一个新型的磁共振成像/超声波融合前列腺活检技术使用跨膜超声波:初步经验
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Jacob J Enders1, Peter A Pinto2, Sheng Xu3
1Center for Interventional Oncology, National Institutes of Health, Bethesda, MD; Urologic Oncology Branch, National Cancer Institute, National Institute of Health, Bethesda, MD.
Urology
|August 12, 2023
概括
使用周周超声波的全跨 (TP) 前列腺活检技术显示,癌症检测率与传统方法相比较. 这种方法可能为前列腺癌诊断提供更舒适和灵活的选择.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 在瘤学瘤学.
- 医疗成像医学成像
背景情况:
- 传统的跨直肠超声波 (TRUS) 引导的跨关节 (TP) 前列腺活检具有局限性,包括专门的硬件需求,限制针的轨迹和患者的不适.
- 前列腺癌检测依赖于准确的活检技术,并正在进行改善患者体验和诊断产量的研究.
研究的目的:
- 评估一项新的初始经验和可行性,完全跨关节 (TP) 前列腺融合活检技术.
- 为了比较全TP活检与传统TRUS引导TP活检的癌症检测率.
主要方法:
- 怀疑患有前列腺癌的76名患者接受了78次TP活检,将传统TP活检 (使用TRUS) 与完全TP活检 (使用围超声波) 进行比较.
- 完全TP活检使用在周围皮肤上的不受约束的超声波传感器进行针引导.
- 两种方法的癌症检测率使用统计测试进行了比较.
主要成果:
- 在精细化后,在46名患者中采集了92个MRI可见病变的样本.
- 在26%的常规TP活检和27%的完全TP活检中检测到≥2级前列腺癌.
- 在两种活检方法之间,检测等级组≥2癌症的一致率为79%.
结论:
- 完全跨腺前列腺活检是诊断前列腺癌的一种可行的技术.
- 这种新的方法表明,癌症检测率与传统的跨关节活检方法相提并论.
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