Prostate Cancer
Conditions
Keywords
cancer, prostate, PSA, biopsies, ultrasound, MRI, fusion of images
Brief summary
The purpose of the study is to show that 3 targeted biopsies on the suspicious image detected by IRM, guided by a fusion of MRI and ultrasound- images with the Koelis ® system, will get no lower rate of cancer detection than those obtained by 12 systematic transrectal ultrasound-guided biopsies of the prostate.
Detailed description
The act of current practice evaluated by this research is the act of prostate biopsies : the patient will have to undergo 12 systematized transrectal echography guided biopsies of the prostate and 3 additional biopsies targeted on the suspicious lesion detected with MRI, which are both done in current practice. * A first operator is not informed of the location of the target. He will perform a series of 12 systematic transrectal ultrasound-guided biopsies of the prostate. * Immediately after the second operator will perform 3 additional targeted biopsies on the suspicious image detected by IRM, guided by a fusion of MRI and ultrasound- images with the Koelis ® system Act added by the research: Using a fusion of MRI - ultrasound images software system (Koelis ®).
Interventions
90 patients will have to undergo 12 systematic transrectal ultrasound-guided biopsies of the prostate
Immediately after the 12 systematic biopsies, the same patients will have to undergo 3 additional targeted biopsies on the suspicious image detected by IRM, guided by a fusion of MRI and ultrasound- images with the Koelis ® system
Sponsors
Study design
Eligibility
Inclusion criteria
* patient from 45 to 75 years old; * Serum level of PSA \> 4,0 ng / mL; * Multiparametric prostate IRM, performed before inclusion and which confirm the diagnosis of suspected target; * No opposition of the patient notified in the medical record * patient member in a national insurance scheme.
Exclusion criteria
* Previous prostate biopsy; * suspicious digital rectal examination; * serum PSA \> 20,0 ng / mL; * treatment with 5 alpha reductase inhibitor during the last 3 months; * untreated urinary infection
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Carcinomatous invasion on biopsies samples | Day 15 | The presence of carcinomatous invasion on biopsies samples |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Biopsy Gleason score of the detected cancer | Day 15 | Maximal biopsy Gleason score of the detected cancer |
| Respective duration of each biopsy protocol | Day 0 | — |
| Tissue length of biopsy invaded by the detected cancer | Day 15 | Maximal tissue length of biopsy invaded by the detected cancer |
Countries
France