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Perspective transition from transrectal to transperineal MRI-fusion biopsy under local anesthesia - the institutional TREXIT learning curve of the new gold standard.

作者信息

Falkenbach Fabian, Hohenhorst Lukas, Kachanov Mykyta, Inderhees Tim, Beyersdorff Dirk, Koehler Daniel, Leyh-Bannurah Sami-Ramzi, Maurer Tobias, Graefen Markus, Budäus Lars

机构信息

Martini-Klinik Prostate Cancer Center, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.

Institute of Human Genetics, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.

出版信息

Prostate Cancer Prostatic Dis. 2025 Jun 4. doi: 10.1038/s41391-025-00992-7.

DOI:10.1038/s41391-025-00992-7
PMID:40467973
Abstract
摘要

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Perspective transition from transrectal to transperineal MRI-fusion biopsy under local anesthesia - the institutional TREXIT learning curve of the new gold standard.局部麻醉下经直肠至经会阴MRI融合活检的视角转变——新金标准的机构性TREXIT学习曲线
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[Transrectal vs. transperineal fusion biopsy of the prostate : Time to switch to the perineal technique-comparison of methods and description of the transperineal procedure under local anesthesia].[经直肠与经会阴前列腺融合活检：是时候转向会阴技术了——方法比较及局部麻醉下经会阴操作描述]
Urologie. 2023 May;62(5):473-478. doi: 10.1007/s00120-023-02066-9. Epub 2023 Mar 17.
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Characterizing the learning curve of MRI-US fusion prostate biopsies.描述 MRI-US 融合前列腺活检的学习曲线。
Prostate Cancer Prostatic Dis. 2019 Dec;22(4):546-551. doi: 10.1038/s41391-019-0137-2. Epub 2019 Mar 6.
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Front Oncol. 2024 Mar 11;14:1361093. doi: 10.3389/fonc.2024.1361093. eCollection 2024.
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Urology. 2021 Sep;155:26-32. doi: 10.1016/j.urology.2021.04.040. Epub 2021 May 25.
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Developments in optimizing transperineal prostate biopsy.优化经会阴前列腺活检的研究进展。
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本文引用的文献

1
The learning curve and experience of a novel multi-modal image fusion targeted transperineal prostate biopsy technique using electromagnetic needle tracking under local anesthesia.一种在局部麻醉下使用电磁针跟踪的新型多模态图像融合靶向经会阴前列腺活检技术的学习曲线和经验。
Front Oncol. 2024 Mar 11;14:1361093. doi: 10.3389/fonc.2024.1361093. eCollection 2024.
2
Transperineal Versus Transrectal Magnetic Resonance Imaging-targeted Biopsies for Prostate Cancer Diagnosis: Final Results of the Randomized PERFECT trial (CCAFU-PR1).经会阴与经直肠磁共振成像靶向活检在前列腺癌诊断中的应用：随机PERFECT试验（CCAFU-PR1）的最终结果
Eur Urol Oncol. 2024 Oct;7(5):1080-1087. doi: 10.1016/j.euo.2024.01.019. Epub 2024 Feb 24.
3
Transperineal Versus Transrectal Magnetic Resonance Imaging-targeted and Systematic Prostate Biopsy to Prevent Infectious Complications: The PREVENT Randomized Trial.
经会阴与经直肠磁共振成像靶向与系统前列腺穿刺活检预防感染性并发症：PREVENT 随机试验。
Eur Urol. 2024 Jul;86(1):61-68. doi: 10.1016/j.eururo.2023.12.015. Epub 2024 Jan 11.
4
Complications Following Transrectal and Transperineal Prostate Biopsy: Results of the ProBE-PC Randomized Clinical Trial.经直肠和经会阴前列腺活检的并发症：ProBE-PC 随机临床试验的结果。
J Urol. 2024 Feb;211(2):205-213. doi: 10.1097/JU.0000000000003788. Epub 2023 Nov 17.
5
Impact of operator expertise on transperineal free-hand mpMRI-fusion-targeted biopsies under local anaesthesia for prostate cancer diagnosis: a multicenter prospective learning curve.经会阴徒手游离前列腺磁共振成像融合靶向活检术在前列腺癌诊断中局部麻醉下操作者专业技能的影响：一项多中心前瞻性学习曲线研究。
World J Urol. 2023 Dec;41(12):3867-3876. doi: 10.1007/s00345-023-04642-2. Epub 2023 Oct 12.
6
Learning curve for magnetic resonance imaging/ultrasound fusion prostate biopsy in detecting prostate cancer using cumulative sum analysis.使用累积和分析的磁共振成像/超声融合前列腺活检在检测前列腺癌中的学习曲线
Curr Urol. 2023 Sep;17(3):159-164. doi: 10.1097/CU9.0000000000000116. Epub 2022 Aug 22.
7
The urologist's learning curve of "in-bore" magnetic resonance-guided prostate biopsy.泌尿科医生在“腔内”磁共振引导前列腺活检中的学习曲线。
BMC Urol. 2021 Dec 6;21(1):169. doi: 10.1186/s12894-021-00936-y.
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Beyond the Learning Curve of Prostate MRI/TRUS Target Fusion Biopsy after More than 1000 Procedures.前列腺 MRI/TRUS 靶向融合活检学习曲线之外：超过 1000 例后。
Urology. 2021 Sep;155:39-45. doi: 10.1016/j.urology.2021.06.021. Epub 2021 Jul 2.
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Number of cores needed to diagnose prostate cancer during MRI targeted biopsy decreases after the learning curve.在经过学习曲线后，MRI 靶向活检诊断前列腺癌所需的核心数量会减少。
Urol Oncol. 2022 Jan;40(1):7.e19-7.e24. doi: 10.1016/j.urolonc.2021.05.029. Epub 2021 Jun 27.
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Not All Multiparametric Magnetic Resonance Imaging-targeted Biopsies Are Equal: The Impact of the Type of Approach and Operator Expertise on the Detection of Clinically Significant Prostate Cancer.并非所有多参数磁共振成像靶向活检都一样：方法类型和操作者专业水平对检测临床显著前列腺癌的影响。
Eur Urol Oncol. 2018 Jun;1(2):120-128. doi: 10.1016/j.euo.2018.02.002. Epub 2018 May 15.