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[前列腺癌聚焦治疗中的影像诊断:多参数磁共振成像]

[Imaging diagnosis in Focal Therapy for prostate cancer: Multiparametric Magnetic Resonance Imaging].

作者信息

Lista Mateos F, Castillo Gallo E

机构信息

Servicio de Urología. MD Anderson Cancer Center. Madrid. Departamento Clínico. Facultad de Ciencias Biomédicas. Universidad Europea de Madrid. Laureates International Universities. España.

Servicio de Radiodiagnóstico. Hospital Universitario de Getafe. Universidad Europea de Madrid. Laureate International Universities. Instituto Radiológico Castillo. Madrid. España.

出版信息

Arch Esp Urol. 2016 Jul;69(6):291-301.

Abstract

The use of prostatic multiparametric MRI (mpMRI) has increased significantly over the last years, and has emerged as a crucial test for diagnosis, staging and treatment of prostate cancer (PCa). The use of the various available sequences (T2W, T1W, diffusion, perfusion and spectroscopy), as well as the different parameters they associate, not only enables to determine the group of patients subsidiary of focal ablative therapy, but also to perform a proper determination of the áreas to treat, as well as to monitor the development of therapy and to evaluate both oncological results and possible therapeutic failures. Despite the excellent results showed in the different studies, it is necessary to reach a consensus about its use on the different features associated with focal therapy, since it is a technique that requires not only large experience in its operation but also standardization. All this make it a complex technique and not free of difficulties in its interpretation.

摘要

在过去几年中,前列腺多参数磁共振成像(mpMRI)的应用显著增加,并已成为前列腺癌(PCa)诊断、分期和治疗的关键检查。使用各种可用序列(T2加权、T1加权、扩散、灌注和波谱)以及它们关联的不同参数,不仅能够确定适合局部消融治疗的患者群体,还能对治疗区域进行准确判定,监测治疗进展,并评估肿瘤学结果和可能的治疗失败情况。尽管在不同研究中取得了优异成果,但有必要就其在与局部治疗相关的不同特征方面的应用达成共识,因为这是一项不仅需要丰富操作经验而且需要标准化的技术。所有这些使得它成为一项复杂的技术,在解读上并非没有困难。

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