{"id":1869252,"date":"2026-04-07T07:31:39","date_gmt":"2026-04-07T04:31:39","guid":{"rendered":"https:\/\/analyse.optim.biz\/?p=1869252"},"modified":"2026-04-07T07:31:39","modified_gmt":"2026-04-07T04:31:39","slug":"biopsia-de-prostata-cu-fuziune-rmn-diagnostic-precis-fara-risc-de-infectie-in-ambulator","status":"publish","type":"post","link":"https:\/\/analyse.optim.biz\/?p=1869252","title":{"rendered":"Biopsia de prostat\u0103 cu fuziune RMN: diagnostic precis, f\u0103r\u0103 risc de infec\u021bie, \u00een ambulator"},"content":{"rendered":"<p>[analyse_image type=&#8221;featured&#8221; src=&#8221;https:\/\/www.tion.ro\/wp-content\/uploads\/2026\/04\/+otf\/1200&#215;630\/gpICcUY8b8c+E92fwKBy0k5PVF9WRVJZX1NFQ0mLCY9zCvVmqkXXrMtQDRv60b6ynF7U1JbI0s4Ae+WWgi+yZ0yWfBQ54IjkRzaoDB1ycEGmI1Q6lX3i4Ll22iU=\/5546991biopsie1.png&#8221;]<\/p>\n<article id=\"post-2257426\" class>\n<div class=\"entry-content clearfix\">\n<div class=\"enewsArticleContent\">\n<p><b><span data-contrast=\"none\">Cancerul de prostat\u0103 este cel mai frecvent cancer diagnosticat la b\u0103rbatul rom\u00e2n dup\u0103 cel pulmonar. <\/span><\/b><span data-contrast=\"none\">Se dezvolt\u0103 lent, adesea f\u0103r\u0103 simptome \u00een stadiile ini\u021biale, ceea ce face ca diagnosticul precoce s\u0103 fie esen\u021bial. Principalul marker de screening este PSA (antigenul specific prostatic) \u2014 o protein\u0103 produs\u0103 de prostat\u0103, a c\u0103rei valoare crescut\u0103 \u00een s\u00e2nge poate indica prezen\u021ba cancerului, dar \u015fi alte afec\u021biuni benigne. C\u00e2nd PSA este crescut sau dinamica lui \u00eengrijoreaz\u0103, pasul urm\u0103tor este imagistica prin RMN multiparametric \u015fi, \u00een func\u021bie de rezultat, biopsia prostatic\u0103. Calitatea acestei biopsii decide calitatea diagnosticului.<\/span><\/p>\n<p><b><span data-contrast=\"none\">Biopsia clasic\u0103 de prostat\u0103 rateaz\u0103 cancerul semnificativ clinic \u00een p\u00e2n\u0103 la 26% din cazuri fa\u021b\u0103 de biopsia ghidat\u0103 RMN <\/span><\/b><span data-contrast=\"none\">(trial PRECISION, citat \u00een ghidurile EAU 2026) \u015fi expune pacientul unui risc de infec\u021bie de 2\u20136% prin traversarea peretelui rectal. Exist\u0103 o alternativ\u0103 mai bun\u0103, disponibil\u0103 acum la Timi\u015foara.<\/span><\/p>\n<p><b><span data-contrast=\"none\">Ce este biopsia cu fuziune RMN<\/span><\/b><\/p>\n<p><span data-contrast=\"none\">Tehnica combin\u0103 RMN-ul multiparametric \u2014 care identific\u0103 zonele suspecte din prostat\u0103 \u2014 cu ecografia \u00een timp real din momentul biopsiei. Cele dou\u0103 imagini sunt suprapuse (\u201cfuzionate\u201d), iar acul este ghidat exact c\u0103tre leziunea suspect\u0103 identificat\u0103 pe RMN. Conform datelor din trialul PRECISION, biopsia \u021bintat\u0103 RMN detecteaz\u0103 cancerul semnificativ clinic \u00een 38% din cazuri fa\u021b\u0103 de 26% \u00een biopsia sistematic\u0103 clasic\u0103. Ghidurile EAU 2026 recomand\u0103 aceast\u0103 metod\u0103 ca standard pentru pacien\u021bii cu leziuni suspecte pe imagistic\u0103.