{"id":9328,"date":"2025-11-21T07:40:00","date_gmt":"2025-11-21T07:40:00","guid":{"rendered":"https:\/\/www.priora.eu\/news\/robot-mona-lisa-the-path-to-precise-painless-and-safe-prostate-biopsy\/"},"modified":"2025-11-24T08:39:07","modified_gmt":"2025-11-24T08:39:07","slug":"robot-mona-lisa-the-path-to-precise-painless-and-safe-prostate-biopsy","status":"publish","type":"news","link":"https:\/\/www.priora.eu\/en\/news\/prostate-biopsy\/","title":{"rendered":"Robot Mona Lisa \u2013 the path to precise, painless, and safe prostate biopsy"},"content":{"rendered":"\n<p><em>Mona Lisa is a robotic system used for prostate biopsy via the transperineal approach, where the biopsy needle passes through the skin of the perineum. The system combines MRI and ultrasound images, explains <a href=\"https:\/\/www.priora.eu\/en\/about-us\/our-team\/ivan-radoja\/\" data-type=\"team\" data-id=\"5910\">urologist Ivan Radoja<\/a>.<\/em><\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>Mona Lisa \u2013 Prostate Bbiopsy<\/strong><\/h2>\n\n\n\n<p>A <strong>prostate biopsy<\/strong> is one of the most critical steps in diagnosing prostate cancer. What used to be an uncomfortable, often painful procedure has been <strong>completely<\/strong> transformed by the <strong><a href=\"https:\/\/www.priora.eu\/en\/technology\/mona-lisa\/\" data-type=\"page\" data-id=\"3091\">Mona Lisa Dx Biobot robotic system<\/a><\/strong>. This fusion biopsy technique offers <strong>exceptional precision<\/strong>\u2014both in sampling tissue and in detecting malignant changes. The procedure is performed under <strong>anesthesia<\/strong>, ensuring that the patient feels no pain.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Dr. Radoja: How the system works<\/h2>\n\n\n\n<p>\u201c<strong>Mona Lisa<\/strong> is a <strong>robotic system<\/strong> for prostate biopsy using the <strong>transperineal approach<\/strong>, where the biopsy needle passes through the skin of the perineum. The system combines MRI and ultrasound images. A <strong>radiologist<\/strong> marks potentially<strong> suspicious<\/strong> <strong>areas<\/strong>, or lesions, on the MRI scan, which are then \u2018fused\u2019 with real-time ultrasound images of the prostate. This enables precise targeting of suspicious lesions,\u201d explains <strong>Assoc. Prof. Dr. Ivan Radoja<\/strong>,<strong> specialist urologist and subspecialist in neurourology<\/strong> and urodynamics. His work at<strong> <\/strong><a href=\"http:\/\/priora.eu\/en\"><strong>IMC Priora<\/strong> <\/a>also focuses on robotic prostate biopsy.<\/p>\n\n\n\n<figure class=\"wp-block-image size-large\"><img loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"683\" src=\"https:\/\/www.priora.eu\/wp-content\/uploads\/2025\/08\/dr.-Ivan-Radoja-4-1024x683.jpg\" alt=\"\" class=\"wp-image-7355\" srcset=\"https:\/\/www.priora.eu\/wp-content\/uploads\/2025\/08\/dr.-Ivan-Radoja-4-1024x683.jpg 1024w, https:\/\/www.priora.eu\/wp-content\/uploads\/2025\/08\/dr.-Ivan-Radoja-4-300x200.jpg 300w, https:\/\/www.priora.eu\/wp-content\/uploads\/2025\/08\/dr.-Ivan-Radoja-4-768x512.jpg 768w, https:\/\/www.priora.eu\/wp-content\/uploads\/2025\/08\/dr.-Ivan-Radoja-4-1536x1024.jpg 1536w, https:\/\/www.priora.eu\/wp-content\/uploads\/2025\/08\/dr.-Ivan-Radoja-4-2048x1365.jpg 2048w\" sizes=\"auto, (max-width: 1024px) 100vw, 1024px\" \/><\/figure>\n\n\n\n<p>\u201cDuring the ultrasound examination, <strong>a three-dimensional<\/strong> model of the prostate is created. The MRI scan is then uploaded into the system and aligned with the ultrasound image. Through a process called <em>elastic fusion<\/em>, the system corrects any differences in <strong>prostate<\/strong> shape between <strong>MRI and ultrasound<\/strong>. Based on this integrated model, biopsy targets are planned, including the direction and depth of each needle pass. <strong>Mona Lisa<\/strong> supports various biopsy techniques\u2014targeted, <strong>systematic<\/strong>, or <strong>saturation biopsy<\/strong>\u2014as well as combinations of these. The system offers extensive flexibility, allowing targets to be added, modified, or removed immediately before the procedure,\u201d says Dr. Radoja.