Prostate cancer is one of the most common cancers in men, especially with increasing age. The disease often develops slowly without noticeable symptoms in its early stages, which is why many cases are only detected at an advanced stage. Therefore, screening and early detection are crucial to improve treatment success rates and prevent the disease from progressing further.
To support more accurate prostate cancer detection, Mandaya Royal Hospital Puri utilizes the MonaLisa robotic system for prostate biopsy procedures. This technology integrates MRI imaging with real-time ultrasound to create a 3D model of the prostate, enabling doctors to precisely target suspicious areas. With this approach, screening becomes more accurate and helps improve early diagnosis.
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How Does MonaLisa Work for Prostate Biopsy?
MonaLisa is a robotic technology designed to enhance the accuracy of prostate biopsies. It works by combining pre-procedure MRI images with real-time ultrasound imaging to generate a 3D model of the prostate. The system then uses a robotic arm to guide the biopsy needle precisely through the perineum—the area between the anus and scrotum—directly to the targeted suspicious regions.
How the MonaLisa system works:
- MRI-Ultrasound Fusion: Suspicious areas identified in MRI scans are overlaid onto a live 3D ultrasound image, allowing doctors to clearly see where tissue samples should be taken.
- Robotic Targeting: The robotic arm, guided by the 3D mapping, positions the biopsy needle with high precision, improving accuracy compared to manual techniques.
- Transperineal Approach: The procedure is performed through the perineum, which carries a lower risk of infection compared to the transrectal method.
- Minimally Invasive: Typically, only two small needle entry points are required, making the procedure more comfortable and enabling faster recovery.
- 3D Reporting: The system generates a detailed 3D report showing exactly where samples were taken, which is useful for monitoring and future treatment planning.
Advantages of MonaLisa in Prostate Biopsy
Here are some key benefits of using the MonaLisa robot in prostate biopsy procedures:
- High Accuracy: Its precision allows doctors to target suspicious areas more effectively, increasing cancer detection rates while reducing the risk of missing tumors.
- Lower Infection Risk: The transperineal approach significantly reduces the risk of infection compared to conventional methods.
- Improved Patient Comfort: The procedure is generally more comfortable, providing a better overall experience for patients.
What Happens If Prostate Cancer Is Detected?
If prostate cancer is detected through biopsy, Mandaya Royal Hospital Puri offers advanced treatment using the Da Vinci Xi robotic system for prostatectomy (prostate removal surgery).
The Da Vinci Xi is a modern robotic surgical system equipped with four high-precision arms, controlled by the surgeon through a high-resolution 3D console. This technology provides clearer and more detailed visualization of organs, enabling more precise surgical procedures.
Its flexible robotic arms mimic human hand movements in a smaller scale, allowing access to narrow and hard-to-reach areas. This capability enhances surgical accuracy, optimizes outcomes, and increases the overall success rate of the procedure.
To make your visit easier, you can use the WhatsApp chat feature, Book Appointment service, or the Care Dokter app available on Google Play and the App Store to check queue numbers and access more information.
The information provided on this page is for educational purposes and general overview only. For proper diagnosis and treatment, please consult directly with a doctor. For further inquiries, please contact our call center at 0811-1900-2000.

