Abstract #1160
Validation of Real time Virtual Sonography (RVS) for targeted MR-ultrasound guided transrectal prostate biopsies against transperineal template saturation biopsies for service development
Victoria Sherwood 1 , Donald MacDonald 2 , James Harding 3 , Nicholas Hedley 3 , Kieran Jefferson 2 , Chris Koller 1 , and Charles Hutchinson 3
1
Department of Radiology Physics, University
Hospitals Coventry & Warwickshire NHS Trust, Coventry,
Warwickshire, United Kingdom,
2
Department
of Urology, University Hospitals Coventry & Warwickshire
NHS Trust, Coventry, Warwickshire, United Kingdom,
3
Department
of Radiology, University Hospitals Coventry &
Warwickshire NHS Trust, Coventry, Warwickshire, United
Kingdom
A clinical development study was designed to validate
targeted MR-ultrasound fusion-guided prostate biopsies
against transperineal template saturation biopsies,
using Real-time Virtual Sonography (RVS). Twenty-seven
patients underwent fusion and template biopsies. Results
were compared and related back to multiparametric MRI.
Eleven of 19 patients with Gleason 6 disease or above,
as diagnosed by template biopsy, tested positive on
fusion biopsy. Almost all the remaining patients had
Gleason 6 disease, which may not be detected on MRI. RVS
has the potential to reduce patient complications and
lighten the burden on healthcare services by
significantly limiting the number of necessary template
saturation biopsies.
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