Fundamentals of Prostate MRI and Transperineal Interventions

This AUA hands-on skills training offers practicing urologists the fundamentals in MRI interpretation, segmentation, fusion-guided transperineal prostate biopsy, and transperineal spacer techniques to apply to their practice. Prostate MRI has emerged as an integral component in multiple aspects of the prostate cancer management pathway.

The basics of MRI interpretation have become an essential skill for fusion biopsy, local staging, and preoperative surgical planning. Recent evidence has supported the use of transperineal biopsy to minimize post-biopsy related infections while maximizing antibiotic stewardship. Integration of MRI with the transperineal approach now affords clinicians the ability to provide a safer prostate biopsy while optimizing diagnosis of clinically significant prostate cancer.

This immersive, interactive, full day hands-on course will ensure that participants will learn from key opinion leaders in the field, interpret imaging in the context of real-world case-based discussions, gain experience with a diverse set of technologies, and feel confident in taking the next steps towards offering transperineal fusion biopsies and spacers in their practice.

Accreditation Statement:
The American Urological Association (AUA) is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

Credit Designation:
The American Urological Association designates this live activity for a maximum of 6.25 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Learning Objectives:
After participating in this CME activity, participants will be able to:
1. Appropriately utilize PI-RADS for prostate MRI interpretation, biopsy, and treatment planning
2. Employ MRI segmentation process techniques to accurately prepare for fusion biopsy
3. Utilize proper procedures for US segmentation and co-registration
4. Apply advanced ultrasound skills in transperineal approaches
5. Perform transperineal fusion through multiple approaches, including 3D ultrasound, free-hand, fixed arm and robotic
6. Perform free-hand transperineal systematic template sampling of the prostate
7. Complete transperineal prostate fiducial and peri-rectal spacer insertion
8. Perform transperineal peri-prostatic block
9. Assemble and apply transperineal access devices (steppers and needle guides)