Early Detection of Prostate Cancer: AUA/SUO Guideline Part II: Considerations for a prostate biopsy Guidelines


Authors: Wei, J. T.; Barocas, D.; Carlsson, S.; Coakley, F.; Eggener, S.; Etzioni, R.; Fine, S. W.; Han, M.; Kim, S. K.; Kirkby, E.; Konety, B. R.; Miner, M.; Moses, K.; Nissenberg, M. G.; Pinto, P. A.; Salami, S. S.; Souter, L.; Thompson, I. M.; Lin, D. W.
Title: Early Detection of Prostate Cancer: AUA/SUO Guideline Part II: Considerations for a prostate biopsy
Abstract: Purpose:The summary presented herein covers recommendations on the early detection of prostate cancer and provides a framework to facilitate clinical decision-making in the implementation of prostate cancer screening, biopsy, and follow-up. This is Part II of a two-part series focusing on initial and repeat biopsies, and biopsy technique. Please refer to Part I for discussion of initial prostate cancer screening recommendations.Materials and Methods:The systematic review utilized to inform this guideline was conducted by an independent methodological consultant. The systematic review was based on searches in Ovid MEDLINE and Embase and Cochrane Database of Systematic Reviews (January 1, 2000-November 21, 2022). Searches were supplemented by reviewing reference lists of relevant articles.Results:The Early Detection of Prostate Cancer Panel developed evidence- and consensus-based guideline statements to provide guidance in prostate cancer screening, initial and repeat biopsies, and biopsy technique.Conclusions:The evaluation of prostate cancer risk should be focused on the detection of clinically significant prostate cancer (Grade Group 2 or higher [GG2+]). The use of laboratory biomarkers, prostate MRI, and biopsy techniques described herein may improve detection and safety when a prostate biopsy is deemed necessary following prostate cancer screening. © 2023 Lippincott Williams and Wilkins. All rights reserved.
Keywords: cancer risk; cancer patient; nuclear magnetic resonance imaging; magnetic resonance imaging; cancer diagnosis; biomarkers; biological marker; prostate specific antigen; practice guideline; pathology; diagnostic imaging; biopsy; cancer mortality; prostate cancer; prostate-specific antigen; prostatic neoplasms; prostate; radiologist; systematic review; active surveillance; prostate tumor; echography; needle biopsy; psa; prostate biopsy; imaging; consultation; urine; prostatic intraepithelial neoplasia; biopsy technique; software; early detection of cancer; mri; repeat procedure; procedures; clinician; systematic review (topic); transperineal; transrectal; image guided biopsy; image-guided biopsy; multiparametric magnetic resonance imaging; humans; human; male; article; prostate cancer screening; pi-rads; early cancer diagnosis; mortality risk; prostate imaging reporting and data system; systematic reviews as topic; aip; asap; early detection of prostate cancer; hgpin; prostate cancer biopsy
Journal Title: Journal of Urology
Volume: 210
Issue: 1
ISSN: 0022-5347
Publisher: Elsevier Science, Inc.  
Date Published: 2023-07-01
Start Page: 54
End Page: 63
Language: English
DOI: 10.1097/ju.0000000000003492
PUBMED: 37096575
PROVIDER: scopus
DOI/URL:
Notes: Article -- Source: Scopus
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  1. Samson W Fine
    464 Fine
  2. Sigrid Viktoria Carlsson
    221 Carlsson