<\/span><\/p>\n<p><span data-contrast=\"none\">La Policlinica Bastion, procedura se efectueaz\u0103 prin abord transperineal \u2014 acul intr\u0103 prin perineu, nu prin rect \u2014 conform recomand\u0103rilor EAU 2026, care prefer\u0103 aceast\u0103 cale tocmai pentru riscul infec\u021bios dramatic mai sc\u0103zut: 0.6% fa\u021b\u0103 de 2\u20136% la abordul transrectal, conform unei meta-analize recente. \u00cen plus, abordul transperineal detecteaz\u0103 leziunile anterioare ale prostatei de 2.46 ori mai frecvent \u2014 o zon\u0103 greu accesibil\u0103 transrectal, dar frecvent afectat\u0103 de cancer. Procedura dureaz\u0103 ~30 de minute, \u00een ambulator, f\u0103r\u0103 internare.<\/span><\/p>\n<p><span data-contrast=\"none\">Dup\u0103 procedur\u0103, probele de \u021besut sunt trimise la anatomopatologie, iar rezultatele vin \u00een 7\u201310 zile lucr\u0103toare. Consulta\u021bia de revenire cu medicul urolog include analiza diagnosticului \u015fi, dac\u0103 este necesar, stabilirea planului terapeutic. <\/span><\/p>\n<p><b><span data-contrast=\"none\">Sistemul Koelis Trinity\u00ae \u2014 primul din vestul Rom\u00e2niei<\/span><\/b><\/p>\n<p><span data-contrast=\"none\">Policlinica Bastion utilizeaz\u0103 sistemul Koelis Trinity\u00ae, achizi\u021bionat prin proiectul \u201eCre\u015fterea eficien\u021bei prin tehnologii avansate la Policlinica Bastion\u201d (cod SMIS 333787), co-finan\u021bat prin Programul Regional Vest 2021\u20132027, cu sprijinul Uniunii Europene. <\/span><b><span data-contrast=\"none\">Este primul sistem de acest tip din vestul Rom\u00e2niei <\/span><\/b><span data-contrast=\"none\">\u015fi permite compensarea automat\u0103 a mi\u015fc\u0103rilor prostatei \u00een timp real, asigur\u00e2nd c\u0103 acul ajunge exact la \u021bint\u0103 \u2014 nu c\u00e2\u021biva milimetri al\u0103turi.<\/span><\/p>\n<p><b><span data-contrast=\"none\">Ai PSA crescut sau RMN pozitiv?<\/span><\/b><\/p>\n<p><span data-contrast=\"none\">Program\u0103-te la Policlinica Bastion \u2014 consultatie urologic\u0103 + biopsie fuziune RMN.<\/span><\/p>\n<p><b><span data-contrast=\"none\">0738.826.587  |  policlinicabastion.ro<\/span><\/b><\/p>\n<p>(<span data-olk-copy-source=\"MessageBody\">3769<\/span>)<\/p>\n<div class=\"fbShareLikeTwitterAndEmailContainer\">\n<div class=\"wrapper\">\n<div class=\"email\">\n<div id=\"mailto-pop\" class=\"pop-form pop-form-mailto\">\n<div class=\"pop-form-header\">\n<h4>Trimite articolul<\/h4>\n<p><a class=\"pop-form-close\">X<\/a><\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<div class=\"comments\">\n<div class=\"top\">\n<div class=\"commentsNumber\"><span class=\"number\">0<\/span><span class=\"text\">Comentarii<\/span><\/div>\n<\/div>\n<div class=\"bottom\">\n<p class=\"forumDisclaimerHuRo\">\n            Citi\u021bi principiile noastre de moderare <a href=\"https:\/\/www.tion.ro\/reguli-postare-comentarii\/\" target=\"_blank\">aici<\/a>!\n        <\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/article>\n<div class=\"entry-content clearfix\">\n<div class=\"enewsArticleContent\">\n<p><b><span data-contrast=\"none\">Cancerul de prostat\u0103 este cel mai frecvent cancer diagnosticat la b\u0103rbatul rom\u00e2n dup\u0103 cel pulmonar. <\/span><\/b><span data-contrast=\"none\">Se dezvolt\u0103 lent, adesea f\u0103r\u0103 simptome \u00een stadiile ini\u021biale, ceea ce face ca diagnosticul precoce s\u0103 fie esen\u021bial. Principalul marker de screening este PSA (antigenul specific prostatic) \u2014 o protein\u0103 produs\u0103 de prostat\u0103, a c\u0103rei valoare crescut\u0103 \u00een s\u00e2nge poate indica prezen\u021ba cancerului, dar \u015fi alte afec\u021biuni benigne. C\u00e2nd PSA este crescut sau dinamica lui \u00eengrijoreaz\u0103, pasul urm\u0103tor este imagistica prin RMN multiparametric \u015fi, \u00een func\u021bie de rezultat, biopsia prostatic\u0103. Calitatea acestei biopsii decide calitatea diagnosticului.