{"id":2020,"date":"2021-12-16T11:43:34","date_gmt":"2021-12-16T10:43:34","guid":{"rendered":"https:\/\/www.urologie-schwabing.de\/?page_id=2020"},"modified":"2024-01-02T08:34:20","modified_gmt":"2024-01-02T07:34:20","slug":"gezielte-biopsie-der-prostata-mrt-sonographie-fusionsbiopsie","status":"publish","type":"page","link":"https:\/\/www.urologie-schwabing.de\/gezielte-biopsie-der-prostata-mrt-sonographie-fusionsbiopsie\/","title":{"rendered":"Gezielte Biopsie der Prostata (MRT-Sonographie Fusionsbiopsie)"},"content":{"rendered":"<div id='av-layout-grid-1'  class='av-layout-grid-container av-wj2x5-29d08f818edb3d1ebedf22e3c06795a3 entry-content-wrapper main_color av-flex-cells  avia-builder-el-0  el_before_av_layout_row  avia-builder-el-first   av-small-hide av-mini-hide container_wrap fullsize'  >\n\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-kw4wf0an-dea2dc333250e0d00ce8e49a7c71fbfe\">\n.flex_cell.av-kw4wf0an-dea2dc333250e0d00ce8e49a7c71fbfe{\nvertical-align:bottom;\nheight:500px;\nmin-height:500px;\npadding:0px 0px 0px 0px;\nbackground:url(https:\/\/www.urologie-schwabing.de\/wp-content\/uploads\/2021\/11\/004Langer-687x1030.jpg) 50% 50% no-repeat scroll ;\n}\n<\/style>\n<div class='flex_cell av_one_half av-kw4wf0an-dea2dc333250e0d00ce8e49a7c71fbfe no_margin  avia-builder-el-1  el_before_av_cell_one_half  avia-builder-el-first  av-zero-padding avia-full-stretch' ><div class='flex_cell_inner'><\/div><\/div>\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-q9rt5-84583bcc42eb671a82888ac034cfbdab\">\n.flex_cell.av-q9rt5-84583bcc42eb671a82888ac034cfbdab{\nvertical-align:middle;\nheight:500px;\nmin-height:500px;\npadding:80px 80px 80px 80px;\nbackground-color:#22689e;\n}\n<\/style>\n<div class='flex_cell av_one_half av-q9rt5-84583bcc42eb671a82888ac034cfbdab no_margin  avia-builder-el-2  el_after_av_cell_one_half  avia-builder-el-last ' ><div class='flex_cell_inner'><p>\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-9gqcpd-02a8483d26bd8089c6e33075b9f38d79\">\n#top .av-special-heading.av-9gqcpd-02a8483d26bd8089c6e33075b9f38d79{\npadding-bottom:25px;\ncolor:#ffffff;\nfont-size:34px;\n}\n.av-special-heading.av-9gqcpd-02a8483d26bd8089c6e33075b9f38d79 .special-heading-inner-border{\nborder-color:#ffffff;\n}\n.av-special-heading.av-9gqcpd-02a8483d26bd8089c6e33075b9f38d79 .av-subheading{\nfont-size:15px;\n}\n<\/style>\n<div  class='av-special-heading av-9gqcpd-02a8483d26bd8089c6e33075b9f38d79 av-special-heading-h3 custom-color-heading blockquote modern-quote  avia-builder-el-3  el_before_av_textblock  avia-builder-el-first  av-inherit-size '><div class='av_custom_color av-subheading av-subheading_above '><p>LEISTUNGEN<\/p>\n<\/div><h3 class='av-special-heading-tag '  itemprop=\"headline\"  >Gezielte Biopsie der Prostata<\/h3><div class='special-heading-border'><div class='special-heading-inner-border'><\/div><\/div><\/div><br \/>\n\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-kx8u5jvr-51875717dcc88fa22236259afaa34821\">\n.av_textblock_section.av-kx8u5jvr-51875717dcc88fa22236259afaa34821 .avia_textblock{\ncolor:#ffffff;\n}\n<\/style>\n<section  class='av_textblock_section av-kx8u5jvr-51875717dcc88fa22236259afaa34821 '  itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/CreativeWork\" ><div class='avia_textblock