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在当代队列中,使用Navigo®系统进行标准系统活检与MRI/TRUS融合活检

Omri Nativ¹, Alexander Shefler², Jacob Bejar³

¹Department of Urology, Rambam Medical, Haifa, Israel.

Urologic oncology

|March 2, 2024

概括

多参数磁共振成像 (mpMRI) 与MRI/TRUS融合活检改善了临床上显著的前列腺癌检测. 虽然向活检显示出更好的表现,但系统活检对于检测高风险疾病至关重要.

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.
放射学放射学是一门学科.

背景情况:

多参数磁共振成像 (mpMRI) 提高了前列腺癌的检测.
核磁共振/TRUS融合活检为前列腺癌提供了更好的诊断准确性.

研究的目的:

使用NavigoTM软件评估MRI/TRUS融合活检的性能.
评估当代队列中临床显著前列腺癌 (csPca) 的检测率.

主要方法:

从两个中心 (2014-2020年) 收集未来的数据.
包括怀疑患有前列腺癌或正在积极监测中的患者.
前列腺的mpMRI与向活检和系统活检进行.

主要成果:

对CSPca的总体检测 (ISUP等级组≥2) 为34.7%.
有针对性的融合活检检测到csPca在31%的病例中,超过系统活检 (25.4%).
融合活检对PI-RADS 4和5病变具有优越性;系统活检发现了一些高等级癌症,这些癌症在向活检中错过了.

结论:

使用NavigoTM进行的MRI/TRUS融合活检可用于cspca检测.
有针对性的方法更有效,但应该保留系统活检.
对csPca的综合检测率相对较低,为34.9%.

关键词:

生物检查技术生物检查技术诊断诊断诊断诊断诊断磁共振成像是一种磁共振成像技术.前列腺癌是前列腺癌.

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