Comparison of re-biopsy with preceded MRI and re-biopsy without preceded MRI in patients with previous negative biopsy and persistently high PSA
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| 024 | 7 | 0 | |a 10.1007/s00261-014-0245-3 |2 doi |
| 035 | |a (NATIONALLICENCE)springer-10.1007/s00261-014-0245-3 | ||
| 245 | 0 | 0 | |a Comparison of re-biopsy with preceded MRI and re-biopsy without preceded MRI in patients with previous negative biopsy and persistently high PSA |h [Elektronische Daten] |c [Byung Park, Seong Jeon, Bumsoo Park, Jung Park, Chan Kim, Hyun Lee, Han Choi] |
| 520 | 3 | |a Purpose: To retrospectively compare re-biopsy with preceded magnetic resonance imaging (MRI) and re-biopsy without preceded MRI. Materials and methods: Between January 2007 and May 2011, 669 patients (mean 64years; range 38-91years) underwent a re-biopsy because of previous negative biopsy (median 1; 1-5) and persistently high prostate-specific antigen (PSA 10.6ng/ml; 2.5-997.1ng/ml). 3T MRI using a phased-array coil was performed in 171 (MRI group) but not in 498 (non-MRI group) prior to re-biopsy. Transrectal ultrasound-guided biopsy was performed in both MRI and non-MRI groups. MRI and non-MRI groups were compared in terms of cancer detection rate [(number of cancer-proven patients/number of patients in MRI or non-MRI group)×100] and positive core rate [(number of cancer-positive cores/number of cores in MRI or non-MRI group)×100] using Fisher exact test. Odds ratio and 95% confidence interval were also obtained. Pathologic diagnosis of the biopsy was considered standard reference. Results: Of 669 patients, 129 (19.3%) were diagnosed with adenocarcinoma. The cancer detection rates of MRI and non-MRI groups were 33.3% (57/171) and 14.5% (72/498), respectively (p<0.001). The positive core rates of these groups were 9.2% (167/1818) and 3.2% (179/5631), respectively (p<0.001). The odd ratios of cancer detection rate and positive core rate were 3.0 (95% confidence interval 2.0-4.4) and 3.1 (2.5-3.8), respectively. Conclusion: Re-biopsy with preceded MRI yields higher cancer detection rate and positive core rate than re-biopsy without preceded MRI. MRI should be considered prior to re-biopsy in patients with previous negative biopsy and persistently high PSA. | |
| 540 | |a Springer Science+Business Media New York, 2014 | ||
| 700 | 1 | |a Park |D Byung |u The Department of Radiology, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea |4 aut | |
| 700 | 1 | |a Jeon |D Seong |u The Department of Urology, Samsung Medical Center, Sungkyunkwan University School of Medicine, 50 Ilwon-dong, Kangnam-ku, 135-710, Seoul, Korea |4 aut | |
| 700 | 1 | |a Park |D Bumsoo |u The Department of Urology, Samsung Medical Center, Sungkyunkwan University School of Medicine, 50 Ilwon-dong, Kangnam-ku, 135-710, Seoul, Korea |4 aut | |
| 700 | 1 | |a Park |D Jung |u The Department of Radiology, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea |4 aut | |
| 700 | 1 | |a Kim |D Chan |u The Department of Radiology, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea |4 aut | |
| 700 | 1 | |a Lee |D Hyun |u The Department of Urology, Samsung Medical Center, Sungkyunkwan University School of Medicine, 50 Ilwon-dong, Kangnam-ku, 135-710, Seoul, Korea |4 aut | |
| 700 | 1 | |a Choi |D Han |u The Department of Urology, Samsung Medical Center, Sungkyunkwan University School of Medicine, 50 Ilwon-dong, Kangnam-ku, 135-710, Seoul, Korea |4 aut | |
| 773 | 0 | |t Abdominal Imaging |d Springer US; http://www.springer-ny.com |g 40/3(2015-03-01), 571-577 |x 0942-8925 |q 40:3<571 |1 2015 |2 40 |o 261 | |
| 856 | 4 | 0 | |u https://doi.org/10.1007/s00261-014-0245-3 |q text/html |z Onlinezugriff via DOI |
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| 900 | 7 | |a Metadata rights reserved |b Springer special CC-BY-NC licence |2 nationallicence | |
| 908 | |D 1 |a research-article |2 jats | ||
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| 950 | |B NATIONALLICENCE |P 856 |E 40 |u https://doi.org/10.1007/s00261-014-0245-3 |q text/html |z Onlinezugriff via DOI | ||
| 950 | |B NATIONALLICENCE |P 700 |E 1- |a Park |D Byung |u The Department of Radiology, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea |4 aut | ||
| 950 | |B NATIONALLICENCE |P 700 |E 1- |a Jeon |D Seong |u The Department of Urology, Samsung Medical Center, Sungkyunkwan University School of Medicine, 50 Ilwon-dong, Kangnam-ku, 135-710, Seoul, Korea |4 aut | ||
| 950 | |B NATIONALLICENCE |P 700 |E 1- |a Park |D Bumsoo |u The Department of Urology, Samsung Medical Center, Sungkyunkwan University School of Medicine, 50 Ilwon-dong, Kangnam-ku, 135-710, Seoul, Korea |4 aut | ||
| 950 | |B NATIONALLICENCE |P 700 |E 1- |a Park |D Jung |u The Department of Radiology, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea |4 aut | ||
| 950 | |B NATIONALLICENCE |P 700 |E 1- |a Kim |D Chan |u The Department of Radiology, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea |4 aut | ||
| 950 | |B NATIONALLICENCE |P 700 |E 1- |a Lee |D Hyun |u The Department of Urology, Samsung Medical Center, Sungkyunkwan University School of Medicine, 50 Ilwon-dong, Kangnam-ku, 135-710, Seoul, Korea |4 aut | ||
| 950 | |B NATIONALLICENCE |P 700 |E 1- |a Choi |D Han |u The Department of Urology, Samsung Medical Center, Sungkyunkwan University School of Medicine, 50 Ilwon-dong, Kangnam-ku, 135-710, Seoul, Korea |4 aut | ||
| 950 | |B NATIONALLICENCE |P 773 |E 0- |t Abdominal Imaging |d Springer US; http://www.springer-ny.com |g 40/3(2015-03-01), 571-577 |x 0942-8925 |q 40:3<571 |1 2015 |2 40 |o 261 | ||