av_inherit_color '  itemprop=\"text\" ><p>MRT-Sonographie <strong>Fusionsbiopsie<\/strong><\/p>\n<\/div><\/section><\/p>\n<\/div><\/div>\n<\/div>\n<div id='av-layout-grid-2'  class='av-layout-grid-container av-kxhhmkrd-760a7fda1fd1476b953768ca8cb15e4c entry-content-wrapper main_color av-flex-cells  avia-builder-el-5  el_after_av_layout_row  el_before_av_hr  grid-row-not-first  av-desktop-hide av-medium-hide container_wrap fullsize'  >\n\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-74ql1g-754d88196970af9ee6f26699738808ab\">\n.flex_cell.av-74ql1g-754d88196970af9ee6f26699738808ab{\nvertical-align:bottom;\nheight:200px;\nmin-height:200px;\npadding:0px 0px 0px 0px;\nbackground:url(https:\/\/www.urologie-schwabing.de\/wp-content\/uploads\/2021\/11\/004Langer-687x1030.jpg) 50% 50% no-repeat scroll ;\n}\n<\/style>\n<div class='flex_cell av_one_half av-74ql1g-754d88196970af9ee6f26699738808ab no_margin  avia-builder-el-6  el_before_av_cell_one_half  avia-builder-el-first  av-zero-padding avia-full-stretch' ><div class='flex_cell_inner'><\/div><\/div>\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-6ko28k-4d5fa841a5468a740e03ac6479669417\">\n.flex_cell.av-6ko28k-4d5fa841a5468a740e03ac6479669417{\nvertical-align:middle;\nheight:200px;\nmin-height:200px;\npadding:80px 80px 80px 80px;\nbackground-color:#22689e;\n}\n<\/style>\n<div class='flex_cell av_one_half av-6ko28k-4d5fa841a5468a740e03ac6479669417 no_margin  avia-builder-el-7  el_after_av_cell_one_half  avia-builder-el-last ' ><div class='flex_cell_inner'><p>\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-4xjafo-506b03fc43b54d94750c2928e79ad510\">\n#top .av-special-heading.av-4xjafo-506b03fc43b54d94750c2928e79ad510{\npadding-bottom:25px;\ncolor:#ffffff;\nfont-size:34px;\n}\n.av-special-heading.av-4xjafo-506b03fc43b54d94750c2928e79ad510 .special-heading-inner-border{\nborder-color:#ffffff;\n}\n.av-special-heading.av-4xjafo-506b03fc43b54d94750c2928e79ad510 .av-subheading{\nfont-size:15px;\n}\n<\/style>\n<div  class='av-special-heading av-4xjafo-506b03fc43b54d94750c2928e79ad510 av-special-heading-h3 custom-color-heading blockquote modern-quote  avia-builder-el-8  el_before_av_textblock  avia-builder-el-first  av-inherit-size '><div class='av_custom_color av-subheading av-subheading_above '><p>LEISTUNGEN<\/p>\n<\/div><h3 class='av-special-heading-tag '  itemprop=\"headline\"  >Gezielte Biopsie der Prostata<\/h3><div class='special-heading-border'><div class='special-heading-inner-border'><\/div><\/div><\/div><br \/>\n\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-b8a10-d338784a7aa9ecf57639369ffe67b419\">\n.av_textblock_section.av-b8a10-d338784a7aa9ecf57639369ffe67b419 .avia_textblock{\ncolor:#ffffff;\n}\n<\/style>\n<section  class='av_textblock_section av-b8a10-d338784a7aa9ecf57639369ffe67b419 '  itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/CreativeWork\" ><div class='avia_textblock av_inherit_color '  itemprop=\"text\" ><p>MRT-Sonographie <strong>Fusionsbiopsie<\/strong><\/p>\n<\/div><\/section><\/p>\n<\/div><\/div>\n<\/div><div id='after_grid_row_2'  class='main_color av_default_container_wrap container_wrap fullsize'  ><div class='container av-section-cont-open' ><div class='template-page content  av-content-full alpha units'><div