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MR image guided prostate biopsy of adenocarcinoma in 67-year-old male

Case Study
Porcellini, Beat, M.D. Zurich, Hirschlanden Clinic Switzerland

Patient history

A 67-year-old male with with PSA 33 underwent an MR image guided prostate biopsy at Hirslanden Clinic, Switzerland. Six months ago PSA was 27 and TRUS biopsy was negative.

MR examination

Achieva 3.0T was used for the exam, with the SENSE Cardiac coil and the endorectal coil in dual-coil mode. A flexible coil was used for the biopsy images.

Images

 T2-weighted ADC Biopsy
T2-weighted
ADC
Biopsy
 Spectroscopy in different voxels
Spectroscopy in different voxels

MR results show a suspicious focal lesion of 25 x 30 mm in the right middle lobe with strong restriction of diffusion. Spectroscopy shows an elevated choline peak and slightly reduced citrate in the lesion. The dynamic contrast series is unremarkable. No invasion of capsule, no lymph nodes and/or mets.

Diagnosis

MR image guided prostate biopsy helped to take a biopsy from the lesion which was found to be adenocarcinoma Gleason 3 + 4 = 7.

Clinical impact of MR image guided prostate biopsy

The lesion was clearly visualized with Achieva 3.0T's excellent image quality. MR image guided biopsy using the Elite Prostate Clinical Solution helped to correctly biopsy the lesion which helped to characterize it.


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Case Study
Achieva 3.0T
Release 2.5, Release 2.6
Quasar, Quasar Dual
adenocarcinoma, biopsy, Body, DWI, Endo coil, Prostate, Spectroscopy
 

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