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Prostate Biopsy Found to Spread Prostate Cancer Cells

By MedImaging staff writers
Posted on 10 Mar 2008
Researchers have identified a previously underestimated risk that routine prostate biopsy performed to detect prostate cancer spreads cancer cells, and may be the reason that men have a recurrence of disease many years after the prostate was removed successfully with clear surgical margins.

Conventionally, an ultrasound and prostate biopsy are commonly recommended and performed by urologists when a patient presents with a prostate-specific antigen (PSA) of 2.5 ng/ml or above. Men have been long told that the procedure is safe and the only way to diagnose prostate cancer. While this paradigm represents the current standard, the system exposes far too many men to needless biopsies; as the number one reason PSA increases is prostatitis, not prostate cancer. Still other men may have a small cancer that is missed based on the inability of this standard procedure to target a suspected lesion in question (sampling error). Regardless of the justification for a biopsy, all men suffer the potential risk for bleeding, scarring, infection, or sepsis and needless intrusion that has reportedly resulted in impotency and/or incontinence in some patients.

According to specialists at the Diagnostic Center for Disease (Sarasota, FL, USA), a more important issue that is frequently not discussed between physician and patient involves the possibility of "needle tracking”; the very real possibility of spreading cancer cells beyond the prostate when a biopsy is performed. An extensive review of the literature confirmed that once a needle penetrates the capsule of an organ, a phenomenon called needle tracking takes place. When the needle is withdrawn from the targeted organ, the chance of spreading cancer cells (when encountered) establishes itself, and every puncture of the prostate adds to this risk.

A recent evaluation of data from patients with a positive MRI-S scan performed at the Diagnostic Center for Disease found that 75% of the biopsies performed yielded a tumor, allowing men without cancer to avoid a biopsy procedure. This is a great leap from the blind biopsy approach enabling the potential savings of millions of dollars to the healthcare industry. The secret to success involved the use of a 3.0 Tesla magnetic resonance imaging spectroscopy scan (MRI-S), which predicted and confirmed the presence of prostate cancer.

This technology represents the most sensitive and specific diagnostic modality for the prostate evaluation worldwide, replacing other scanning procedures such as the positron emission tomography (PET) scan, computed tomography (CT) scan, and Prostascint scans. The MRI-S at 3.0 Tesla allows imaging of the entire prostate, thereby creating a roadmap, allowing selective targeting of specific areas of interest for biopsy when indicated. In many cases, a biopsy is not recommended as no cancer is found. Furthermore, this methodology allows for fewer biopsies versus the "shot in the dark” 12-24 core biopsy approach or the saturation biopsy, thereby minimizing risk to the patient.

A recent case of a 71-year-old man evaluated at the Center illustrates the benefit of the 3.0 Tesla MRI -S. In 1997, his PSA was measured at 3.7 ng/ml. Presumed to be normal, the PSA was not tested again until 2001, when it was 7.2 ng/ml-well above the 4.0 ng/ml level of concern. A biopsy using a traditional ultrasound evaluation resulted in eight negative cores. The following year, the patient's PSA was 11.5 ng/ml. This time, in addition to the gray scale ultrasound, physicians used color flow Doppler (CFD) ultrasound to isolate areas of blood flow, important to prostate cancer growth. Despite the use of CFD to target areas of interest, the biopsy results were once again negative. Frustrated, the patient turned to the 3.0 T MRI -S scan. Despite a lack of evidence for cancer on the physical examination of the prostate, the scan located a discreet, well-defined 4.5 mm lesion deep within the peripheral zone of the mid-prostate on the left side. Subsequently, five targeted biopsies identified an aggressive cancer. Having established that the tumor was organ-confined with no evidence of spread to the surrounding tissue, the patient was now able to focus on viable treatment options.


