The 3DBiopsy Prostate Biopsy System: Preclinical Investigation of a Needle, Actuator, and Specimen Collection Device Allowing Sampling of Individualized Prostate Lengths Between 20 and 60 mm.

OBJECTIVE: To increase the likelihood of detecting anterior cancers within the prostate and provide a specimen that spans the length of the gland. Newly designed 17- and 15-gauge (G) biopsy needles, a variable actuator, and an integrated pathology system intended for the longer cores were developed and tested for this purpose. MATERIALS AND METHODS: Testing was performed comparing 2 common cannula tip grinds, a Vet-point (sharp tip) and a Menghini-point (atraumatic tip), and were tested against 18-G Bard Monopty in porcine kidney. A variable actuator was developed to fire the needle 20-60 mm and tested in cadaver prostates. RESULTS: The aggregate firings for 3 different shot lengths comparing the Vet- with the Menghini-tip cannulas demonstrated 91% vs 85.2% fill (length of specimen/length of core bed, P = .007). A 15-G trocar needle with the Vet-tip cannula also had the best performance, with an aggregate standard deviation of 6.4% across 3 firing ranges and a minimum to maximum specimen length of 81%-105% of potential fill. Cadaver testing with the Vet-tip needles in the actuator for the transrectal (17-G) and transperineal (15-G) biopsies demonstrated mean fills of 93.3% and 76.5%, respectively. The new transrectal ultrasound needle obtained a 2-fold increase in specimen length over the standard Bard device (P <.001). CONCLUSION: Longer and consistent cores were obtained using the new biopsy needles. Combined with an adjustable actuator, the physician can obtain specimens that include peripheral and anterior zone tissue in 1 core. Determination of cancer location on the longer specimens could enhance focal therapy planning.

Ethnobotanical Study of Herbaceous Flora along an Altitudinal Gradient in Bharmour Forest Division, District Chamba of Himachal Pradesh, India.

The present ethnobotanical study was carried out in Holi (Deol, Kut, Dal, and Lahaud Dhar) forest range and in Bharmor (Seri, Bharmour, Malkauta, Bharmani, Harsar, Dhancho, Sundrasi, Gorikund, and Manimahesh) forest range to obtain information on the plants used by the local inhabitants for several purposes. A total of 54 plants were recorded in this study. The plants are employed to treat simple diseases (cough, cold, fever, and burns) and some serious diseases (typhoid, jaundice, and kidney disease). Some of the plants are also used as incense for religious ceremonies and several other daily needs. But due to absence of scientific monitoring of plants, their cultivation, harvesting, and management techniques as well as sustainable use and lack of awareness of social factors, the availability of valuable plant resources is decreasing at an alarming rate. In addition, the indigenous knowledge regarding the use of lesser-known plants of this region is also rapidly declining. Therefore, the documentation of plant resources is a necessary step towards the goal of raising awareness in local communities about the importance of these plants and their further conservation.