class='post-entry post-entry-type-page post-entry-2020'><div class='entry-content-wrapper clearfix'>\n\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-npdf5-3370a4d157ff09dfd18c4824eeb11b08\">\n#top .hr.hr-invisible.av-npdf5-3370a4d157ff09dfd18c4824eeb11b08{\nheight:30px;\n}\n<\/style>\n<div  class='hr av-npdf5-3370a4d157ff09dfd18c4824eeb11b08 hr-invisible  avia-builder-el-10  el_after_av_layout_row  el_before_av_one_full  avia-builder-el-first  '><span class='hr-inner '><span class=\"hr-inner-style\"><\/span><\/span><\/div>\n<div class='flex_column av-diu7d-16ab6301e468a2fc83408884c9dbe531 av_one_full  avia-builder-el-11  el_after_av_hr  el_before_av_one_full  first flex_column_div '   ><p>\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-kw4wj2vc-08ef7628a929111c04083f98a4ab5070\">\n#top .av-special-heading.av-kw4wj2vc-08ef7628a929111c04083f98a4ab5070{\npadding-bottom:25px;\nfont-size:34px;\n}\n<\/style>\n<div  class='av-special-heading av-kw4wj2vc-08ef7628a929111c04083f98a4ab5070 av-special-heading-h3 custom-color-heading blockquote modern-quote  avia-builder-el-12  el_before_av_textblock  avia-builder-el-first  av-inherit-size '><h3 class='av-special-heading-tag '  itemprop=\"headline\"  >Gezielte Biopsie der Prostata <\/h3><div class='special-heading-border'><div class='special-heading-inner-border'><\/div><\/div><\/div><br \/>\n<section  class='av_textblock_section av-kw4w98ao-323cbb43bffaccaeae2331efc0663caf '  itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/CreativeWork\" ><div class='avia_textblock '  itemprop=\"text\" ><p>MRT-Sonographie <strong>Fusionsbiopsie<\/strong><\/p>\n<p>Aktuell nimmt in der leitliniengerechten Diagnostik des Prostatakarzinoms das multiparametrische MRT einen immer wichtigeren Stellenwert ein. Mit dieser Untersuchungsmethode k\u00f6nnen spezialisierte Radiologen anhand von Diffusionsmustern und der Durchblutung der einzelnen Prostataareale mit \u00fcber 90-prozentiger Wahrscheinlichkeit einen b\u00f6sartigen Prostatatumor vorhersagen.<br \/>\nAuch wenn die Wahrscheinlichkeit f\u00fcr das Vorliegen eines Prostatakarzinoms hoch zu sein scheint, muss die B\u00f6sartigkeit dennoch durch eine Biopsie der Prostata nachgewiesen werden. Dies kann zum einen durch eine systematische Biopsie in den Bereichen der Prostata erfolgen, welche \u00fcblicherweise von einem b\u00f6sartigen Tumor befallen werden. Es kann aber auch im Rahmen einer MRT sonographisch gesteuerten Fusionsbiopsie gezielt der vom Radiologen als auff\u00e4llig beschriebene Bereich biopsiert werden.<\/p>\n<p>Im praktischen Ablauf bedeutet dies, dass zun\u00e4chst ein multiparametrisches MRT der Prostata angefertigt und die auff\u00e4lligen Areale vom Radiologen markiert werden. In der Urologie Schwabing werden die MRT Bilder schlie\u00dflich in ein spezifisches Ultraschallger\u00e4t eingelesen und mit dem 3D-Live-Ultraschallbild zusammengef\u00fchrt. So k\u00f6nnen wir permanent auf dem Ultraschallbild die vom Radiologen markierten suspekten Areale darstellen und gezielt biopsieren. Zudem besteht mit dieser Methode die M\u00f6glichkeit virtuelle Biopsien durchzuf\u00fchren. Hierdurch kann die Trefferquote nochmals erh\u00f6ht werden, ohne dass eine reale Biopsie aus der Prostata entnommen wird.