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在英国一家中心建立磁共振成像引导下的前列腺介入治疗。

Establishing MRI-guided prostate intervention at a UK Centre.

作者信息

King Alexander J, Dudderidge Tim, Darekar Angela, Schimitz Katya, Heard Rory, Everitt Chris, Chambers Robert, Breen David

机构信息

1 University Hospital Southampton NHS Foundation Trust , Hampshire.

出版信息

Br J Radiol. 2019 Jun;92(1098):20180918. doi: 10.1259/bjr.20180918. Epub 2019 Apr 24.

DOI:10.1259/bjr.20180918
PMID:30912958
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6592083/
Abstract

OBJECTIVES

To describe our preliminary experience in establishing an MRI suite capable to deliver targeted prostate biopsy and cryoablation.

METHODS

This article includes a description of the necessary infrastructure alterations, scanning sequence suggestions, anaesthetic advice, and practical procedural considerations. We aim to examine the anticipated issues most UK centres would encounter and offer our experience in overcoming them. During this process we will also explore some of the technical aspects of MRI-guided prostate biopsy and cryoablation.

RESULTS

The clinical indication, treatment rationale, intervention strategy, and initial clinical outcomes are described for our first series of patients.

CONCLUSION

MRI-guided prostate intervention provides many theoretical advantages over traditional TRUS guidance. This article demonstrates some of the complexities encountered in establishing this technique in a UK centre, and the proposed solutions.

ADVANCES IN KNOWLEDGE

This article gives an account of establishing the first MRI intervention suite in the UK. It demonstrates some of the logistical considerations, and offers the unit's early experience.

摘要

目的

描述我们建立一个能够进行靶向前列腺活检和冷冻消融的MRI设备的初步经验。

方法

本文包括对必要的基础设施改造、扫描序列建议、麻醉建议以及实际操作注意事项的描述。我们旨在研究大多数英国中心可能遇到的预期问题,并分享我们克服这些问题的经验。在此过程中,我们还将探讨MRI引导下前列腺活检和冷冻消融的一些技术方面。

结果

描述了我们首批患者的临床指征、治疗原理、干预策略和初步临床结果。

结论

与传统的经直肠超声引导相比,MRI引导下的前列腺干预具有许多理论优势。本文展示了在英国中心建立该技术时遇到的一些复杂性问题以及提出的解决方案。

知识进展

本文介绍了在英国建立首个MRI干预设备的情况。它展示了一些后勤方面的考虑因素,并提供了该科室的早期经验。

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本文引用的文献

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MRI-Targeted or Standard Biopsy for Prostate-Cancer Diagnosis.MRI 靶向或标准活检用于前列腺癌诊断。
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Trans-rectal Ultrasound-Guided Autologous Blood Injection in the Interprostatorectal Space Prior to Percutaneous MRI-Guided Cryoablation of the Prostate.经直肠超声引导下在前列腺周围间隙进行自体血注射,用于经皮磁共振成像引导下前列腺冷冻消融术前准备
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An Anesthesiologist's View of Tumor Ablation in the Radiology Suite.麻醉医师对放射科肿瘤消融的看法。
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Percutaneous MR-guided focal cryoablation for recurrent prostate cancer following radiation therapy: retrospective analysis of iceball margins and outcomes.经皮磁共振引导下聚焦冷冻消融治疗放疗后复发性前列腺癌:冰球边缘和结果的回顾性分析。
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Diagnostic accuracy of multi-parametric MRI and TRUS biopsy in prostate cancer (PROMIS): a paired validating confirmatory study.多参数 MRI 和 TRUS 活检在前列腺癌(PROMIS)中的诊断准确性:一项配对验证性研究。
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Visibility of prostate cancer on transrectal ultrasound during fusion with multiparametric magnetic resonance imaging for biopsy.经直肠超声在与多参数磁共振成像融合用于活检时前列腺癌的可视性。
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MRI-guided biopsy for prostate cancer detection: a systematic review of current clinical results.MRI 引导下前列腺癌检测活检:当前临床结果的系统评价。
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