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磁共振成像引导下的前列腺活检：现状与未来。

Magnetic resonance imaging-guided prostate biopsy: present and future.

作者信息

Kim Chan Kyo

机构信息

Department of Radiology and Center for Imaging Science, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul 135-710, Korea.

出版信息

Korean J Radiol. 2015 Jan-Feb;16(1):90-8. doi: 10.3348/kjr.2015.16.1.90. Epub 2015 Jan 9.

DOI:10.3348/kjr.2015.16.1.90
PMID:25598677
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4296281/
Abstract

Systemic transrectal ultrasound-guided biopsy (TRUSBx) is the standard procedure for diagnosing prostate cancer (PCa), but reveals a limited accuracy for the detection of cancer. Currently, multiparametric MR imaging (mp-MRI) is increasingly regarded as a promising method to detect PCa with an excellent positive predictive value. The use of mp-MRI during a MRI-guided biopsy (MRGB) procedure improves the quality of a targeted biopsy. The aim of this article is to provide an overview about the MRGB technique for PCa detection, to review the accuracy and clinical indications of MRGB and discuss its current issues and further directions. A MRGB seems accurate and efficient for the detection of clinically significant PCa in men with previous negative TRUSBx. Moreover, it may decrease the detection of clinically insignificant cancers with fewer biopsy cores.

摘要

系统性经直肠超声引导下活检（TRUSBx）是诊断前列腺癌（PCa）的标准程序，但在检测癌症方面准确性有限。目前，多参数磁共振成像（mp-MRI）越来越被视为一种具有出色阳性预测价值的检测PCa的有前景的方法。在磁共振成像引导下活检（MRGB）过程中使用mp-MRI可提高靶向活检的质量。本文旨在概述用于PCa检测的MRGB技术，回顾MRGB的准确性和临床适应证，并讨论其当前问题和未来方向。对于既往TRUSBx结果为阴性的男性，MRGB在检测临床显著性PCa方面似乎准确且高效。此外，它可能减少活检针数较少时对临床意义不大的癌症的检测。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2b5e/4296281/0123ab633a10/kjr-16-90-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2b5e/4296281/4a1750268c50/kjr-16-90-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2b5e/4296281/490dd355ea2d/kjr-16-90-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2b5e/4296281/0123ab633a10/kjr-16-90-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2b5e/4296281/4a1750268c50/kjr-16-90-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2b5e/4296281/490dd355ea2d/kjr-16-90-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2b5e/4296281/0123ab633a10/kjr-16-90-g003.jpg

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本文引用的文献

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Shear wave elastography for detection of prostate cancer: a preliminary study.剪切波弹性成像用于前列腺癌检测的初步研究。
Korean J Radiol. 2014 May-Jun;15(3):346-55. doi: 10.3348/kjr.2014.15.3.346. Epub 2014 Apr 29.
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Detection of radiorecurrent prostate cancer using diffusion-weighted imaging and targeted biopsies.使用扩散加权成像和靶向活检检测放射性复发性前列腺癌。
AJR Am J Roentgenol. 2014 Mar;202(3):W241-6. doi: 10.2214/AJR.12.10483.
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Prostate cancer diagnosis: multiparametric MR-targeted biopsy with cognitive and transrectal US-MR fusion guidance versus systematic biopsy--prospective multicenter study.
与前列腺影像报告和数据系统评分相关的磁共振成像引导下前列腺穿刺活检的前列腺癌检出率
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前列腺癌诊断：多参数 MR 靶向活检联合认知和经直肠 US-MR 融合引导与系统活检——前瞻性多中心研究。
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Evaluation of diffusion-weighted MR imaging at inclusion in an active surveillance protocol for low-risk prostate cancer.评价扩散加权磁共振成像在低危前列腺癌主动监测方案中的应用。
Invest Radiol. 2013 Mar;48(3):152-7. doi: 10.1097/RLI.0b013e31827b711e.
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Multiparametric ultrasound of the prostate: adding contrast enhanced ultrasound to real-time elastography to detect histopathologically confirmed cancer.前列腺的多参数超声：将实时超声弹性成像与对比增强超声相结合，以检测经组织病理学证实的癌症。
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Targeted biopsy in the detection of prostate cancer using an office based magnetic resonance ultrasound fusion device.使用基于办公室的磁共振超声融合设备进行前列腺癌的靶向活检。
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ESUR prostate MR guidelines 2012.ESUR 前列腺磁共振成像指南 2012.
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