<\/span><\/p>\n<p><b><span data-contrast=\"none\">Biopsia clasic\u0103 de prostat\u0103 rateaz\u0103 cancerul semnificativ clinic \u00een p\u00e2n\u0103 la 26% din cazuri fa\u021b\u0103 de biopsia ghidat\u0103 RMN <\/span><\/b><span data-contrast=\"none\">(trial PRECISION, citat \u00een ghidurile EAU 2026) \u015fi expune pacientul unui risc de infec\u021bie de 2\u20136% prin traversarea peretelui rectal. Exist\u0103 o alternativ\u0103 mai bun\u0103, disponibil\u0103 acum la Timi\u015foara.<\/span><\/p>\n<p><b><span data-contrast=\"none\">Ce este biopsia cu fuziune RMN<\/span><\/b><\/p>\n<p><span data-contrast=\"none\">Tehnica combin\u0103 RMN-ul multiparametric \u2014 care identific\u0103 zonele suspecte din prostat\u0103 \u2014 cu ecografia \u00een timp real din momentul biopsiei. Cele dou\u0103 imagini sunt suprapuse (\u201cfuzionate\u201d), iar acul este ghidat exact c\u0103tre leziunea suspect\u0103 identificat\u0103 pe RMN. Conform datelor din trialul PRECISION, biopsia \u021bintat\u0103 RMN detecteaz\u0103 cancerul semnificativ clinic \u00een 38% din cazuri fa\u021b\u0103 de 26% \u00een biopsia sistematic\u0103 clasic\u0103. Ghidurile EAU 2026 recomand\u0103 aceast\u0103 metod\u0103 ca standard pentru pacien\u021bii cu leziuni suspecte pe imagistic\u0103.<\/span><\/p>\n<p><span data-contrast=\"none\">La Policlinica Bastion, procedura se efectueaz\u0103 prin abord transperineal \u2014 acul intr\u0103 prin perineu, nu prin rect \u2014 conform recomand\u0103rilor EAU 2026, care prefer\u0103 aceast\u0103 cale tocmai pentru riscul infec\u021bios dramatic mai sc\u0103zut: 0.6% fa\u021b\u0103 de 2\u20136% la abordul transrectal, conform unei meta-analize recente. \u00cen plus, abordul transperineal detecteaz\u0103 leziunile anterioare ale prostatei de 2.46 ori mai frecvent \u2014 o zon\u0103 greu accesibil\u0103 transrectal, dar frecvent afectat\u0103 de cancer. Procedura dureaz\u0103 ~30 de minute, \u00een ambulator, f\u0103r\u0103 internare.<\/span><\/p>\n<p><span data-contrast=\"none\">Dup\u0103 procedur\u0103, probele de \u021besut sunt trimise la anatomopatologie, iar rezultatele vin \u00een 7\u201310 zile lucr\u0103toare. Consulta\u021bia de revenire cu medicul urolog include analiza diagnosticului \u015fi, dac\u0103 este necesar, stabilirea planului terapeutic. <\/span><\/p>\n<p><b><span data-contrast=\"none\">Sistemul Koelis Trinity\u00ae \u2014 primul din vestul Rom\u00e2niei<\/span><\/b><\/p>\n<p><span data-contrast=\"none\">Policlinica Bastion utilizeaz\u0103 sistemul Koelis Trinity\u00ae, achizi\u021bionat prin proiectul \u201eCre\u015fterea eficien\u021bei prin tehnologii avansate la Policlinica Bastion\u201d (cod SMIS 333787), co-finan\u021bat prin Programul Regional Vest 2021\u20132027, cu sprijinul Uniunii Europene. <\/span><b><span data-contrast=\"none\">Este primul sistem de acest tip din vestul Rom\u00e2niei <\/span><\/b><span data-contrast=\"none\">\u015fi permite compensarea automat\u0103 a mi\u015fc\u0103rilor prostatei \u00een timp real, asigur\u00e2nd c\u0103 acul ajunge exact la \u021bint\u0103 \u2014 nu c\u00e2\u021biva milimetri al\u0103turi.