Prostate biopsies by ECO/Resonance image fusion

Targeted biopsies with Ultrasound-Resonance for the diagnosis of Prostate Cancer

At Andrologia Mallorca we are at the forefront of diagnostic and therapeutic techniques in Urology. We are currently the only team in the Balearic Islands to perform this type of procedure for the diagnosis of Prostate Cancer.

Prostate cancer (PCa) is the most frequent malignant tumor among European men. In Spain, the incidence of CaP is estimated at approximately 21.7%. The classic method for its initial diagnosis was the performance of biopsies using transrectal ultrasound (US). However, it is an imperfect diagnostic technique due to its low sensitivity and the need to repeat it in many patients.
It is for these reasons that clinical guidelines currently recommend performing fusion biopsies using multiparametric Magnetic Resonance Imaging (mpMRI), if available.

What is fusion?
In recent years, mpMRI has established itself as a basic tool in the diagnosis of PCa due to the higher resolution it provides compared to ultrasound to detect possible PCa foci.

US/mpMRI targeted biopsies is a revolutionary technique that combines high-definition mpMRI images with ultrasound images in real time. In this way, during biopsies performed using ultrasound, mpMRI helps us, like a GPS, to more precisely locate the areas most likely to detect PCa.

How it is performed?

  1. Given the suspicion of PCa due to elevated PSA markers, an mpMRI is performed by expert radiologists. If the presence of lesions suggestive of PCa is confirmed, performing Targeted US/mpMRI biopsies is suggested.
  2. At Andrologia Mallorca we have expert radiologists and urologists who plan, using a computer system (fusion software), the superimposition of the mpMRI image with that of the US in real time. In this way, very precise coordinates can be assigned to each lesion.
  3. It is performed in the operating room under sedation, the procedure lasts about 30-45 minutes (depending on the number of lesions to be biopsied) and is performed via the perineum (which, unlike the classic transrectal route, reduces the possibility of subsequent injury). .
  4. Recovery is fast and the results of the biopsies are obtained within a few days. At this time, an individualized treatment is considered for each patient with an expert urologist.

What advantages does it have compared to the classic transrectal biopsy?

  • The clinical guidelines recommend it as the first option if it is available.
  • It is more precise: it detects 30% more aggressive tumors.
  • Detects anterior tumors more easily.
  • It can be performed after a negative classical biopsy if PCa is still suspected.
  • Has fewer subsequent infections
  • It is done under sedation and without discomfort for the patient.