Detection of prostate cancer using magnetic resonance imaging/ultrasonography image‐fusion targeted biopsy in African‐American men

• DOI: 10.1111/bju.13786
• Publication Date: 2017-01-23T09:13:30Z
• Authors: Toshitaka Shin; Thomas B. Smyth; Osamu Ukimura; Nariman Ahmadi; Andre Luis de Cas...; Masakatsu Oishi; Hiromitsu Mimata; Inderbir S. Gill
• Keywords: Transrectal ultrasonography; Prostate biopsy

Objective To assess the diagnostic yield of targeted prostate biopsy in African‐American (A‐A) men using image fusion multi‐parametric magnetic resonance imaging (mp MRI ) with real‐time transrectal ultrasonography ( US ). Patients and Methods We retrospectively analysed 661 patients (117 A‐A 544 Caucasian) who had mp before then underwent / image‐fusion FTB between October 2012 August 2015. The s were reported on a 5‐point Likert scale suspicion. Clinically significant cancer CSPC was defined as Gleason score ≥7. Results After controlling for age, prostate‐specific antigen level volume, there no differences Caucasian detection rate overall (35.0% vs 34.2%, P = 0.9) (18.8% 21.7%, 0.3) . There races location dominant lesions , proportion scoring. In men, from grade 4–5 outperformed random (70.6% 37.2%, 0.003) (52.9% 12.4%, < 0.001). core length (5.0 2.4 mm, 0.001), per (24.9% 6.8%, efficiency detecting one patient (mean number cores needed 13.3 81.9, respectively. Conclusions Our key finding confirms lack racial difference cancers men. detected more fewer compared biopsy.