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Pathology

The lottery of conventional prostate biopsy

Increasing the number of prostate biopsy cores taken does not improve diagnostic accuracy. Instead, urologists need to think in three dimensions and use template guidance to improve cancer detection and characterization.

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Figure 1: A 36-core saturation biopsy scheme, as used by Delongchamps et al.1
Figure 2: Prostate as seen on transrectal ultrasonography during saturation biopsy.

References

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G. L. Andriole has declared that he is a Stockholder/Director of Envisioneering Medical Technologies, manufacturers of the TargetScan® targeted biopsy system.

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Andriole, G. The lottery of conventional prostate biopsy. Nat Rev Urol 6, 188–189 (2009). https://doi.org/10.1038/nrurol.2009.46

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