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[前列腺癌的分期。磁共振成像的准确性]

[Staging of prostatic carcinoma. Accuracy of magnetic resonance].

作者信息

Biondetti P R, Lee J K, Ling D, Vigo M, Fiore D, Macchi C, Borasi G

机构信息

II Radiologia, Ospedale Civile, Padova.

出版信息

Radiol Med. 1987 Sep;74(3):204-8.

PMID:3659429
Abstract

Twenty-nine prostatic cancer patients were evaluated for staging purpose by Magnetic Resonance (MR). MR findings were correlated with the pathologic examination in 18/29 patients who underwent radical prostatectomy. Four MR staging parameters were evaluated individually: periprostatic fat; periprostatic venous plexus; seminal vesicles and pelvic adenopathy. MR correctly staged 16/18 patients, with one case of overstaging and one case of understaging. The diagnostic accuracy of MR in differentiating intracapsular stage B from extracapsular stage C was 87%, with a sensitivity of 90% and a specificity of 87%. MR and CT results agreed in 4 of the 7 operated patients who were examined with both techniques; in 3 cases there was disagreement, and MR was correct.

摘要

为了进行分期评估,对29例前列腺癌患者进行了磁共振(MR)检查。在接受根治性前列腺切除术的29例患者中,有18例的MR检查结果与病理检查结果进行了对比。分别对四个MR分期参数进行了评估:前列腺周围脂肪;前列腺周围静脉丛;精囊和盆腔淋巴结病变。MR对18例患者中的16例进行了正确分期,1例过度分期,1例分期不足。MR区分包膜内B期与包膜外C期的诊断准确性为87%,敏感性为90%,特异性为87%。在同时接受两种检查的7例手术患者中,MR和CT结果在4例中一致;在3例中存在分歧,而MR结果正确。

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