I commented previously on this forum that the USA is behind the curve in performing Transperineal Biopsies . Certain EU countries have or are considering banning Transrectal Biopsies . Some urologists , even the the USA will not perform the Transrectal . Canada , the UK plus other Asian countries have been using it for years . Now we see Real Time Biopsiess - " In - Bore or Gantry Biopsy " , thus eliminating the " MRI Fusion " problem .