PMID- 32316763 OWN - NLM STAT- MEDLINE DCOM- 20210427 LR - 20210427 IS - 1557-900X (Electronic) IS - 0892-7790 (Linking) VI - 34 IP - 7 DP - 2020 Jul TI - Comparison of Real-Time Virtual Sonography Navigation Versus BioJet Navigation on Magnetic Resonance Imaging-Guided Prostate Needle Biopsy: A Single Institutional Analysis. PG - 739-745 LID - 10.1089/end.2020.0042 [doi] AB - Objective: To analyze the effectiveness and complication rate of MRI-guided prostate needle biopsies by using real-time virtual sonography (RVS) vs BioJet navigation. Methods: We retrospectively reviewed 171 patients who underwent an MRI-guided prostate needle biopsy at our institution. Patients whose prostate-specific antigen level was >4.0 ng/mL and who had suspicious prostate cancer (PCa) lesions by multiparametric MRI (mpMRI) underwent 2-core MRI-guided targeted biopsy (TB) and for MRI-guided TB: RVS and BioJet. RVS navigation synchronized mpMRI images with transrectal ultrasound (TRUS) images. BioJet navigation used a software program that merged images from mpMRI and TRUS to produce a composite image. We retrospectively compared the detection rate of PCa and the frequency of severe adverse events (AEs) between these two navigation systems, focusing on patients. In addition, we compared the detection rate of MRI-guided TB cores of two navigation systems regarding anatomical position (transitional zone [TZ] or peripheral zone [PZ]). Results: Data from RVS and BioJet biopsy groups were from 65 and 106 patients, respectively. Of these, RVS-TB included 141 cores (PZ: 49 cores, TZ: 92 cores), and BioJet-TB included 276 cores (PZ: 73 cores, TZ: 203 cores). In detecting PCa, by conducting both systematic biopsy and TB, and AEs in patients, a significant difference was not noted between RVS and BioJet navigation systems. In addition, there was no significant difference in the total detection rate for PCa in TB cores between the two methods. However, in the TZ, BioJet navigation showed a significantly higher detection rate of PCa than RVS navigation (35.0% vs 17.4%, p = 0.0023) by analyzing the cores of MRI-guided TB. Conclusion: When targeting TZ lesions, BioJet navigation had a greater detection rate for PCa compared with that of RVS navigation. FAU - Nagai, Takashi AU - Nagai T AD - Department of Nephro-Urology, Graduate School of Medical Sciences, Nagoya City University, Nagoya, Japan. FAU - Naiki, Taku AU - Naiki T AD - Department of Nephro-Urology, Graduate School of Medical Sciences, Nagoya City University, Nagoya, Japan. FAU - Hamamoto, Shuzo AU - Hamamoto S AD - Department of Nephro-Urology, Graduate School of Medical Sciences, Nagoya City University, Nagoya, Japan. FAU - Etani, Toshiki AU - Etani T AD - Department of Nephro-Urology, Graduate School of Medical Sciences, Nagoya City University, Nagoya, Japan. FAU - Naiki-Ito, Aya AU - Naiki-Ito A AD - Department of Experimental Pathology and Tumor Biology, and Graduate School of Medical Sciences, Nagoya City University, Nagoya, Japan. FAU - Nakagawa, Motoo AU - Nakagawa M AD - Department of Radiology, Graduate School of Medical Sciences, Nagoya City University, Nagoya, Japan. FAU - Iida, Keitaro AU - Iida K AD - Department of Nephro-Urology, Graduate School of Medical Sciences, Nagoya City University, Nagoya, Japan. FAU - Iwatsuki, Shoichiro AU - Iwatsuki S AD - Department of Nephro-Urology, Graduate School of Medical Sciences, Nagoya City University, Nagoya, Japan. FAU - Taguchi, Kazumi AU - Taguchi K AD - Department of Nephro-Urology, Graduate School of Medical Sciences, Nagoya City University, Nagoya, Japan. FAU - Maruyama, Tetsuji AU - Maruyama T AD - Department of Nephro-Urology, Graduate School of Medical Sciences, Nagoya City University, Nagoya, Japan. FAU - Kawai, Noriyasu AU - Kawai N AD - Department of Nephro-Urology, Graduate School of Medical Sciences, Nagoya City University, Nagoya, Japan. FAU - Takahashi, Satoru AU - Takahashi S AD - Department of Experimental Pathology and Tumor Biology, and Graduate School of Medical Sciences, Nagoya City University, Nagoya, Japan. FAU - Yasui, Takahiro AU - Yasui T AD - Department of Nephro-Urology, Graduate School of Medical Sciences, Nagoya City University, Nagoya, Japan. LA - eng PT - Journal Article DEP - 20200625 PL - United States TA - J Endourol JT - Journal of endourology JID - 8807503 SB - IM MH - Biopsy, Needle MH - Humans MH - Image-Guided Biopsy MH - Magnetic Resonance Imaging MH - Male MH - *Prostate/diagnostic imaging MH - *Prostatic Neoplasms/diagnostic imaging MH - Retrospective Studies OTO - NOTNLM OT - BioJet OT - MRI-guided biopsy OT - multiparametric magnetic resonance imaging OT - real-time virtual sonography EDAT- 2020/04/23 06:00 MHDA- 2021/04/28 06:00 CRDT- 2020/04/23 06:00 PHST- 2020/04/23 06:00 [pubmed] PHST- 2021/04/28 06:00 [medline] PHST- 2020/04/23 06:00 [entrez] AID - 10.1089/end.2020.0042 [doi] PST - ppublish SO - J Endourol. 2020 Jul;34(7):739-745. doi: 10.1089/end.2020.0042. Epub 2020 Jun 25.