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前列腺癌 MRI 的新兴和预期创新及其对患者护理的影响。

Emerging and anticipated innovations in prostate cancer MRI and their impact on patient care.

机构信息

Department of Radiology, University Hospitals Cleveland Medical Center, Cleveland, OH, USA.

Department of Radiation Oncology, University Hospitals Cleveland Medical Center, Cleveland, OH, USA.

出版信息

Abdom Radiol (NY). 2024 Oct;49(10):3696-3710. doi: 10.1007/s00261-024-04423-4. Epub 2024 Jun 14.

Abstract

Prostate cancer (PCa) remains the leading malignancy affecting men, with over 3 million men living with the disease in the US, and an estimated 288,000 new cases and almost 35,000 deaths in 2023 in the United States alone. Over the last few decades, imaging has been a cornerstone in PCa care, with a crucial role in the detection, staging, and assessment of PCa recurrence or by guiding diagnostic or therapeutic interventions. To improve diagnostic accuracy and outcomes in PCa care, remarkable advancements have been made to different imaging modalities in recent years. This paper focuses on reviewing the main innovations in the field of PCa magnetic resonance imaging, including MRI protocols, MRI-guided procedural interventions, artificial intelligence algorithms and positron emission tomography, which may impact PCa care in the future.

摘要

前列腺癌(PCa)仍然是影响男性的主要恶性肿瘤,仅在美国就有超过 300 万名男性患有这种疾病,预计仅在 2023 年就有 28.8 万例新病例和近 3.5 万人死亡。在过去的几十年中,成像一直是 PCa 治疗的基石,在检测、分期和评估 PCa 复发或指导诊断或治疗干预方面发挥着关键作用。为了提高 PCa 治疗的诊断准确性和结果,近年来不同成像方式取得了显著进展。本文重点回顾了 PCa 磁共振成像领域的主要创新,包括 MRI 方案、MRI 引导的程序干预、人工智能算法和正电子发射断层扫描,这些可能会对未来的 PCa 治疗产生影响。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a705/11390809/1bb0ba9e1836/261_2024_4423_Fig1_HTML.jpg

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