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89 (31.948089599609): SELECT id,name,title FROM jos_deeppockets WHERE cat=10 AND TYPE='file_folder' AND published=1 AND id != 294743300 AND id != 294743301 AND id != 294743302 AND id != 294743303 AND id != 294743304 AND id != 294743305 AND id != 294743306 AND id != 294743307 AND id != 294743308 AND id != 294743309 AND id != 294743310 AND metakey != 'aacc' ORDER BY `ordering`
90 (46.014785766602): SELECT show_live FROM jos_com_show_setting LIMIT 1
91 (30.040740966797): SELECT show_live FROM jos_com_show_setting LIMIT 1
92 (28.133392333984): SELECT show_live FROM jos_com_show_setting LIMIT 1
93 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1
94 (28.133392333984): SELECT show_live FROM jos_com_show_setting LIMIT 1
95 (73.909759521484): SELECT show_live FROM jos_com_show_setting LIMIT 1
96 (30.040740966797): SELECT show_live FROM jos_com_show_setting LIMIT 1
97 (28.133392333984): SELECT show_live FROM jos_com_show_setting LIMIT 1
98 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1
99 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1
100 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1
101 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1
102 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1
103 (28.133392333984): SELECT show_live FROM jos_com_show_setting LIMIT 1
104 (116.10984802246): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=273990000 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=273990000 AND published='1' LIMIT 1
105 (43.153762817383): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=273990000 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=273990000 AND published='1' LIMIT 1
106 (51.021575927734): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.cat=10 AND dp.id=273990000 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1
107 (47.922134399414): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets_archive as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.cat=10 AND dp.id=273990000 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1
108 (65.088272094727): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=273990000 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=273990000 AND published='1' LIMIT 1
109 (41.961669921875): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=273990000 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=273990000 AND published='1' LIMIT 1
110 (68.187713623047): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.id=273990000 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1
111 (638.00811767578): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets_archive as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.id=273990000 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1
112 (711.91787719727): SELECT dp.name, dp.id, dp2.name as channel, ex.name as author_name, ex.specialization, ex.images FROM jos_deeppockets as dp LEFT JOIN jos_experts as ex ON ex.id = dp.author LEFT JOIN jos_deeppockets as dp2 ON dp2.id = dp.fid WHERE dp.author != 0 AND dp.cat = 10 AND dp.published = 1 AND ( (dp.fid = 294743300) OR (dp.fid = 294743301) OR (dp.fid = 294743302) OR (dp.fid = 294743303) OR (dp.fid = 294743304) OR (dp.fid = 294743305) OR (dp.fid = 294743306) OR (dp.fid = 294743307) OR (dp.fid = 294743308) OR (dp.fid = 294743309) OR (dp.fid = 294743310) ) ORDER BY RAND() LIMIT 1
113 (476.83715820312): SELECT dp.name, dp.id, dp2.name as channel, ex.name as author_name, ex.specialization, ex.images FROM jos_deeppockets as dp LEFT JOIN jos_experts as ex ON ex.id = dp.author LEFT JOIN jos_deeppockets as dp2 ON dp2.id = dp.fid WHERE dp.author != 0 AND dp.cat = 10 AND dp.published = 1 AND ( (dp.fid = 294743300) OR (dp.fid = 294743301) OR (dp.fid = 294743302) OR (dp.fid = 294743303) OR (dp.fid = 294743304) OR (dp.fid = 294743305) OR (dp.fid = 294743306) OR (dp.fid = 294743307) OR (dp.fid = 294743308) OR (dp.fid = 294743309) OR (dp.fid = 294743310) ) ORDER BY RAND() LIMIT 1
114 (154.97207641602): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=273990000 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=273990000 AND published='1' LIMIT 1
115 (66.041946411133): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=273990000 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=273990000 AND published='1' LIMIT 1
116 (82.969665527344): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=273990000 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=273990000 AND published='1' LIMIT 1
117 (71.048736572266): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=273990000 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=273990000 AND published='1' LIMIT 1
118 (58.889389038086): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=273990000 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=273990000 AND published='1' LIMIT 1
119 (37.908554077148): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=273990000 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=273990000 AND published='1' LIMIT 1
120 (45.7763671875): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=273990000 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=273990000 AND published='1' LIMIT 1
121 (53.882598876953): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=273990000 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=273990000 AND published='1' LIMIT 1
122 (314.95094299316): SELECT * FROM trending_articles WHERE `journal_id` = 10 AND `timestamp` <= NOW() + INTERVAL 7 DAY ORDER BY `order`
123 (!!!!! 20585.060119629): SELECT * FROM jos_deeppockets WHERE jos_deeppockets.cat = 10 AND jos_deeppockets.type = 'deeppockets_item' AND jos_deeppockets.published = 1 AND jos_deeppockets.created + INTERVAL 14 DAY >= NOW() ORDER BY jos_deeppockets.hits DESC LIMIT 7
124 (476.83715820312): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=273990000 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=273990000 AND type='deeppockets_item' AND published='1' LIMIT 1
125 (!!!!! 7212.1620178223): ( SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.video != '' AND dp.video_source != '' AND dp.cat = 10 AND dp.published = 1 AND dp.type != 'deeppockets_item_link' ORDER BY created DESC LIMIT 3 ) UNION ( SELECT dpa.id, dpa.name, dpa.title, dpa.video, dpa.video_source, dpa.created FROM jos_deeppockets_archive AS dpa WHERE dpa.video != '' AND dpa.video_source != '' AND dpa.cat = 10 AND dpa.published = 1 AND dpa.type != 'deeppockets_item_link' ORDER BY created DESC LIMIT 3 ) ORDER BY created DESC LIMIT 3
