Table 2.
Follow-up of different AS protocols
| Protocol | DRE | PSA | Biopsy | Imaging Techniques |
|---|---|---|---|---|
| Tosoian et al. (15) | 6 months | 6 months | Annual | |
| Klotz et al. (16) | 3 months (2 years) 6 months if PSA stable |
3 months (2 years) 6 months if stable |
Confirmation: 6–12 months Repetition: 2 years (to age 80 years) |
MRI optional |
| Bul et al. (17) | 3 months (2 years) 6 months (after) |
1, 4, and 7 years If PSADT=3–10, repeat biopsy |
||
| Dall'Era et al. (18) | 3 months | 3 months | 1–2 years (since 2003) | TRUS 6–12 months |
| Berglund et al. (19) | Confirmation: 3 months Repetition: annual |
MRI prior to confirmation biopsy | ||
| Soloway et al. (21) | 3 months (2 years) 6 months if PSA stable |
3 months (2 years) 6 months if stable |
Confirmation: 9–12 months Repetition: annual |
|
| Carter et al. (55) | 6 months | 6 months | Annual |
Abbreviations: DRE = digital rectal exam, PSA = prostate-specific antigen, PSADT = prostate-specific antigen doubling time, TRUS = transrectal ultrasonography, MRI = magnetic resonance imaging