Abstract #2576

In-bore MR guided prostate biopsy using multiparametric MRI to avoid unnecessary biopsies

Sujeet K Mewar¹, Sanajy Sharma², Ekta Dhamijia³, Rupsa Bhattacharjee⁴, Sanjay Thulkar³, Pradeep Kumar¹, Virendra Kumar¹, Senthil S Kumaran¹, Siddhartha D Gupta⁵, Rajeev Kumar⁶, and Naranamangalam R Jagannathan¹

¹Department of NMR and MRI Facility, All India Institute of Medical Sciences, New Delhi, India, ²Department of Radiology, All India Institute of Medical Sciences, New Delhi, India, ³Department of Radiology, IRCH, All India Institute of Medical Sciences, New Delhi, India, ⁴Philips Health Systems, Philips India Ltd., Gurgaon, India, ⁵Department of Pathology, All India Institute of Medical Sciences, New Delhi, India, ⁶Department of Urology, All India Institute of Medical Sciences, New Delhi, India

We report the results of the pilot study carried out using multiparametric (mp) MRI and in-bore MRI-guided prostate biopsy for detection of PCa to reduce the number of unnecessary biopsies. 11 patients were recruited based on prostate specific antigen > 4ng/ml and abnormal digital rectal examination. In-bore MRI targeted lesions with high PIRADS scores (3 to 5) were correlated with the histopathological findings. The average ADC in PCa patients was significantly lower than the prostatitis and BPH patients. Out of 11 patients, 3 showed adenocarcinoma, 5 prostatitis and 3 BPH.

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