About this trial
Samples of prostate tissue acquired by biopsy to determine whether there is cancer will sometimes not find cancer that is present. Conventionally, magnetic resonance imaging (MRI) is used to identify 12 areas to biopsy. We will use an advanced MRI method called magnetization transfer (MT) and chemical exchange saturation transfer (CEST) imaging to suggest two additional biopsy location. Our objectives are to determine 1) whether MT/CEST MRI can aid in the detection prostate cancer and 2) whether MT/CEST MRI can aid conventional MRI in risk stratification and to decide whether targeted prostate biopsy is justified.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
PI-RADS category 3 prostate cancer with upcoming targeted biopsy
Disqualifiers
Contraindications to MRI
Prior radiotherapy
Prior chemotherapy
Prior prostate biopsy
Trial design
Single group
Treatments tested in this trial
Biopsy-Guided Therapy Selection
Procedure/SurgerySaturation transfer MRI (chemical exchange saturation transfer and magnetization transfer) used to identify two additional biopsy locations in addition to those identified by conventional MRI.
Treatment groups
Trial outcomes
Primary outcomes
Aiding the detection of prostate cancer
To determine whether MT/CEST MRI can aid in the detection of prostate cancer. The histopathological detection of cancer in biopsy cores will serve as a measure of outcome to which the MT/CEST MRI parameter and relaxation images will be compared.
Secondary outcomes
Aiding risk stratification and the decision whether targeted prostate biopsy is justified
To determine whether MT/CEST MRI can aid multiparametric MRI (mpMRI) in risk stratification and to decide whether targeted prostate biopsy is justified. The presence of cancer detected histopathologically in biopsy locations suggested by MT/CEST MRI, but not chosen for biopsy by convention mpMRI will serve as a measure of outcome.
Sponsors and contacts
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