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磁共振成像-超声融合引导下的前列腺活检:技术、操作方法及结果综述

Magnetic Resonance Imaging-Ultrasound Fusion-Guided Prostate Biopsy: Review of Technology, Techniques, and Outcomes.

作者信息

Kongnyuy Michael, George Arvin K, Rastinehad Ardeshir R, Pinto Peter A

机构信息

Urologic Oncology Branch, National Institutes of Health, National Cancer Institute, 10 Center Drive, Bethesda, MD, 20814, USA.

Icahn School of Medicine at Mount Sinai, 625 Madison Avenue, New York, NY, USA.

出版信息

Curr Urol Rep. 2016 Apr;17(4):32. doi: 10.1007/s11934-016-0589-z.

Abstract

Transrectal ultrasound (TRUS)-guided (12-14 core) systematic biopsy of the prostate is the recommended standard for patients with suspicion of prostate cancer (PCa). Advances in imaging have led to the application of magnetic resonance imaging (MRI) for the detection of PCa with subsequent development of software-based co-registration allowing for the integration of MRI with real-time TRUS during prostate biopsy. A number of fusion-guided methods and platforms are now commercially available with common elements in image and analysis and planning. Implementation of fusion-guided prostate biopsy has now been proven to improve the detection of clinically significant PCa in appropriately selected patients.

摘要

经直肠超声(TRUS)引导下(12 - 14针芯)的前列腺系统活检是疑似前列腺癌(PCa)患者的推荐标准方法。成像技术的进步促使磁共振成像(MRI)应用于PCa检测,随后基于软件的共配准技术得以发展,使得在前列腺活检过程中MRI能与实时TRUS相结合。现在有多种融合引导方法和平台可供商业使用,它们在图像、分析和规划方面有共同要素。现已证明,在适当选择的患者中实施融合引导的前列腺活检可提高临床显著性PCa的检出率。

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