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前列腺癌的定量磁共振成像:当前技术综述

Quantitative magnetic resonance imaging in prostate cancer: A review of current technology.

作者信息

Dhiman Ankita, Kumar Virendra, Das Chandan Jyoti

机构信息

Department of Radiodiagnosis and Interventional Radiology, All India Institute of Medical Sciences, New Delhi 110029, Delhi, India.

Department of NMR & MRI Facility, All India Institute of Medical Sciences, New Delhi 110029, Delhi, India.

出版信息

World J Radiol. 2024 Oct 28;16(10):497-511. doi: 10.4329/wjr.v16.i10.497.

Abstract

Prostate cancer (PCa) imaging forms an important part of PCa clinical management. Magnetic resonance imaging is the modality of choice for prostate imaging. Most of the current imaging assessment is qualitative , based on visual inspection and thus subjected to inter-observer disagreement. Quantitative imaging is better than qualitative assessment as it is more objective, and standardized, thus improving interobserver agreement. Apart from detecting PCa, few quantitative parameters may have potential to predict disease aggressiveness, and thus can be used for prognosis and deciding the course of management. There are various magnetic resonance imaging-based quantitative parameters and few of them are already part of PIRADS v.2.1. However, there are many other parameters that are under study and need further validation by rigorous multicenter studies before recommending them for routine clinical practice. This review intends to discuss the existing quantitative methods, recent developments, and novel techniques in detail.

摘要

前列腺癌(PCa)成像构成了PCa临床管理的重要组成部分。磁共振成像是前列腺成像的首选方式。当前大多数成像评估都是定性的,基于视觉检查,因此存在观察者间的分歧。定量成像优于定性评估,因为它更客观、标准化,从而提高了观察者间的一致性。除了检测PCa外,一些定量参数可能有预测疾病侵袭性的潜力,因此可用于预后评估和确定治疗方案。有多种基于磁共振成像的定量参数,其中一些已成为PI-RADS v.2.1的一部分。然而,还有许多其他参数正在研究中,在推荐其用于常规临床实践之前,需要通过严格的多中心研究进行进一步验证。本综述旨在详细讨论现有的定量方法、最新进展和新技术。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f80c/11525833/be80e8e17b58/WJR-16-497-g001.jpg

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