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在前列腺MRI应用日益增多的时代解读前列腺MRI报告:泌尿外科医生的视角

Interpreting Prostate MRI Reports in the Era of Increasing Prostate MRI Utilization: A Urologist's Perspective.

作者信息

Miszewski Kevin, Skrobisz Katarzyna, Miszewska Laura, Matuszewski Marcin

机构信息

Department of Urology, Gdańsk Medical University, Mariana Smoluchowskiego 17 Street, 80-214 Gdańsk, Poland.

Department of Radiology, Gdańsk Medical University, Mariana Smoluchowskiego 17 Street, 80-214 Gdańsk, Poland.

出版信息

Diagnostics (Basel). 2024 May 20;14(10):1060. doi: 10.3390/diagnostics14101060.

Abstract

Multi-parametric prostate MRI (mpMRI) is crucial for diagnosing, staging, and assessing treatment response in individuals with prostate cancer. Radiologists, through an accurate and standardized interpretation of mpMRI, stratify patients who may benefit from more invasive treatment or exclude patients who may be harmed by overtreatment. The integration of prostate MRI into the diagnostic pathway is anticipated to generate a substantial surge in the demand for high-quality mpMRI, estimated at approximately two million additional prostate MRI scans annually in Europe. In this review we examine the immediate impact on healthcare, particularly focusing on the workload and evolving roles of radiologists and urologists tasked with the interpretation of these reports and consequential decisions regarding prostate biopsies. We investigate important questions that influence how prostate MRI reports are handled. The discussion aims to provide insights into the collaboration needed for effective reporting.

摘要

多参数前列腺磁共振成像(mpMRI)对于前列腺癌患者的诊断、分期和治疗反应评估至关重要。放射科医生通过对mpMRI进行准确和标准化的解读,对可能从更具侵入性治疗中获益的患者进行分层,或排除可能因过度治疗而受到伤害的患者。预计将前列腺MRI纳入诊断流程会使对高质量mpMRI的需求大幅增加,据估计在欧洲每年额外需要约200万次前列腺MRI扫描。在本综述中,我们研究了对医疗保健的直接影响,特别关注负责解读这些报告以及做出有关前列腺活检相应决策的放射科医生和泌尿科医生的工作量及角色演变。我们调查了影响前列腺MRI报告处理方式的重要问题。讨论旨在深入了解有效报告所需的协作。

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