Dianat S Saeid, Carter H Ballentine, Macura Katarzyna J
Department of Radiology, University of Minnesota, 420 Delaware Street, SE Minneapolis, MN 55455, USA.
The James Buchanan Brady Urological Institute, The Johns Hopkins University, 600 North Wolfe Street, Marburg 100, Baltimore, MD 21287, USA.
Magn Reson Imaging Clin N Am. 2015 Nov;23(4):621-31. doi: 10.1016/j.mric.2015.05.005. Epub 2015 Jul 9.
The optimal strategy for prostate cancer diagnosis is to avoid overdiagnosis, defined as diagnosis of clinically insignificant disease, and undersampling of the gland, which leads to missing clinically significant disease. Targeted prostate biopsy is a potential solution for decreasing the rate of both overdiagnosis and undersampling of prostate cancer. We focus here on different techniques for targeting prostate lesions identified on multiparametric MR imaging and review different clinical settings in which MR imaging-targeted prostate biopsies are performed.
前列腺癌诊断的最佳策略是避免过度诊断(定义为对临床意义不显著的疾病进行诊断)以及前列腺组织采样不足(这会导致遗漏临床意义显著的疾病)。靶向前列腺活检是降低前列腺癌过度诊断率和采样不足率的一种潜在解决方案。我们在此重点关注针对多参数磁共振成像(MRI)上识别出的前列腺病变的不同靶向技术,并回顾进行MRI靶向前列腺活检的不同临床情况。