We found a match
Your institution may have access to this item. Find your institution then sign in to continue.
- Title
Welke tumoren worden gemist wanneer systematische biopten achterwege gelaten worden bij patiënten met de verdenking op prostaatcarcinoom? ('DROPP-IT').
- Authors
van den Bergh, Roderick C. N.; Reesink, Daan J.; Wever, Lieke; Soeterik, Timo F. W.; van Selm, Sandrine; Stijns, Pascal E. F.; van der Hoeven, Erik J. R. J.; de Bruin, Peter C.; van Melick, Harm H. E.
- Abstract
MRI of the prostate has dramatically changed and improved the biopsy indication and biopsy strategy. Still, even with a normal MRI an indication for biopsy may exist. Also, systematic biopsies are recommended in addition to targeted cores. This article presents which prostate tumors would have been missed in the hypothetical situation that no systematic biopsies would have been performed in our cohort, with a fully MRI dependent diagnostic strategy. As a reference the results of the standard pathway were used, in which all patients (n = 496) underwent MRI, but a risk indicator could also independently indicate biopsy, and targeted plus systematic biopsies were always performed, if possible. In total, 16% of ISUP gr ≥2 (Gleason ≥3+4=7) tumors would have been missed, but only 66% would have been biopsied, with 50–75% less cores, and 52% ISUP gr 1 (3 + 3 = 6) tumors would have remained undetected.
- Subjects
PROSTATE cancer; CALCULATORS
- Publication
Tijdschrift voor Urologie, 2021, Vol 11, Issue 8, p136
- ISSN
2211-3037
- Publication type
Article
- DOI
10.1007/s13629-021-00339-6