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截面仪系统活检与扩展的12核系统活检在前列腺癌组合活检
Jae Hoon Chung1, Wan Song1, Minyong Kang1
1Department of Urology, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea.
Journal of Korean medical science
|February 27, 2024
概括
对于前列腺癌的检测,建议在向活检是有效的联合手术期间,在扩展的12核活检上进行六位数系统活检. 这一发现有助于优化前列腺癌诊断.
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.
- 诊断成像 诊断成像 诊断成像
背景情况:
- 前列腺癌的诊断依赖于活检,有不同的系统采样策略.
- 结合活检方法整合了有针对性和系统的抽样,以提高检测率.
研究的目的:
- 在前列腺癌检测的综合活检策略中,比较六位数器与扩展的12核系统活检的有效性.
- 评估影响综合手术中系统活检需要的因素.
主要方法:
- 总共有550名接受前列腺成像报告和数据系统 (PI-RADS) 3-5病变组合活检的患者进行了分析.
- 两位专家进行了认知向活检 (≥5核) 和六位数或扩展的12核系统活检.
- 统计分析评估了患者特征,活检策略和结果之间的关联.
主要成果:
- 年龄较大 (≥65岁),PI-RADS得分较高,系统内核增加与系统活检的需要有显著联系.
- 扩展的12核系统活检特别适用于PI-RADS 4病变.
- 系统核心的数量强烈预测了系统活检的要求 (OR,3.69).
结论:
- 在结合前列腺癌活检与有效的向采样中,六分仪系统活检是足够的,并优先于PI-RADS 3或5病变的扩展12核方法.
- 这表明,可以根据病变特征和标活检有效性优化系统采样.
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