<\/span><\/p>\n<p><b><span data-contrast=\"none\">Ai PSA crescut sau RMN pozitiv?<\/span><\/b><\/p>\n<p><span data-contrast=\"none\">Program\u0103-te la Policlinica Bastion \u2014 consultatie urologic\u0103 + biopsie fuziune RMN.<\/span><\/p>\n<p><b><span data-contrast=\"none\">0738.826.587  |  policlinicabastion.ro<\/span><\/b><\/p>\n<p>(<span data-olk-copy-source=\"MessageBody\">3769<\/span>)<\/p>\n<div class=\"fbShareLikeTwitterAndEmailContainer\">\n<div class=\"wrapper\">\n<div class=\"email\">\n<div id=\"mailto-pop\" class=\"pop-form pop-form-mailto\">\n<div class=\"pop-form-header\">\n<h4>Trimite articolul<\/h4>\n<p><a class=\"pop-form-close\">X<\/a><\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<div class=\"comments\">\n<div class=\"top\">\n<div class=\"commentsNumber\"><span class=\"number\">0<\/span><span class=\"text\">Comentarii<\/span><\/div>\n<\/div>\n<div class=\"bottom\">\n<p class=\"forumDisclaimerHuRo\">\n            Citi\u021bi principiile noastre de moderare <a href=\"https:\/\/www.tion.ro\/reguli-postare-comentarii\/\" target=\"_blank\">aici<\/a>!\n        <\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<p>[analyse_source url=&#8221;https:\/\/www.tion.ro\/stirile-judetului-timis\/biopsia-de-prostata-cu-fuziune-rmn-diagnostic-precis-fara-risc-de-infectie-in-ambulator-2257426\/&#8221;]<\/p>\n","protected":false},"excerpt":{"rendered":"<p>[analyse_image type=&#8221;featured&#8221; src=&#8221;https:\/\/www.tion.ro\/wp-content\/uploads\/2026\/04\/+otf\/1200&#215;630\/gpICcUY8b8c+E92fwKBy0k5PVF9WRVJZX1NFQ0mLCY9zCvVmqkXXrMtQDRv60b6ynF7U1JbI0s4Ae+WWgi+yZ0yWfBQ54IjkRzaoDB1ycEGmI1Q6lX3i4Ll22iU=\/5546991biopsie1.png&#8221;] Cancerul de prostat\u0103 este cel mai frecvent cancer diagnosticat la b\u0103rbatul rom\u00e2n dup\u0103 cel pulmonar. Se dezvolt\u0103 lent, adesea f\u0103r\u0103 simptome \u00een stadiile ini\u021biale, ceea ce face ca diagnosticul precoce s\u0103 fie esen\u021bial. Principalul marker de screening este PSA (antigenul specific prostatic) \u2014 o protein\u0103 produs\u0103 de prostat\u0103, a c\u0103rei valoare crescut\u0103 [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[89],"tags":[226,191],"class_list":["post-1869252","post","type-post","status-publish","format-standard","hentry","category-romania","tag-crawlmanager","tag-tion-ro"],"_links":{"self":[{"href":"https:\/\/analyse.optim.biz\/index.php?rest_route=\/wp\/v2\/posts\/1869252","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/analyse.optim.biz\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/analyse.optim.biz\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/analyse.optim.biz\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/analyse.optim.biz\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=1869252"}],"version-history":[{"count":0,"href":"https:\/\/analyse.optim.biz\/index.php?rest_route=\/wp\/v2\/posts\/1869252\/revisions"}],"wp:attachment":[{"href":"https:\/\/analyse.optim.biz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=1869252"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/analyse.optim.biz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=1869252"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/analyse.optim.biz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=1869252"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}