| Evolution of precise and multimodal MRI and TRUS in detection and management of early prostate cancer. | |
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MedLine Citation:
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PMID: 20583890 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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The combination of T2-weighted MRI with functional MRI, including contrast-enhanced MRI, diffusion-weighted imaging and magnetic resonance spectroscopy, has been recognized as the most promising diagnostic modality for the detection and staging of localized prostate cancer. In spite of the relatively low predictive value of the transrectal ultrasonography (US) image alone, transrectal US-guided prostate biopsy is currently the most clinically used, gold standard technique to confirm pathological prostate cancer. A possible way of improving the precision of prostate biopsy is to use computer-aided analysis, the fusion of the US image with MRI, or by introducing contrast-enhanced US, elastography and/or 3D US to be coupled with computer-assistance or robotic needle placement. Computer-aided surgical navigation systems with image-fusion or image-overlaying capability, integrated with real-time organ tracking systems and/or robotic systems for feedback on the 3D spatial positions of the surgical targets and instruments, can provide attractive opportunities to improve the digitally-coordinated precision of minimally invasive urology, along with predictive ability to guide toward ideal surgical outcomes. |
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Authors:
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Osamu Ukimura |
Publication Detail:
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Type: Journal Article; Review |
Journal Detail:
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Title: Expert review of medical devices Volume: 7 ISSN: 1745-2422 ISO Abbreviation: Expert Rev Med Devices Publication Date: 2010 Jul |
Date Detail:
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Created Date: 2010-06-29 Completed Date: 2010-09-29 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 101230445 Medline TA: Expert Rev Med Devices Country: England |
Other Details:
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Languages: eng Pagination: 541-54 Citation Subset: IM |
Affiliation:
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Kyoto Prefectural University of Medicine, Kyoto, Japan. drukimura@aol.com |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Biopsy Early Detection of Cancer / methods* Humans Magnetic Resonance Imaging / methods* Male Prostate / pathology Prostatic Neoplasms / pathology, therapy*, ultrasonography* Rectum / ultrasonography* Surgery, Computer-Assisted Ultrasound, High-Intensity Focused, Transrectal / methods* |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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