Prostate Cancer Clinical Trial
Official title:
A Prospective Randomized Study Comparing the Diagnostic Efficacy of MR-guided in Bore Prostate Biopsy Versus MRI/US Fusion-guided Prostate Biopsy in Men With at Least One Negative Prostate Biopsy
The hypothesis of the study is that targeted MRI/US fusion-guided prostate biopsy with additional systematic transrectal ultrasound (TRUS)-guided biopsy significantly detects more prostate cancers than targeted MR-guided in-bore prostate.
In men with previously negative prostate biopsy and persistent elevated prostate-specific
antigen (PSA) value, it is unclear which strategy offers the highest detection rate for
prostate cancer. The hypothesis of this study is that targeted MRI-guided biopsy combined
with transrectal ultrasound (TRUS)-guided biopsy may potentially detect more cancers than
MRI-guided prostate biopsies alone.
Men with at least one previously negative TRUS-guided biopsy and persistently elevated PSA
values will be submitted to a multiparametric MRI examination of the prostate. Subsequently,
all participants will be randomized (1:1) into both study arms. In study arm A patients will
be submitted to targeted prostate biopsy based on the multiparametric MRI findings. Targeted
biopsies will be performed using MRI-guided in-bore prostate biopsy. In study arm B targeted
biopsies will be performed using MRI/TRUS-fusion-guided prostate biopsy with
software-registration (MRI/TRUS image fusion). Patients of study arm B undergo additional
systematic 12-core TRUS-guided prostate biopsy.
;
Allocation: Randomized, Endpoint Classification: Efficacy Study, Intervention Model: Parallel Assignment, Masking: Open Label, Primary Purpose: Diagnostic
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