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. 2020 Nov 20;17:41. doi: 10.1186/s12014-020-09305-7

Fig. 3.

Fig. 3

Diagnosis of Prostate Cancer. Digital rectal exam is a key component of the physical assessment of the prostate gland (a). Men with a DRE that is indicative of PCa are recommended for transrectal ultrasound-guided biopsy (TRUS) (b). Up to 12 cores of tumour tissue are sampled using real-time ultrasound imaging to guide the needle to suspected tumour regions. The false negative rate can be as high as 35% in first time biopsies. MRI-TRUS fusion fuses pre-biopsy MRI images with real-time ultrasound imaging using a digital overlay to accurately guide the needle towards previously delineated regions of suspected tumour (c)