protocol. Results. There was no significant difference in terms of age, total PSA, or prostate volume between the two groups. However, cancer detection rate was significantly higher using the 3D versus the 2D system, 50% versus 34% (P<0.05). There was no statistically significant difference while comparing the 2 groups in term of nonsignificant cancer detection. Conclusion. There is reasonable evidence demonstrating the superiority of the 3D-guided biopsies in detecting prostate cancers that would have been missed using the 2D extended protocol.
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publisher Wiley
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series Prostate Cancer
spelling doaj-art-440c71bb4763413e8bfc1532611498852025-02-03T05:58:42ZengWileyProstate Cancer2090-31112090-312X2013-01-01201310.1155/2013/7832437832433D versus 2D Systematic Transrectal Ultrasound-Guided Prostate Biopsy: Higher Cancer Detection Rate in Clinical PracticeAlexandre Peltier0Fouad Aoun1Fouad El-Khoury2Eric Hawaux3Ksenija Limani4Krishna Narahari5Nicolas Sirtaine6Roland van Velthoven7Department of Urology, Jules Bordet Institute, 1 Rue Héger-Bordet, 1000 Brussels, BelgiumDepartment of Urology, Jules Bordet Institute, 1 Rue Héger-Bordet, 1000 Brussels, BelgiumDepartment of Urology, Jules Bordet Institute, 1 Rue Héger-Bordet, 1000 Brussels, BelgiumDepartment of Urology, Jules Bordet Institute, 1 Rue Héger-Bordet, 1000 Brussels, BelgiumDepartment of Urology, Jules Bordet Institute, 1 Rue Héger-Bordet, 1000 Brussels, BelgiumDepartment of Urology, Jules Bordet Institute, 1 Rue Héger-Bordet, 1000 Brussels, BelgiumDepartment of Anatomopathology, Jules Bordet Institute, 1 Rue Héger-Bordet, 1000 Brussels, BelgiumDepartment of Urology, Jules Bordet Institute, 1 Rue Héger-Bordet, 1000 Brussels, BelgiumObjectives. To compare prostate cancer detection rates of extended 2D versus 3D biopsies and to further assess the clinical impact of this method in day-to-day practice. Methods. We analyzed the data of a cohort of 220 consecutive patients with no prior history of prostate cancer who underwent an initial prostate biopsy in daily practice due to an abnormal PSA and/or DRE using, respectively, the classical 2D and the new 3D systems. All the biopsies were done by a single experienced operator using the same standardized protocol. Results. There was no significant difference in terms of age, total PSA, or prostate volume between the two groups. However, cancer detection rate was significantly higher using the 3D versus the 2D system, 50% versus 34% (P<0.05). There was no statistically significant difference while comparing the 2 groups in term of nonsignificant cancer detection. Conclusion. There is reasonable evidence demonstrating the superiority of the 3D-guided biopsies in detecting prostate cancers that would have been missed using the 2D extended protocol.http://dx.doi.org/10.1155/2013/783243
spellingShingle Alexandre Peltier
Fouad Aoun
Fouad El-Khoury
Eric Hawaux
Ksenija Limani
Krishna Narahari
Nicolas Sirtaine
Roland van Velthoven
3D versus 2D Systematic Transrectal Ultrasound-Guided Prostate Biopsy: Higher Cancer Detection Rate in Clinical Practice
Prostate Cancer
title 3D versus 2D Systematic Transrectal Ultrasound-Guided Prostate Biopsy: Higher Cancer Detection Rate in Clinical Practice
title_full 3D versus 2D Systematic Transrectal Ultrasound-Guided Prostate Biopsy: Higher Cancer Detection Rate in Clinical Practice
title_fullStr 3D versus 2D Systematic Transrectal Ultrasound-Guided Prostate Biopsy: Higher Cancer Detection Rate in Clinical Practice
title_full_unstemmed 3D versus 2D Systematic Transrectal Ultrasound-Guided Prostate Biopsy: Higher Cancer Detection Rate in Clinical Practice
title_short 3D versus 2D Systematic Transrectal Ultrasound-Guided Prostate Biopsy: Higher Cancer Detection Rate in Clinical Practice
title_sort 3d versus 2d systematic transrectal ultrasound guided prostate biopsy higher cancer detection rate in clinical practice
url http://dx.doi.org/10.1155/2013/783243
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