Ultrasound-Guided Biopsy of the Prostate

AIUM Practice Parameter for the Performance of Ultrasound Evaluations of the Prostate (and Surrounding Structures)

“…Ultrasound findings may be used to guide systematic biopsy of the prostate or guide a targeted biopsy approach, which is performed to supplement the standard systematic biopsy protocol in order to improve the positive cancer yield of prostate biopsy. 2,3 Conventional ultrasound techniques using grayscale Doppler, color Doppler, and power Doppler imaging are not sufficient to confirm or exclude the presence of prostate cancer and they should not be used to preclude the performance of prostate biopsy. [4][5][6] Although newer techniques using elastography and contrast-enhanced ultrasound may provide superior detection of prostate cancer, these techniques are not sufficiently established to be included as standard of care at this time.…”

AIUM Practice Guideline for the Performance of an Ultrasound Evaluation of the Prostate (and Surrounding Structures)

“…Ultrasound findings may be used to guide targeted or systematic biopsy of the prostate, which is performed to supplement the standard systematic biopsy protocol in order to improve the positive cancer yield of prostate biopsy 2 – 3 . However, current ultrasound techniques using gray scale, color Doppler, and power Doppler imaging, elastography, and contrast‐enhanced ultrasound are not sufficient to confirm or exclude the presence of prostate cancer, and they should not be used to preclude the performance of prostate biopsy 4 – 5 …”