Yazılım Destekli Manyetik Rezonans Ultrason Füzyon Biyopsi Tekniklerine Güncel Bakış

Yıl 2020, Cilt: 12 Sayı: 1, 78 - 86, 30.01.2020

Selahattin Bedir , Engin Kaya , Serdar Yalçın , Murat Zor

Öz

Günümüzde multiparametrik prostat magnetik rezonans görüntüleme (mp-MRG) yardımlı hedefe yönelik biyopsilerin en önemli kullanım endikasyonunu, daha önce negatif biyopsisi olan ancak klinik olarak kanser şüphesinin devam ettiği olgular oluşturmaktadır. Günümüzde, hem Avrupa Üroloji Derneği hem de Amerikan Üroloji Derneği güncel kılavuzlarında, prostat kanseri şüphesi bulunan ve daha önce negatif prostat biyopsisi bulunan olgularda sistemik biyopsi ile birlikte hedefe yönelik biyopsi yapılması önerilmektedir. Hedefe yönelik prostat biyopsileri 2 başlık altında toplanabilir. İlki direkt olarak hasta magnetik rezonans (MR) gantry cihazı içerisinde iken MR görüntüsü altında biyopsi alınması şeklinde tanımlanan in-gantry biyopsi iken, diğeri MR görüntüsü ile transrektal ultrasonografi (TRUS) görüntüsünün kognitif veya çeşitli platformlarda yazılım destekli füzyonu ile yapılan MR-US füzyon biyopsilerdir (FB). Biz bu derlememizde yazılım destekli MR-US FB tekniklerinden, kısaca bunların sonuçlarından ve kendi klinik tecrübelerimizden bahsedeceğiz. Yazımız MR-US füzyon biyopsi teknikleri, kognitif MR-US füzyon prostat biyopsi, yazılım destekli MR-US FB ve sonuç başlıkları altında derlenmiştir. 

Anahtar Kelimeler

MR-FÜZYON, PROSTAT BİYOPSİSİ, PROSTAT KANSERİ

Current Overview of Software Assisted Magnetic Resonance Ultrasound Fusion Biopsy Techniques

Öz

Today, the most important indication for multiparametric prostate magnetic resonance imaging (mp-MRI) assisted targeted biopsies is the presence of previously negative biopsy but still clinically suspected cancer. Currently, both the European Association of Urology and the American Association of Urology recommend that targeted biopsy with systemic biopsy be performed in patients with suspected prostate cancer and previous negative prostate biopsy. Targeted prostate biopsies can be grouped under 2 headings. The first is an in-gantry biopsy, which is defined as direct biopsy under magnetic resonance (MR) image while the patient is in a MR gantry device, while the other is MR-US fusion biopsies (FB) performed by cognitive or software-assisted fusion of the MR image and transrectal ultrasound (TRUS). In this review, we will discuss software-assisted MR-US FB techniques, their results and our own clinical experience. This article has been compiled under the titles of MR-US fusion biopsy techniques, cognitive MR-US fusion prostate biopsy, software-assisted MR-US FB and results.

Anahtar Kelimeler

MR-US Fusion Biopsy, Prostate Cancer

Kaynakça

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