|
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]
***give me your comments about this
page***
check out the Highest
TRUTH
(posted 23 September 2007)
|