Imperial College London
Portrait Picture

Professor Hashim Ahmed

Faculty of Medicine, Department of Surgery & Cancer

Chair in Urology (Clinical)
 
 
 
//

Contact

 

hashim.ahmed

 
 
//

Location

 

5L28Lab BlockCharing Cross Campus

//

Summary

 

Publications

Citation

BibTex format

@article{Miah:2019:10.1007/s11701-019-00929-y,
author = {Miah, S and Servian, P and Patel, A and Lovegrove, C and Skelton, L and Shah, TT and Eldred-Evans, D and Arya, M and Tam, H and Ahmed, HU and Winkler, M},
doi = {10.1007/s11701-019-00929-y},
journal = {Journal of Robotic Surgery},
pages = {69--74},
title = {A prospective analysis of robotic targeted MRI-US fusion prostate biopsy using the centroid targeting approach},
url = {http://dx.doi.org/10.1007/s11701-019-00929-y},
volume = {14},
year = {2019}
}
Download

RIS format (EndNote, RefMan)

TY  - JOUR
AB  - Robotic prostate biopsy is an emerging technology. Recent development of this tool has allowed the performance of a transperineal prostate biopsy allowing pre-programmed standardized biopsy schemes. Prospective data collection was undertaken in 86 consecutive men who underwent robotically assisted transperineal prostate biopsy. All underwent a multi-parametric MRI pre-biopsy with centroid targeting followed by systematic template prostate biopsy. For the purposes of this study, our definition of clinically significant prostate cancer (csPCa) is any Gleason score > 6. Mean (SD) age, median (IQR) PSA, and median (IQR) prostate volume were 64.24 (6.97) years, of 7.79 ng/ml (6.5) and 45.06 cc (28), respectively. Overall, 44 (51.2%) men were diagnosed with csPCa. csPCa was detected in the targeted biopsies alone in 35 (40.1%) men. The addition of the 12-zone template biopsy increased the yield of csPCa for another 9 (10.5%) men. Of these 9 men, the majority (7) harbored primary pattern 3 disease and only 1 was identified to have high-grade disease. Out of these 9 men, 7 of them had the identification of csPCa in the sector, where a target was contained within that zone. Robotic-assisted prostate biopsy in our study has demonstrated a high detection of csPCa when combined with limited near-field sampling. Our study suggests the use of more accurate biopsy schemes such as ring-targeting of lesions to mitigate against systematic and random mathematical errors. Adoption of this tool and biopsy strategy would potentially avoid the increased morbidity associated with whole gland systematic unguided biopsies.
AU  - Miah,S
AU  - Servian,P
AU  - Patel,A
AU  - Lovegrove,C
AU  - Skelton,L
AU  - Shah,TT
AU  - Eldred-Evans,D
AU  - Arya,M
AU  - Tam,H
AU  - Ahmed,HU
AU  - Winkler,M
DO  - 10.1007/s11701-019-00929-y
EP  - 74
PY  - 2019///
SN  - 1863-2483
SP  - 69
TI  - A prospective analysis of robotic targeted MRI-US fusion prostate biopsy using the centroid targeting approach
T2  - Journal of Robotic Surgery
UR  - http://dx.doi.org/10.1007/s11701-019-00929-y
UR  - https://www.ncbi.nlm.nih.gov/pubmed/30783886
UR  - http://hdl.handle.net/10044/1/67188
VL  - 14
ER  -
Download