A guide to MRI Fusion Vector prostate biopsy

Written by: Mr Christof Kastner
Published:
Edited by: Aoife Maguire

What is an MRI Fusion Vector prostate biopsy?

An MRI Fusion Vector prostate biopsy is a procedure which can detect prostate cancer.

 

The procedure implements a combination of real-time ultrasound guidance and magnetic resonance imaging (MRI). It is a biopsy which can detect abnormal areas of the prostate which indicate that cancer may be present in the cells.

 

How is it performed and how long does it take?

During the procedure, the patient is appropriately positioned on an examination table, where the doctor will insert a thin needle through the rectum and into the prostate.  The needle is guided by real-time ultrasound imaging, which is overlaid on the MRI images of the prostate. The needle will be used to pick up tissue samples from potentially affected areas.

The procedure is performed in a hospital and will last between 30 and 60 minutes.

 

Is it painful?

In general, an MRI Fusion Vector prostate biopsy is not painful. However, patients may feel slight discomfort during the process. It is possible for patients to take a local anaesthesia in order to reduce any discomfort felt throughout the procedure.

 

How does an MRI Fusion Vector prostate biopsy differ from a regular biopsy?

An MRI Fusion Vector prostate biopsy differs from a regular biopsy because it implements advanced imaging technology, unlike the aforementioned. It can identify the specific areas of the prostate where a biopsy is necessary.

 

The use of this technology permits more targeted biopsies, often reducing the number of samples taken, reducing the risk of complications and improving accuracy of results. 

 

What are the benefits of an MRI Fusion Vector prostate biopsy?

An MRI Fusion Vector prostate biopsy has an increased rate of detecting clinically significant prostate cancer which, of course, is hugely beneficial. It also reduces the number of biopsies required and negative biopsies, as well as improved comfort for each patient.

 

Are there specific preparations for the biopsy?

Specific preparation differs for each individual, depending on their medical history and may also vary from hospital to hospital. Patients are usually required to avoid eating or drinking for a specific period of time prior to the procedure. It may also be necessary for the patient to stop taking specific medications and to for someone to come and collect them after the procedure.

 

What can patients expect after the procedure?

Following the procedure, the patient may experience some mild discomfort and increased urination. Additionally, they may find blood in their urine or semen for a few days after the procedure.

 

Doctors will provide aftercare instructions and the patient will be required to attend a follow-up appointment to review the biopsy results.

 

 

If you require an MRI Fusion Vector prostate biopsy and would like to book a consultation with Mr Kastner, you can do so through his Top Doctors profile today.

By Mr Christof Kastner
Urology

Mr Christof Kastner is an internationally-recognised consultant urologist based at the Nuffield Health Hospital, the GenesisCare Centre and Addenbrooke's Hospital in Cambridge and at the Nuffield Health at St Bartholomew’s Hospital in London. He specialises in the assessment and treatment of benign and cancerous prostatic disease. He is one of the pioneers of MRI Fusion technology in the UK, having introduced the technology alongside his partners in radiology, led by Prof Tristan Barrett.

With his clinical and technical expertise, Mr Kastner has driven the development of MRI Fusion Vector prostate biopsies, which has minimal side effects and is easily sustained under local anaesthesia. This is a new minimally invasive diagnostic technique that uses electromagnetic needle tracking to aim at abnormal areas identified by the prostate MRI. The accuracy of this technique and the resulting certainty of his diagnosis enables Mr Kastner to counsel and inform his patients with confidence on all the treatment options available. Read about a case here.

In addition to precision diagnosis, Mr Kastner provides state-of-the-art prostate cancer treatments, including:
Brachytherapy for prostate cancer: Mr Kastner has experience in more than 1,000 cases of brachytherapy, providing high precision insertion of radioactive seeds with minimal side effects. For suitable patients, the application of Focal treatment in combination with radiotherapy is also possible.
Spacer GEL injection: With minimal side effects, this procedure temporarily increases the distance between the prostate and the bowel, reducing the side effects of prostate radiotherapy.
Holmium Laser Enucleation of Prostate (HoLEP): Mr Kastner offers HoLEP for patients with symptoms of obstructive enlargement of the prostate (lower urinary tract symptoms or benign prostatic hyperplasia). He has performed over 1,000 HoLEPS since 2007.

Mr Kastner qualified from RWTH Aachen University before moving to the UK, where he completed his specialist training and prostate cancer fellowships at London’s leading centres, including Guy’s Hospital, UCL and Imperial College, and at the Prostate Centre in Guildford. He obtained his FEBU from the European Board of Urology in 2008 and became a consultant in 2009.

Besides his highly-sought urologist practice, Prof Kastner is a senior author of numerous publications, which have changed the approach to prostate cancer assessment worldwide and have been marked as leading, high-quality urology findings, top in their field of expertise. His collaboration with his radiology partners also included a post as Professor of Urology in Rome between 2016 and 2021, where Mr Kastner delivered medical lectures, supervised trainees and developed clinical pathways for urology. 

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