<\/p>\n\n\n\n<p><strong>The robotic guide<\/strong> positions the needle according to the pre-defined plan, ensuring high <strong>precision<\/strong> and control of needle depth.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><strong>Mona Lisa \u2013 better access to all areas of the prostate<\/strong><\/h3>\n\n\n\n<p>The <strong>Mona Lisa robot<\/strong> allows multiple samples to be taken through a single entry point, reducing the number of skin punctures and discomfort, while still enabling excellent access to hard-to-reach areas of the prostate.<\/p>\n\n\n\n<p>The samples are sent for <strong>analysis<\/strong> to determine whether the changes are malignant, along with their <strong>Gleason score<\/strong> and other relevant parameters.<\/p>\n\n\n\n<figure class=\"wp-block-image size-large\"><img loading=\"lazy\" decoding=\"async\" width=\"683\" height=\"1024\" src=\"https:\/\/www.priora.eu\/wp-content\/uploads\/2025\/08\/Mona-Lisa-2-1-683x1024.jpg\" alt=\"\" class=\"wp-image-7357\" srcset=\"https:\/\/www.priora.eu\/wp-content\/uploads\/2025\/08\/Mona-Lisa-2-1-683x1024.jpg 683w, https:\/\/www.priora.eu\/wp-content\/uploads\/2025\/08\/Mona-Lisa-2-1-200x300.jpg 200w, https:\/\/www.priora.eu\/wp-content\/uploads\/2025\/08\/Mona-Lisa-2-1-768x1151.jpg 768w, https:\/\/www.priora.eu\/wp-content\/uploads\/2025\/08\/Mona-Lisa-2-1-1025x1536.jpg 1025w, https:\/\/www.priora.eu\/wp-content\/uploads\/2025\/08\/Mona-Lisa-2-1-1366x2048.jpg 1366w, https:\/\/www.priora.eu\/wp-content\/uploads\/2025\/08\/Mona-Lisa-2-1-scaled.jpg 1708w\" sizes=\"auto, (max-width: 683px) 100vw, 683px\" \/><\/figure>\n\n\n\n<p><strong>Mona Lisa<\/strong> also generates reports with <strong>3D images<\/strong> and coordinates of each <strong>biopsy core<\/strong>, which is crucial for long-term monitoring, especially for patients on active surveillance.<\/p>\n\n\n\n<p>\u201c<strong>Key advantages of the Mona Lisa robot<\/strong> include greater precision in detecting clinically significant prostate cancer\u2014those tumors that are aggressive or require treatment\u2014thanks to targeted sampling of <strong>MRI<\/strong>-visible lesions. Additionally, the risk of infection is lower compared to transrectal biopsies because the transperineal approach avoids passing through the rectum. The system provides better access to all regions of the <strong>prostate<\/strong>, including the anterior zone, apex, and other areas that are difficult to reach with traditional methods. It may also reduce the number of biopsy cores needed, decreasing discomfort, procedural time, and laboratory workload, without compromising diagnostic accuracy,\u201d explains Dr. Radoja.<\/p>\n\n\n\n<p>Furthermore, the system ensures <strong>excellent reproducibility<\/strong>: every core\u2019s coordinates are recorded, allowing precise comparison of findings over time.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Mona Lisa is a robotic system used for prostate biopsy via the transperineal approach, where the biopsy needle passes through the skin of the perineum. The system combines MRI and ultrasound images, explains urologist Ivan Radoja. Mona Lisa \u2013 Prostate Bbiopsy A prostate biopsy is one of the most critical steps in diagnosing prostate cancer. [&hellip;]<\/p>\n","protected":false},"featured_media":7350,"template":"","news-category":[20],"class_list":["post-9328","news","type-news","status-publish","has-post-thumbnail","hentry","news-category-for-patients"],"acf":[],"_links":{"self":[{"href":"https:\/\/www.priora.eu\/en\/wp-json\/wp\/v2\/news\/9328","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.priora.eu\/en\/wp-json\/wp\/v2\/news"}],"about":[{"href":"https:\/\/www.priora.eu\/en\/wp-json\/wp\/v2\/types\/news"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.priora.eu\/en\/wp-json\/wp\/v2\/media\/7350"}],"wp:attachment":[{"href":"https:\/\/www.priora.eu\/en\/wp-json\/wp\/v2\/media?parent=9328"}],"wp:term":[{"taxonomy":"news-category","embeddable":true,"href":"https:\/\/www.priora.eu\/en\/wp-json\/wp\/v2\/news-category?post=9328"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}