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Technology
Artemis MRI/ TRUS Fusion Prostate Biopsy solution

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Purpose
Treatment
Benefits & Risks
Care at Medanta

Artemis MRI/ TRUS Fusion Prostate Biopsy solution

About
Purpose
Treatment
Benefits & Risks
Care at Medanta

What is the Artemis MRI/ TRUS Fusion Prostate Biopsy solution?

TRUS stands for Transrectal Ultrasonography. It is a medium for capturing and creating the outlook image of the prostate gland with the help of ultrasound procedures.

The Artemis MRI/TRUS Fusion is a revolutionary imaging and 3D navigation ...

TRUS stands for Transrectal Ultrasonography. It is a medium for capturing and creating the outlook image of the prostate gland with the help of ultrasound procedures.

The Artemis MRI/TRUS Fusion is a revolutionary imaging and 3D navigation system that provides a complete prostate biopsy management platform. The system allows the doctors to take images from the MRI and use them in conjunction with a standard ultrasound guided biopsy. The system uses robotic principles to mimic a doctors arm movements. This system increases the accuracy, robustness and reliability of performing a MRI/US Fusion Targeted Biopsy.

TRUS is suggested by doctors when they suspect a prostate cancer based on an abnormal DRE (Digital Rectal Examination), or increased PSA (Prostate-Specific Antigen), and other imaging techniques. TRUS is costly, and it rarely detects prostate cancer that DRE or PSA cannot find. As an outcome, TRUS is widely taken help for guiding a biopsy, but for routine screening, it is not recommendable.

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Why is the technology unique?

The technology includes a semi-robotic arm that allows the doctor to delivers quality samples of the most difficult areas within the prostate. The remote centre of motion minimises prostate deforma...

The technology includes a semi-robotic arm that allows the doctor to delivers quality samples of the most difficult areas within the prostate. The remote centre of motion minimises prostate deformation that may occur during freehand biopsies. The system also has an Accurate Motion Compensation feature that corrects for any intra-procedure patient motion

The sampling using this technology can be either automated or manual. The automated sampling enables support and time for the patient. The system has both a dense tissue mode and a thin tissue mode. These modes help the surgeon adjust the machine in accordance with the tissue density. The speed and efficiency of the machine are unmatchable.

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How does it help?

An accurate prostate tumour diagnosis and appropriate treatment depend on the ability to efficiently perform the biopsy on specific areas of the prostate. By fusing the MRI and live ultrasound images, the doctors at Medanta can more effectively perform a targeted biopsy of select tissue. The biopsy results then lead to a more accurate diagnosis along with better information to help you make a smarter, more individualised choice about your treatment.

How is it done?

Preparation
Treatment
Post-Treatment

Preparing for a TRUS biopsy

At least 10 days before the test the patient will be advised not to take certain medications which involve blood thinners.
An enema is given some time before the procedure to clear the colon and rectum. Also, before beginning with the procedure the patient will be asked to urinate to clean the bladder.
A urine culture and a Prothrombin Time (PT) and INR blood test may also be required

During the treatment

After cleaning the area, the doctor will insert a thin ultrasound probe into the rectum. The doctor will identify the area to be numbed with the help of images obtained by the help of sound waves. Once the area becomes numb, the doctor will pull out the required tissues. Generally, 10 to 12 samples are taken and the procedure usually takes 10-15 minutes.

After the treatment

After the procedure is over, the taken samples will be sent to the laboratory for inspection.
The patient will not be allowed to return to his/ her daily chores until the doctor advises.
If the patient feels any side-effects or irritation, the same should be conveyed to the doctor immediately.
You can expect your results within 8-10 days of your examination. As soon as your reports are ready an SMS will be sent to the mobile number registered with Medanta. You can collect your reports from the Medanta’s report collecting desk. Also, you have an option to receive your reports online (contact the present medical staff to get yourself registered with us).

What are the benefits and risks of a TRUS Biopsy ?

This technology allows the doctors at Medanta to use MRI and TRUS images to sample precise areas of the prostate and to record biopsy locations for future reference in their diagnosis and management.

Benefits
Risks

Smart prostate biopsy procedure that comprises 3D prostate visualisation, precise needle tracking and biopsy location recording for future reference
Detailed 3D imaging which provides precise location of suspicious tissue and/or cancer lesions and generates advance clinical inf

Smart prostate biopsy procedure that comprises 3D prostate visualisation, precise needle tracking and biopsy location recording for future reference
Detailed 3D imaging which provides precise location of suspicious tissue and/or cancer lesions and generates advance clinical information to help in the diagnosis and treatment
Accurate Targeting in 3D as small as 2 mm (significantly smaller compared to 5 mm, size of smallest clinically significant tumour)
Clear, reliable information that can help doctors in making a more informed, individualised decision about the appropriate course of care
Unique biopsy location recording capability that allows doctors to re-biopsy the same locations in the gland or to sample other areas around any specific location

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Infection: This is more common in men who have undiagnosed prostatitis and/or urinary tract infection. Usually, antibiotic medication before the biopsy prevents infection
Bleeding per urethra: This can cause blood clots, inability to urinate or need to urinate more often

Infection: This is more common in men who have undiagnosed prostatitis and/or urinary tract infection. Usually, antibiotic medication before the biopsy prevents infection
Bleeding per urethra: This can cause blood clots, inability to urinate or need to urinate more often
Bleeding from the rectum: Transrectal biopsy can lead to a small amount of bleeding from the rectum

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How does Medanta provide care?

Medanta Kidney and Urology Institute offers some of the regions finest experts covering every aspect of urology. We are continuously working to develop new directions for the treatment of cancer ...

Medanta Kidney and Urology Institute offers some of the regions finest experts covering every aspect of urology. We are continuously working to develop new directions for the treatment of cancer and benign urological diseases by integrating the super specialists in the field under one institute.

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Consult with experienced doctors

Dr. Prasun Ghosh

Director - Director Renal Transplantation, Minimally Invasive Urology and Robotic Surgery

Urology and Andrology

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Urology and Andrology
Kidney and Urology Institute

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