126 (69.141387939453): ( SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.video != '' AND dp.video_source != '' AND dp.cat = 10 AND dp.published = 1 AND dp.type != 'deeppockets_item_link' ORDER BY created DESC LIMIT 3 ) UNION ( SELECT dpa.id, dpa.name, dpa.title, dpa.video, dpa.video_source, dpa.created FROM jos_deeppockets_archive AS dpa WHERE dpa.video != '' AND dpa.video_source != '' AND dpa.cat = 10 AND dpa.published = 1 AND dpa.type != 'deeppockets_item_link' ORDER BY created DESC LIMIT 3 ) ORDER BY created DESC LIMIT 3
127 (39.815902709961): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294803337 LIMIT 1
128 (30.040740966797): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294803337 LIMIT 1
129 (38.14697265625): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294803276 LIMIT 1
130 (28.848648071289): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294803276 LIMIT 1
131 (310.18257141113): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets_archive AS dp WHERE dp.id = 294803276 LIMIT 1
132 (41.007995605469): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets_archive AS dp WHERE dp.id = 294803276 LIMIT 1
133 (30.994415283203): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294802958 LIMIT 1
134 (27.894973754883): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294802958 LIMIT 1
135 (463.00888061523): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=273990000 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1
136 (314.95094299316): SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=273990000 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1
137 (193.83430480957): SELECT name FROM jos_deeppockets WHERE id=212
138 (31.948089599609): SELECT name FROM jos_deeppockets WHERE id=212
139 (522.85194396973): SELECT *, DATE_FORMAT(publish_up,'%d %b %Y') AS date_publish_up, DATE_FORMAT(publish_down,'%d %b %Y') AS date_publish_down FROM jos_events WHERE state=1 AND publish_up > NOW() and extra_info REGEXP '((;)|(^))212((;)|($))' AND catid IN (0,110) ORDER BY publish_up ASC LIMIT 3
140 (432.96813964844): SELECT *, DATE_FORMAT(publish_up,'%d %b %Y') AS date_publish_up, DATE_FORMAT(publish_down,'%d %b %Y') AS date_publish_down FROM jos_events WHERE state=1 AND publish_up > NOW() and extra_info REGEXP '((;)|(^))212((;)|($))' AND catid IN (0,110) ORDER BY publish_up ASC LIMIT 3
141 (61.988830566406): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=273990000 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=273990000 AND published='1' LIMIT 1
142 (41.007995605469): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=273990000 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=273990000 AND published='1' LIMIT 1
143 (!!!!! 9377.9563903809): TRUNCATE TABLE jos_trademed_module
144 (117.06352233887): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.cat=10 AND dp.id=273990000 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1
145 (56.028366088867): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets_archive as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.cat=10 AND dp.id=273990000 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1
146 (!!!!! 1010.8947753906): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=273990000 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1
147 (82.969665527344): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=273990000 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1
148 (86.784362792969): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=273990000 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=273990000 AND published='1' LIMIT 1
149 (59.127807617188): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=273990000 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=273990000 AND published='1' LIMIT 1
150 (!!!!! 1501.0833740234): SELECT jos_item.* FROM jos_item INNER JOIN jos_number ON jos_item.numberID=jos_number.id WHERE 1=1 AND (jos_item.imgMini<>'') AND jos_item.type='L' AND jos_item.numberID= ( SELECT jos_number.id FROM jos_number WHERE jos_number.journalID IN (10) and jos_number.id in (select distinct jos_number.id from jos_number join jos_item on jos_item.numberid=jos_number.id where jos_item.type='P') ORDER BY (CONVERT(SUBSTRING(issue,1,2),SIGNED) + (CONVERT(SUBSTRING(issue,3,2),SIGNED)*100)) DESC LIMIT 0,1 ) ORDER BY RAND() DESC LIMIT 6
151 (84.161758422852): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=273990000 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=273990000 AND published='1' LIMIT 1
152 (59.127807617188): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=273990000 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=273990000 AND published='1' LIMIT 1
153 (42.915344238281): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=273990000 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=273990000 AND type='deeppockets_item' AND published='1' LIMIT 1
154 (32.901763916016): select distinct links.* from jos_textlinks links join jos_textlinks_placement placement on links.id=placement.link_id where journal_id=(10) and (channel_id=212 or channel_id is null)
155 (26.941299438477): select distinct links.* from jos_textlinks links join jos_textlinks_placement placement on links.id=placement.link_id where journal_id=(10) and (channel_id=212 or channel_id is null)
156 (47.206878662109): SELECT livesite FROM jos_dp_categories WHERE id=10 AND published='1' LIMIT 1
157 (83.92333984375): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=273990000 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=273990000 AND published='1' LIMIT 1
158 (65.088272094727): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=273990000 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=273990000 AND published='1' LIMIT 1
159 (56.982040405273): select jos_twitters.link from jos_twitters where cat=10
160 (41.007995605469): select jos_facebook.link from jos_facebook where cat=10
161 (40.054321289062): select jos_google_plus.link from jos_google_plus where cat=10
162 (46.968460083008): select jos_linkedin.link from jos_linkedin where cat=10
163 (354.05158996582): update jos_bannersmanager_banner set impmade=impmade+1 where id in(14615,14202,14203)
164 (!!!!! 1198.0533599854): insert into jos_banners_delta values (14615,'2025-07-01 01:27:57','216.73.216.249','view'),(14202,'2025-07-01 01:27:57','216.73.216.249','view'),(14203,'2025-07-01 01:27:57','216.73.216.249','view')