前列腺多参数磁共振成像计划的实施和影响:社区医疗系统的初步临床经验
Crystal Farrell1,2, Sabrina L Noyes1, Joseph Joslin1
1Spectrum Health, Grand Rapids, Michigan.
Urology practice
|June 10, 2023
概括
基于社区的前列腺MRI程序在五年内改善了癌症检测和病变特征. 标准化报告和多学科投入最大限度地提高了前列腺癌诊断的临床影响.
科学领域:
- 放射学 放射学是一门学科.
- 在瘤学瘤学.
- 医疗保健服务研究 医疗服务研究
背景情况:
- 在社区环境中,前列腺MRI的采用落后于学术中心.
- 关于社区前列腺核磁共振 (MRI) 计划的临床影响的数据有限.
- 这项研究详细介绍了社区前列腺MRI计划在5年多的发展和临床影响.
研究的目的:
- 描述一个基于社区的前列腺MRI程序的发展.
- 分析解释和报告方法的演变.
- 评估该计划随时间的推移对临床的影响.
主要方法:
- 收集的数据包括人口统计,临床信息,扫描,病理和管理.
- 与病理学结果相关的前列腺MRI怀疑水平.
- 对比了三个报告时期的结果:早期,中期和前列腺成像报告和数据系统 (PI-RADS) v2.2.
主要成果:
- 537个前列腺MRI分析诊断癌症 (60%) 或查 (37%).
- 在研究期间,扫描量和订购医生的数量增加.
- 虽然转移的怀疑保持不变,但PI-RADS v2的采用与活检和更多低怀疑研究中的癌症检测增加有关.
结论:
- 前列腺核磁共振成像分期的准确性是早期确立的.
- 随着PI-RADS v2标准和标准化报告,损伤特征和诊断特异性得到了显著改善.
- 多学科的参与是最大限度地提高社区前列腺MRI程序的临床影响的关键.
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