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[前列腺——泌尿科医生希望从放射科医生那里了解什么?]

[Prostate gland - what would urologists like to know from radiologists?].

作者信息

Liehr U B, Baumunk D, Blaschke S, Fischbach F, Friebe B, König F, Lemke A, Mittelstädt P, Pech M, Porsch M, Ricke J, Schindele D, Siedentopf S, Wendler J J, Schostak M

机构信息

Klinik für Urologie und Kinderurologie, Universitätsklinikum Magdeburg A.ö.R., Leipziger Straße 44, 39120, Magdeburg, Deutschland.

Urologische Praxis, Backnang, Deutschland.

出版信息

Radiologe. 2017 Aug;57(8):608-614. doi: 10.1007/s00117-017-0273-4.

DOI:10.1007/s00117-017-0273-4
PMID:28660295
Abstract

A more than 100-year period, where the prostate was only seen and treated as a whole is coming to an end right now. Finally, high resolution imaging is providing deep insights and detailed information so that new therapeutic procedures can aim for the smallest targets within the gland. The long-standing wish of patients for individual noninvasive diagnostics and treatment of prostate diseases can now be fulfilled by providing new tailored concepts; however, in order to transfer the enormous amount of new information into the specific clinical patient situation, a closely knit interdisciplinary approach is required. In this setting, the traditional outpatient consultation service is overstretched in every aspect. It is now the time for new innovative constructs. The current one-sided service concept for urologists, radiologists and radiation therapists is therefore behind the times and the development of a "prostate management team" with equally cooperating partners from each specialty is the task for the future.

摘要

一个长达100多年的时期即将结束,在这个时期里,前列腺仅被作为一个整体看待和治疗。如今,高分辨率成像正在提供深入见解和详细信息,以便新的治疗程序能够针对腺体内最小的靶点。通过提供新的定制概念,患者长期以来对前列腺疾病进行个体化非侵入性诊断和治疗的愿望现在可以实现;然而,为了将大量的新信息转化为具体的临床患者情况,需要一种紧密结合的跨学科方法。在这种情况下,传统的门诊咨询服务在各个方面都不堪重负。现在是时候采用新的创新模式了。因此,目前泌尿外科医生、放射科医生和放射治疗师的片面服务理念已经过时,组建一个由各专业同等协作的伙伴组成的“前列腺管理团队”是未来的任务。

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本文引用的文献

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Impact of PET acquisition durations on image quality and lesion detectability in whole-body Ga-PSMA PET-MRI.PET采集时长对全身镓-PSMA PET-MRI图像质量和病灶可检测性的影响
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[MRI/TRUS fusion-guided prostate biopsy : Value in the context of focal therapy].[磁共振成像/经直肠超声融合引导下的前列腺活检:在聚焦治疗背景下的价值]
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Efficacy and Safety of Prostatic Arterial Embolization: Systematic Review with Meta-Analysis and Meta-Regression.
前列腺动脉栓塞术的疗效和安全性:系统评价与荟萃分析及荟萃回归。
J Urol. 2017 Feb;197(2):465-479. doi: 10.1016/j.juro.2016.08.100. Epub 2016 Aug 31.
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Standardization of definitions in focal therapy of prostate cancer: report from a Delphi consensus project.前列腺癌聚焦治疗中定义的标准化:德尔菲共识项目报告
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Multiparametric Magnetic Resonance Imaging (MRI) and MRI-Transrectal Ultrasound Fusion Biopsy for Index Tumor Detection: Correlation with Radical Prostatectomy Specimen.多参数磁共振成像(MRI)和 MRI-经直肠超声融合活检用于检测起始肿瘤:与根治性前列腺切除术标本的相关性。
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Detection of Prostate Cancer: Quantitative Multiparametric MR Imaging Models Developed Using Registered Correlative Histopathology.前列腺癌的检测:使用配准相关组织病理学开发的定量多参数磁共振成像模型
Radiology. 2016 Jun;279(3):805-16. doi: 10.1148/radiol.2015151089. Epub 2016 Jan 29.
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Prostate cancer detection with magnetic resonance-ultrasound fusion biopsy: The role of systematic and targeted biopsies.磁共振-超声融合活检在前列腺癌检测中的应用:系统活检与靶向活检的作用
Cancer. 2016 Mar 15;122(6):884-92. doi: 10.1002/cncr.29874. Epub 2016 Jan 7.
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PI-RADS Prostate Imaging - Reporting and Data System: 2015, Version 2.PI-RADS前列腺影像报告和数据系统:2015版,第2版
Eur Urol. 2016 Jan;69(1):16-40. doi: 10.1016/j.eururo.2015.08.052. Epub 2015 Oct 1.
9
Prostate cancer detection on transrectal ultrasonography-guided random biopsy despite negative real-time magnetic resonance imaging/ultrasonography fusion-guided targeted biopsy: reasons for targeted biopsy failure.经直肠超声引导下随机活检发现前列腺癌,尽管实时磁共振成像/超声融合引导下靶向活检结果为阴性:靶向活检失败的原因
BJU Int. 2016 Jul;118(1):35-43. doi: 10.1111/bju.13327. Epub 2015 Oct 20.
10
Characteristics of Detected and Missed Prostate Cancer Foci on 3-T Multiparametric MRI Using an Endorectal Coil Correlated With Whole-Mount Thin-Section Histopathology.使用直肠内线圈的3-T多参数MRI检测到的和漏诊的前列腺癌病灶的特征与全层薄切片组织病理学的相关性
AJR Am J Roentgenol. 2015 Jul;205(1):W87-92. doi: 10.2214/AJR.14.13285.