MR-targeted vs. Random TRUS-guided Prostate Biopsy in Patients With High PSA Values and Previous Negative Biopsy Results: A Randomized Controlled Trial
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Prostate Cancer
- Sponsor
- Fondazione del Piemonte per l'Oncologia
- Enrollment
- 90
- Locations
- 1
- Primary Endpoint
- Prostate cancer detection rate
- Last Updated
- 9 years ago
Overview
Brief Summary
To compare prostate cancer (PCa) detection rate of magnetic resonance (MR)-targeted biopsy and transrectal ultrasound (TRUS)-guided biopsy in patients with high PSA values and at least one previous negative prostate biopsy. Subjects will be submitted to a multiparametric MR scan of the prostate and subsequently patients with a suspicious MR for PCa presence will be randomized (1:1) into the two study arms.
Detailed Description
In men with previously negative prostate biopsy and persistent elevated PSA value, it is unclear which biopsy strategy offers the highest detection rate for significant PCa. The hypothesis of this study is that MR-targeted biopsy improves the detection rates of significant prostate cancers compared with systematic TRUS-guided prostate biopsy. Men with at least one previously negative TRUS-guided biopsy and persistently elevated PSA values (\> 4 ng/ml) will be submitted to a multiparametric MR imaging examination of the prostate. Subsequently, participants with suspected regions at MR imaging will be randomized (1:1) into the two study arms. In study arm A patients will be submitted to MR-targeted in-bore prostate biopsy based on the multiparametric MR imaging findings. In study arm B patients will be submitted to systematic TRUS-guided prostate biopsy with saturation scheme.
Investigators
Eligibility Criteria
Inclusion Criteria
- •men aged 50-80
- •at least one negative TRUS-guided prostate biopsy
- •PSA \> 4 ng/ml
- •at least one suspected region detected at multiparametric MR imaging
- •signed informed consent
Exclusion Criteria
- •known prostate cancer diagnosis
- •contraindication against MR imaging or uncooperative patients
Outcomes
Primary Outcomes
Prostate cancer detection rate
Time Frame: within the 3 months after MR imaging