The Truth... What is it?





The Vienna Nomogram

[Dr. Shaw's personal website]

This experimental-stage chart/nomogram can be used to determine the optimal number of transrectal prostate gland core biopsies to take/obtain when PSA is between 2-10 and DRE is negative, depending on the man's age and prostate gland TRUS size. The system's cancer detection rate of 37% is equal to octant pattern plus a follow-up biopsy session if initial one was benign1.


Vienna Nomogram

     Total serum PSA between 2-10 ng/mL

 TRUS size cc.

Age range in years:

50 years old or younger

 51-60

 61-70

 older than 70

 0-30cc

 8 cores

 8 cores

 8 cores

 6 cores

 31-40cc

 12 cores

 10 cores

 8 cores

 6 cores

 41-50cc

 14 cores

12 cores  

 10 cores

 8 cores

 51-60cc

 16 cores

 14 cores

 12 cores

 10 cores

 61-70cc

 18 cores

 16 cores

 14 cores

 12 cores

 greater than 70cc

 18 cores

 18 cores

 16 cores

 14 cores

 

References:

Remzi M, et. al. [from Dept. Urology, U. of Vienna, Vienna, Austria], "The Vienna Nomogram: Validation of a Novel Biopsy Strategy Defining the Optimal Number of Cores Based on Patient Age and Total Prostate Volume", J.Urology 174:1256-1261, October, 2005.
[back to PAL's prostate TOC]

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(posted 23 September 2007)