<\/p>\n<p>Vorteile der MRT-sonographisch gest\u00fctzten Biopsie der Prostata bestehen im Speziellen, wenn im Vorfeld randomisierte Biopsien der Prostata ohne Krebsnachweis stattgefunden haben und aufgrund von anderen Parametern das Vorliegen eines Prostatakarzinoms dennoch als wahrscheinlich gilt. Mit der MRT-fusionierten Biopsie kann ein Tumor auch dann entdeckt werden, wenn er an einer untypischen Stelle der Prostata w\u00e4chst, welche der randomisierten Biopsie nicht zug\u00e4nglich ist.<\/p>\n<p>Zusammenfassend kann bei der MRT-fusionierten Stanzbiopsie eine bis zu vier-fach h\u00f6here Entdeckungsrate von Prostatakarzinomen im Vergleich zur konventionellen randomisierten Biopsie erreicht werden.<\/p>\n<p>In der Urologie Schwabing kann die MRT \u2013 sonographisch gesteuerte Fusionsbiopsie der Prostata sowohl \u00fcber den Dammbereich als auch \u00fcber den Enddarm durchgef\u00fchrt werden. Um das Infektionsrisiko bei der Biopsie \u00fcber den After, also die Verschleppung von Darmkeimen in die Blutbahn, so gering wie m\u00f6glich zu halten, bieten wir zudem eine Biopsie der Prostata \u00fcber die Haut im Dammbereich an. Die sogenannte transperineale Biopsie der Prostata hat demnach vor allem infektiologische Vorteile.<\/p>\n<p>Es besteht sowohl die M\u00f6glichkeit der Biopsie in lokaler An\u00e4sthesie als auch in Vollnarkose. Hier richten wir uns ganz nach ihren W\u00fcnschen.<\/p>\n<\/div><\/section><\/p><\/div><div class='flex_column av-39snlg-16258883e529f6dc7c364a6a84c1f049 av_one_full  avia-builder-el-14  el_after_av_one_full  avia-builder-el-last  first flex_column_div column-top-margin'   ><style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-kywve4vu-91591f636733503a5fd51d22d3aa409a\">\n#top .avia-gallery.av-kywve4vu-91591f636733503a5fd51d22d3aa409a .avia-gallery-thumb a{\nwidth:25%;\n}\n<\/style>\n<div  class='avia-gallery av-kywve4vu-91591f636733503a5fd51d22d3aa409a avia_animate_when_visible  avia-builder-el-15  avia-builder-el-no-sibling  avia_lazyload avia-gallery-animate  avia-gallery-1'  itemprop=\"image\" itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/ImageObject\" ><div class='avia-gallery-thumb'> <a href=\"https:\/\/www.urologie-schwabing.de\/wp-content\/uploads\/2022\/01\/System_frei1-1030x678.jpg\" 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https:\/\/www.urologie-schwabing.de\/wp-content\/uploads\/2022\/01\/LKV08480-scaled.jpg 1707w\" data-sizes=\"(max-width: 687px) 100vw, 687px\" data-rel='gallery-1' data-prev-img='https:\/\/www.urologie-schwabing.de\/wp-content\/uploads\/2022\/01\/LKV08480-495x400.jpg' class='lightbox ' data-onclick='3' title=''  itemprop=\"thumbnailUrl\"  ><img decoding=\"async\" class=\"wp-image-2388 avia-img-lazy-loading-not-2388\"   src=\"https:\/\/www.urologie-schwabing.de\/wp-content\/uploads\/2022\/01\/LKV08480-845x684.jpg\" width=\"845\" height=\"684\"  title='Fusionsbiopsie' alt='' srcset=\"https:\/\/www.urologie-schwabing.de\/wp-content\/uploads\/2022\/01\/LKV08480-845x684.jpg 845w, https:\/\/www.urologie-schwabing.de\/wp-content\/uploads\/2022\/01\/LKV08480-495x400.jpg 495w\" sizes=\"(max-width: 845px) 100vw, 845px\" \/><\/a> <a href=\"https:\/\/www.urologie-schwabing.de\/wp-content\/uploads\/2022\/01\/Bild-2-1030x569.jpg\" 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