确定VI-RADS 4组的临床病理学意义:一个回顾性研究
Shunsuke Ikuma1, Jun Akatsuka1, Hayato Takeda1
1Department of Urology, Nippon Medical School Hospital, 1-1-5 Sendagi, Bunkyo-Ku, Tokyo, 113-8603, Japan.
BMC urology
|March 21, 2024
概括
膀成像报告和数据系统 (VI-RADS) 能够有效预测肌肉侵入性膀癌 (MIBC). 一个VI-RADS得分为4或更高的准确识别高度瘤,亡和变体.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 放射学 放射学是一门学科.
- 在瘤学瘤学.
背景情况:
- 膀成像报告和数据系统 (VI-RADS) 是预测肌肉侵入性膀癌 (MIBC) 的标准工具.
- 本研究研究了VI-RADS 4 (VI4) 组在膀癌诊断中的临床病理学意义.
研究的目的:
- 为了确定VI-RADS 4 (VI4) 组的临床病理学意义.
- 评估VI-RADS对MIBC和相关的病理特征的诊断性能.
主要方法:
- 对121名患有尿路细胞癌 (UC) 的患者进行了回顾性分析,这些患者接受过尿道切除和手术前的MRI.
- 根据VI-RADS得分,患者被分为VI4和VI-RADS3 (VI3) 组.
- 两组之间的临床病理特征进行了比较,以评估VI4.4的意义.
主要成果:
- 4的VI-RADS得分表明MIBC的诊断性能很高 (灵敏度为89.3%,特异性为92.5%,AUC为0.91).
- 与VI3组相比,VI4组的高度瘤 (93.8%),瘤缩和UC变体的患病率显著更高.
- 一个VI-RADS切线3的特异性较低 (62.0%) 和AUC (0.72) 的MIBC检测.
结论:
- VI-RADS是预测MIBC的高效工具.
- 4的VI-RADS得分与高度瘤,瘤缩和尿癌变体有显著联系.
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