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In-bore transrectal MRI-guided prostate biopsies: Are there risk factors for complications?

Identifieur interne : 000036 ( PubMed/Corpus ); précédent : 000035; suivant : 000037

In-bore transrectal MRI-guided prostate biopsies: Are there risk factors for complications?

Auteurs : Michael Meier-Schroers ; Rami Homsi ; Guido Kukuk ; Karsten Wolter ; Georges Decker ; Stefan Fischer ; Christian Marx ; Frederic Carsten Schmeel ; Wolfgang Block ; Alois Martin Sprinkart ; Frank Traeber ; Hans Heinz Schild ; Winfried Willinek

Source :

RBID : pubmed:27842662

English descriptors

Abstract

To systematically analyze risk factors for complications of in-bore transrectal MRI-guided prostate biopsies (MRGB).

DOI: 10.1016/j.ejrad.2016.09.029
PubMed: 27842662

Links to Exploration step

pubmed:27842662

Le document en format XML

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<term>Age Factors</term>
<term>Aged</term>
<term>Carcinoma (complications)</term>
<term>Diabetes Mellitus, Type 2 (complications)</term>
<term>Diffusion Magnetic Resonance Imaging (adverse effects)</term>
<term>Follow-Up Studies</term>
<term>Gastrointestinal Hemorrhage (etiology)</term>
<term>Hematuria (etiology)</term>
<term>Hemorrhoids (complications)</term>
<term>Humans</term>
<term>Hypertension (complications)</term>
<term>Image Enhancement (methods)</term>
<term>Image-Guided Biopsy (adverse effects)</term>
<term>Magnetic Resonance Imaging (adverse effects)</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Paresthesia (etiology)</term>
<term>Patient Positioning (adverse effects)</term>
<term>Prone Position</term>
<term>Prostate (pathology)</term>
<term>Prostatic Hyperplasia (complications)</term>
<term>Prostatic Neoplasms (diagnosis)</term>
<term>Prostatitis (etiology)</term>
<term>Rectum (pathology)</term>
<term>Risk Factors</term>
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<term>Diffusion Magnetic Resonance Imaging</term>
<term>Image-Guided Biopsy</term>
<term>Magnetic Resonance Imaging</term>
<term>Patient Positioning</term>
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<term>Carcinoma</term>
<term>Diabetes Mellitus, Type 2</term>
<term>Hemorrhoids</term>
<term>Hypertension</term>
<term>Prostatic Hyperplasia</term>
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<term>Prostatic Neoplasms</term>
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<term>Gastrointestinal Hemorrhage</term>
<term>Hematuria</term>
<term>Paresthesia</term>
<term>Prostatitis</term>
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<term>Image Enhancement</term>
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<term>Prostate</term>
<term>Rectum</term>
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<term>Age Factors</term>
<term>Aged</term>
<term>Follow-Up Studies</term>
<term>Humans</term>
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<front>
<div type="abstract" xml:lang="en">To systematically analyze risk factors for complications of in-bore transrectal MRI-guided prostate biopsies (MRGB).</div>
</front>
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<DateCreated>
<Year>2016</Year>
<Month>11</Month>
<Day>15</Day>
</DateCreated>
<DateCompleted>
<Year>2016</Year>
<Month>12</Month>
<Day>19</Day>
</DateCompleted>
<DateRevised>
<Year>2016</Year>
<Month>12</Month>
<Day>30</Day>
</DateRevised>
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<Journal>
<ISSN IssnType="Electronic">1872-7727</ISSN>
<JournalIssue CitedMedium="Internet">
<Volume>85</Volume>
<Issue>12</Issue>
<PubDate>
<Year>2016</Year>
<Month>Dec</Month>
</PubDate>
</JournalIssue>
<Title>European journal of radiology</Title>
<ISOAbbreviation>Eur J Radiol</ISOAbbreviation>
</Journal>
<ArticleTitle>In-bore transrectal MRI-guided prostate biopsies: Are there risk factors for complications?</ArticleTitle>
<Pagination>
<MedlinePgn>2169-2173</MedlinePgn>
</Pagination>
<ELocationID EIdType="pii" ValidYN="Y">S0720-048X(16)30298-4</ELocationID>
<ELocationID EIdType="doi" ValidYN="Y">10.1016/j.ejrad.2016.09.029</ELocationID>
<Abstract>
<AbstractText Label="PURPOSE" NlmCategory="OBJECTIVE">To systematically analyze risk factors for complications of in-bore transrectal MRI-guided prostate biopsies (MRGB).</AbstractText>
<AbstractText Label="MATERIALS AND METHODS" NlmCategory="METHODS">90 patients, who were scheduled for MRGB were included for this study. Exclusion criteria were coagulation disorders, therapy with anticoagulant drugs, and acute infections of the urinary and the lower gastrointestinal tract. Directly after, one week and one year after the biopsy, we assessed biopsy related complications (e.g. hemorrhages or signs of prostatitis). Differences between patients with and without complications were analyzed regarding possible risk factors: age, prostate volume, number of taken samples, biopsy duration, biopsy of more than one lesion, diabetes, arterial hypertension, hemorrhoids, benign prostate hyperplasia, carcinoma or prostatitis (according to histopathological analysis), and lesion localization. Complications were classified according to the Clavien-Dindo classification.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">We observed 15 grade I complications in 90 biopsies (16.7%) with slight hematuria in 9 cases (10%), minor vasovagal reactions in 4 cases (4.4%), and urinary retention and positioning-related facial dysesthesia in 1 case each (1.1%). One patient showed acute prostatitis requiring antibiotics as the only grade II complication (1.1%). There were no adverse events that occurred later than one week. Complications grade III or higher such as pelvic abscesses, urosepsis or severe hemorrhages were not seen. There were no significant associations between the assessed risk factors and biopsy-related complications.</AbstractText>
<AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">In-bore transrectal MRI-guided prostate biopsies can be considered safe procedures in the diagnosis of prostate cancer with very low complication rates. There seem to be no risk factors for complications.</AbstractText>
<CopyrightInformation>Copyright © 2016 Elsevier Ireland Ltd. All rights reserved.</CopyrightInformation>
</Abstract>
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<LastName>Meier-Schroers</LastName>
<ForeName>Michael</ForeName>
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<Affiliation>Department of Radiology, University of Bonn, Sigmund-Freud-Str 25, 53127 Bonn, Germany. Electronic address: michael.meier@ukb.uni-bonn.de.</Affiliation>
</AffiliationInfo>
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<Affiliation>Department of Radiology, University of Bonn, Sigmund-Freud-Str 25, 53127 Bonn, Germany. Electronic address: rami.homsi@ukb.uni-bonn.de.</Affiliation>
</AffiliationInfo>
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<Affiliation>Department of Radiology, University of Bonn, Sigmund-Freud-Str 25, 53127 Bonn, Germany. Electronic address: guido.kukuk@ukb.uni-bonn.de.</Affiliation>
</AffiliationInfo>
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<Affiliation>Department of Radiology, University of Bonn, Sigmund-Freud-Str 25, 53127 Bonn, Germany. Electronic address: karsten.wolter@ukb.uni-bonn.de.</Affiliation>
</AffiliationInfo>
</Author>
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<ForeName>Georges</ForeName>
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<AffiliationInfo>
<Affiliation>Department of Radiology, University of Bonn, Sigmund-Freud-Str 25, 53127 Bonn, Germany. Electronic address: georges.decker@ukb.uni-bonn.de.</Affiliation>
</AffiliationInfo>
</Author>
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<AffiliationInfo>
<Affiliation>Department of Radiology, University of Bonn, Sigmund-Freud-Str 25, 53127 Bonn, Germany. Electronic address: stefan.fischer@ukb.uni-bonn.de.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Marx</LastName>
<ForeName>Christian</ForeName>
<Initials>C</Initials>
<AffiliationInfo>
<Affiliation>Department of Radiology, University of Bonn, Sigmund-Freud-Str 25, 53127 Bonn, Germany. Electronic address: christian.marx@ukb.uni-bonn.de.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Schmeel</LastName>
<ForeName>Frederic Carsten</ForeName>
<Initials>FC</Initials>
<AffiliationInfo>
<Affiliation>Department of Radiology, University of Bonn, Sigmund-Freud-Str 25, 53127 Bonn, Germany. Electronic address: carsten.schmeel@ukb.uni-bonn.de.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Block</LastName>
<ForeName>Wolfgang</ForeName>
<Initials>W</Initials>
<AffiliationInfo>
<Affiliation>Department of Radiology, University of Bonn, Sigmund-Freud-Str 25, 53127 Bonn, Germany. Electronic address: wolfgang.block@ukb.uni-bonn.de.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Sprinkart</LastName>
<ForeName>Alois Martin</ForeName>
<Initials>AM</Initials>
<AffiliationInfo>
<Affiliation>Department of Radiology, University of Bonn, Sigmund-Freud-Str 25, 53127 Bonn, Germany. Electronic address: sprinkart@uni-bonn.de.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Traeber</LastName>
<ForeName>Frank</ForeName>
<Initials>F</Initials>
<AffiliationInfo>
<Affiliation>Department of Radiology, University of Bonn, Sigmund-Freud-Str 25, 53127 Bonn, Germany. Electronic address: frank.traeber@ukb.uni-bonn.de.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Schild</LastName>
<ForeName>Hans Heinz</ForeName>
<Initials>HH</Initials>
<AffiliationInfo>
<Affiliation>Department of Radiology, University of Bonn, Sigmund-Freud-Str 25, 53127 Bonn, Germany. Electronic address: hans.schild@ukb.uni-bonn.de.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Willinek</LastName>
<ForeName>Winfried</ForeName>
<Initials>W</Initials>
<AffiliationInfo>
<Affiliation>Department of Radiology, Neuroradiology, Sonography and Nuclear Medicine, Hospital of the Barmherzige Brüder Trier, Nordallee 1, 54292 Trier, Germany. Electronic address: w.willinek@bk-trier.de.</Affiliation>
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<Month>10</Month>
<Day>01</Day>
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<Country>Ireland</Country>
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