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在病例系列研究中,磁共振成像上的低增强和低表观扩散系数值可能有助于检测犬前列腺腺癌。

Less enhancement and low apparent diffusion coefficient value on magnetic resonance imaging may be helpful to detect canine prostate adenocarcinoma in case series.

机构信息

Laboratory of Veterinary Surgery, Division of Veterinary Science, Graduate School of Life and Environmental Sciences, Osaka Prefecture University, Izumisano-shi, Japan.

Kinki Animal Medical Training Institute & Veterinary Clinic, Higashiosaka, Japan.

出版信息

Vet Comp Oncol. 2020 Dec;18(4):861-865. doi: 10.1111/vco.12578. Epub 2020 Feb 19.

Abstract

In dogs, diagnosis of prostate cancer is often delayed because clinical signs are not pathognomonic. Although ultrasonography is mainly performed to detect prostate cancer, the ultrasonographic appearance is not specific. In humans, magnetic resonance imaging (MRI), including diffusion-weighted imaging (DWI) is used to localize the prostate tumour. To our knowledge, there are no studies of MRI findings for detecting or localizing prostate cancer. The purpose of this study was to assess MRI findings of prostate cancer. As a control, three prostate hyperplasia cases were included. MRI data were analysed, and the following parameters were noted: signal intensity (SI) of prostate lesion on T2-weighted imaging, T1-weighted imaging and DWI, enhancement pattern of prostate lesion, and relative contrast enhancement indices (RCEI) and apparent diffusion coefficient (ADC) value of prostate lesion. For MRI examination, the mean RCEI of the adenocarcinoma was significantly lower than that of hyperplasia (P = .01, r = .8). The SI of the DWI of adenocarcinoma was significantly higher compared to hyperplasia (P = .03, φ = 1). The mean ADC values of the adenocarcinoma were significantly lower than that of hyperplasia (P = .03, r = .82). Thus, less enhancement on MRI, and low ADC value on MRI may help to detect prostate adenocarcinoma.

摘要

在狗中,前列腺癌的诊断常常被延误,因为临床症状没有特征性。虽然超声检查主要用于检测前列腺癌,但超声表现并不特异。在人类中,磁共振成像(MRI),包括弥散加权成像(DWI),用于定位前列腺肿瘤。据我们所知,目前还没有关于 MRI 检测或定位前列腺癌的研究。本研究旨在评估前列腺癌的 MRI 表现。作为对照,纳入了 3 例前列腺增生病例。分析 MRI 数据,并记录以下参数:T2 加权成像、T1 加权成像和 DWI 上前列腺病变的信号强度(SI)、前列腺病变的增强模式,以及前列腺病变的相对对比增强指数(RCEI)和表观扩散系数(ADC)值。对于 MRI 检查,腺癌的平均 RCEI 明显低于增生(P =.01,r =.8)。腺癌的 DWI 信号强度明显高于增生(P =.03,φ = 1)。腺癌的平均 ADC 值明显低于增生(P =.03,r =.82)。因此,MRI 上增强程度较低,ADC 值较低可能有助于检测前列腺腺癌。

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