ArticleWorld journal of urology2026
Comparison of MRI-guided in-bore and fusion biopsy for small PI-RADS 4 prostate lesions.
Article in World journal of urology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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1 citing paper in PubMed.
- Comment on "Comparison of MRI-guided in-bore and fusion biopsy for small PI-RADS 4 prostate lesions".World journal of urology · 2026Article
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13 authors.
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Abstract
purposeWe compared prostate cancer (PC) and clinically significant prostate cancer (csPC) identification performances of MRI-guided in-bore (IB) and software-fusion biopsy (SFB) techniques among small volume PI-RADS 4 index lesions.
methodsWe retrospectively reviewed 268 biopsy-naïve patients with 308 small volume PI-RADS 4 index lesions (≤ 7 mm in greatest dimension) on multiparametric prostate MRI and subsequent IB and SFB between January 2010 and December 2025. All IBs were performed by a single radiologist on 134 patients, while another radiologist and a urologist performed SFBs on the remaining 134 patients. Patient and lesion characteristics in both groups were analyzed. A multivariable binary logistic regression model was constructed to identify independent predictors of csPC.
resultsMedian age was 67 in both cohorts. Median PSA value was 5.1 and 6 ng/ml, PSA density was 0.11 and 0.09 ng/ml/cm
conclusionsOur study indicates that a significant proportion of small PI-RADS 4 index lesions may harbor csPC. Regarding small PI-RADS 4 lesions, IB technique was superior to SFB in detection of csPC.
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