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OPTIMIZACIÓN DE LA BIOPSIA DE PRÓSTATA: ANÁLISIS TRIDIMENSIONAL GILMER ARCENIO  DÍAZ  PÉREZ   CIRUJANO  URÓLOGO  ONCÓLOGO  


Biopsy Schemes with the Fewest Cores for Detecting 95% of the Prostate Cancers Detected by a 24-Core Biopsy Vincenzo Scattoni a,*, Marco Raber a, Firas Abdollah a, Marco Roscigno a, Federico Deho` a, Diego Angiolilli a, Carmen Maccagnano a, Andrea Gallina a, Umberto Capitanio a, Massimo Freschi b, Claudio Doglioni b, Patrizio Rigatti a, Francesco Montorsi a a Department of Urology, University Vita-Salute, Scientific Institute San Raffaele, Milan, Italy b Department of Pathology, University Vita-Salute, Scientific Institute San Raffaele, Milan, Italy EUROPEAN  UROLOGY  5  7  (  2  01  0  )  1  –  8  


Can transrectal needle biopsy be optimised to detect nearly all prostate cancer with a volume of ≥0.5 mL? A three-dimensional analysis Kent Kanao*†, James A. Eastham†, Peter T. Scardino†‡, Victor E. Reuter*§ and Samson W. Fine* Departments of *Pathology and †Surgery, Urology Service, Memorial Sloan-Kettering Cancer Center, and Departments of ‡Urology and §Pathology,Weill Cornell Medical Center, New York, NY, USA BJU  Int  2013;  112:  898–904  


PLANO TRANSVERSAL  

PLANO SAGITAL  


80º

1cm


Longitud del  corte  

Anterior superficial  

Anterior profundo  


Targeted Biopsy in the Detection of Prostate Cancer Using an Office Based Magnetic Resonance Ultrasound Fusion Device Geoffrey A. Sonn, Shyam Natarajan, Daniel J. A. Margolis,* Malu MacAiran, Patricia Lieu, Jiaoti Huang, Frederick J. Dorey and Leonard S. Marks† From the Department of Urology (GAS, MM, PL, JH, FJD, LSM), Institute of Urologic Oncology (GAS, LSM), Department of Radiology (DJAM), Department of Pathology (JH), Center for Advanced Surgical and Interventional Technology (SN), and Biomedical Engineering Interdepartmental Program (SN), University of California-Los Angeles, Los Angeles, California

THE JOURNAL  OF  UROLOGY®  Vol.  189,  86-­‐92,  January  2013  


CONCLUSIONES (A TÍTULO PERSONAL)

1.  No estamos  diagnosacando  todos  los  tumores  clínicamente  significaavos.   2.  Necesitamos  entrenarnos  urólogos  y  radiólogos  en  opamizar  la  biopsia  de  próstata  transrectal   ecodirigida.   3.  Los  modelos  tridimensionales  no  necesariamente  son  iguales  en  la  vida  real.   4.  Debemos  invesagar  en  orden,  con  paciencia,  con  perseverancia  y  sin  perder  nunca  el  buen  humor.  


GRACIAS.

OPTIMIZACIÓN DE LA BIOPSIA DE PRÓSTATA: ANÁLISIS TRIDIMENSIONAL  

Cancer de prostata