Original Title: Evaluación de la utilidad e indicación de la biopsia de próstata con fusión de imágenes – resonancia magnética y ecografía transrectal

Authors' objectives: To assess the diagnostic effectiveness of biopsies with image fusion (MRI and ultrasound) in comparison to the more common technique used in our centres (biopsy guided with ultrasound) to detect a growth in the prostate

Authors' results and conclusions: The current benchmark test for diagnosing cancer in men with a clinical suspicion of cancer is a systematic prostate biopsy with TRUS. However, there are discrepancies between the results of the systematic prostate biopsy and the findings encountered in the radical prostatectomy. Furthermore, a systematic biopsy may not be able to detect all the clinically significant cancers, which may delay treatment of tumours with a high Gleason score. The ideal biopsy strategy should be one that can selectively detect clinically significant cancers and minimise the detection of clinically insignificant cancers to prevent possible overtreatment. All the results of this study are encouraging, and confirm the conclusions of other studies, it should be borne in mind that the real effectiveness of this technique in clinical practice depends on several factors that determine the end result such as the precision of the software, image interpretation by experts in the field, and the ability, skills and knowledge of the professional involved. Available scientific evidence allows us to conclude with a moderate degree of confidence that the technique of software fusion improves the detection of prostate cancer, as well as clinically significant prostate cancer in comparison to prostate biopsies guided by transrectal ultrasound

Authors' methods: To analyse the efficacy and effectiveness of the technology, a systematic review was conducted applying an update-adaptation technique to the scientific evidence provided by other recent systematic reviews (SR). To this end, the SRs were identified that assessed the efficacy and effectiveness of biopsies with image fusion (MRI and ultrasound) to improve the prostate growth biopsy methods when compared to techniques used with biopsies guided by ultrasound.

Project Status: Completed

Year Published: 2017

URL for published report: https://www.ogasun.ejgv.euskadi.eus/r51-catpub/es/k75aWebPublicacionesWar/k75aObtenerPublicacionDigitalServlet?R01HNoPortal=true&N_LIBR=052036&N_EDIC=0001&C_IDIOM=es&FORMATO=.pdf

English language abstract: An English language summary is available

Publication Type: Rapid Review

Country: Spain

Organisation Name: Basque Office for Health Technology Assessment

Contact Address: C/ Donostia – San Sebastián, 1 (Edificio Lakua II, 4ª planta) 01010 Vitoria - Gasteiz

Contact Name: Lorea Galnares-Cordero

Contact Email: lgalnares@bioef.eus

Copyright: <p>Osteba (Basque Office for Health Technology Assessment) Health Department of the Basque Government</p>