ASSOC. PROF. DR.ARİF DEMİRBAŞUrologistMENUTESTIMONIALS+90 532 485 0016Contact Information

MR Fusion Biopsy

What is Prostate Biopsy?

Prostate biopsy is a procedure in which pathological tissue is taken to detect the presence or absence of prostate cancer in patients with elevated blood tests (PSA) or abnormalities in digital rectal examination or significant lesions detected in multiparametric prostate MRI.

MR Fusion Biopsy

How Prostate Biopsy is Done?

In traditional systematic prostate biopsy, tissue pieces are taken from 12 quadrants of the prostate and examined under ultrasound guidance.

Is Fusion Biopsy Better?

Since the ultrasonography (USG) used during the biopsy procedure has a low sensitivity in detecting the cancer focus within the prostate, especially low-stage prostate cancers may not be diagnosed.

With the help of technological developments in recent years, the cancer focus within the prostate has begun to be detected much better with multiparametric MRI.

With the help of MRI applied to the patient before prostate biopsy, the rate of detection of prostate cancer by experienced urologists increases. Because these MRI images are transferred to ultrasonography and show us the right path.

What is MRI Fusion Biopsy?

MRI fusion biopsy procedure; It is a method that allows us to take a biopsy from the right place by transferring the images taken before prostate biopsy to ultrasonography. It is a navigation system. It protects us from unnecessary biopsy and provides us correct diagnosis.

Multiparametric Prostate MRI

The most superior method for imaging lesions that are a sign of prostate cancer is technically multiparametric MRI, in which different sequences are taken in a single session. With the 3 TESLA MRI technology at Doruk Nilüfer Hospital, multiparametric prostate MRI is evaluated at the highest level. If there is a suspicious lesion (PIRADS-3,4,5),MRI fusion prostate biopsy is performed.

MRI Fusion Prostate Biopsy Preparation

Before MRI fusion prostate biopsy, multiparametric MRI is applied to the patient to detect a suspicious lesion located in the prostate. During the procedure, the ultrasonography device that images the prostatic tissues is guided by the lesion that is suspicious for cancer seen on MRI with the help of the fusion device. It is beneficial to use antibiotics and enemas to prevent infections before the procedure.

Advantages of MRI Fusion Prostate Biopsy

Due to this smart prostate biopsy system, the probability of diagnosing cancerous tissues increases to a very high level. Considering the anxiety of our patients during prostate biopsy, it also saves patients from repeated unnecessary biopsies. The possibility of misdiagnosis of existing prostate cancer is minimized, ensuring that patients receive more accurate treatment.

Anesthesia for MRI Fusion Prostate Biopsy

It is performed with the help of a previously taken MRI image in a patient suspected of having prostate cancer and devices that transfer these images to ultrasonography and make markings. Considering the pain of the procedure and the anxiety of the patients, prostate biopsy is a procedure that should be performed under general or regional anesthesia in operating room conditions.

How is MRI Fusion Prostate Biopsy Done?

The samples to be taken are taken with the help of a biopsy needle, but this sampling process has two sub-methods in MR fusion biopsy: transrectal and transperineal. In other words, MRI fusion biopsy is divided into two.

Transrectal MRI Fusion Biopsy

The transrectal method is the removal of prostate tissues by entering through the anus, and it has the advantage of being easy to apply. However, since this method is entered through the anus, the risk of serious infection is much higher than the transperineal method.

Transperineal MRI Fusion Biopsy

Transperineal access is the removal of prostate tissues by inserting a needle through the skin just above the anus. A sample is not taken from the anus. Since the biopsy is taken from a clean area, the possibility of infection is less than the transrectal method and the ease of application with the MRI Fusion device makes this technique the gold standard. This is the method mainly recommended by the European Association of Urology.

How painful is an MRI guided prostate biopsy?

MRI fusion prostate biopsy is a method that can be performed painlessly when performed under anesthesia, and the possibility of infection is very low, especially if access is made via transperineal route. It is the best method in the diagnosis of prostate disease (benign prostate hyperplasia and prostate cancer).

How Long Does MRI Fusion Prostate Biopsy Take?

Although the prostate biopsy procedure takes approximately 15-20 minutes, the process may take up to approximately 45 minutes due to preliminary preparation and anesthesia.

Hospitals MRI Fusion Prostate Biopsy is Performed

This procedure was performed by Assoc. Prof. Dr Arif Demirbaş at Doruk Hospitals Turkey. It is performed painlessly and comfortably under anesthesia.

How Many Days Does It Take to Get Fusion Biopsy Pathology Results?

It is important for the pathology result to be obtained early, both for the patient's concern about the result and for the planning of the treatment. At Bursa Doruk Hospitals, pathology results are reported on average in 5-7 days.

MRI Fusion Prostate Biopsy Cost

MR fusion biopsy prices vary depending on hospital conditions, the anesthesia method used, the quality and operating system of the MR Fusion device used, and the experience of the performing physician.

For more information about procedure and best price

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Note: The page contents are for informational purposes only and a doctor's consultation is required for your diagnosis and treatment.

Update Date: 27.04.2022
Assoc. Prof. Dr. Arif Demirbaş
Editor
Doç. Dr. Arif Demirbaş
Üroloji Uzmanı
The content of this page is for informational purposes only.
Please consult your physician for diagnosis and treatment.
Assoc. Prof. Dr. Arif Demirbas
Urology Specialist
Dr. Arif Demirbaş was born in 1985 in Turkey. He graduated from Uludag University Faculty of Medicine in 2010. He completed his urology residency training at Ankara Training and Research Hospital between 2011-2016. As a result of intensive academic studies after his specialization, he received the title of Associate Professor in March 2021.

Although he has experience with each of urological diseases, he has a special interest in the diagnosis, medical treatment and surgical treatment of urological cancers (prostate cancer, kidney cancer, bladder cancer and testicular cancer),kidney stone diseases, benign prostate enlargement, adrenal gland diseases (surrenal gland) and pediatric urology diseases (ureteropelvic stenosis, vesicoureteral reflux, undescended testicles). If possible, the surgeries are planned laparoscopically and endoscopically in a way that creates the least discomfort for the patient as required by the era.
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