After patient preparation and positioning and acquisition of planning sequences, the suspicious lesion in the right apical/midglandular posterolateral zone (RM-PZpl), as well as the questionable finding in the left mid gland anterior transition zone (LM-TZa), are re-identified on the images, marked and locked with the navigation software.
Two biopsy cores were obtained from the lesion in the right posterolateral zone (RM-PZpl) and one biopsy core from the lesion in the left anterior transition zone (LM-TZa), in both cases with a 150cm 18G biopsy needle.
The images also nicely depict some challenges involved with the MR in-bore biopsy procedure. In this one can see a significant displacement of the prostate, while directing the needle guide. This is probably the result of the needle guide being introduced to deep into the rectum.