精确版本2:更新的建议报告前列腺磁共振成像在前列腺癌的积极监测的患者
Cameron Englman1, Davide Maffei2, Clare Allen3
1Division of Surgery & Interventional Science, University College London, London, UK; Department of Radiology, University College London Hospital NHS Foundation Trust, London, UK.
European urology
|March 31, 2024
概括
更新的前列腺癌放射性估计变化序列评估 (PRECISE) 建议标准化前列腺MRI报告,以进行积极监测. 专家们就图像质量,比较和评分达成共识,明确了精确3和5类别.
科学领域:
- 放射学 放射学是一门学科.
- 在瘤学瘤学.
- 医疗成像医学成像
背景情况:
- 前列腺癌活跃监测 (AS) 需要标准化的MRI报告.
- PRECISE建议旨在提高前列腺MRI分析对AS的一致性.
- 最近更新的PRECISE建议解决了不确定性的领域.
研究的目的:
- 更新和完善前列腺MRI在AS的精确建议.
- 建立关于标准化报告标准的国际专家共识.
- 识别和解决当前PRECISE指南中的模两可.
主要方法:
- 采用了正式的RAND/UCLA适当性方法共识方法.
- 一个由38名国际专家组成的小组在1-9个协议尺度上评分了193个声明.
- 通过对称度调整的跨百分点范围方法来确定共识.
主要成果:
- 他们就图像质量最低标准和与之前扫描进行比较达成协议.
- PRECISE 3 (稳定的MRI) 被分为可见和不可见的疾病类别.
- 在使用T2加权成像和图形报告来测量病变方面达到了共识,但在瘤大小测量方面没有达成共识.
结论:
- 更新的PRECISE建议提供了专家对前列腺MRI在AS的最低标准的共识.
- 这些更新的指导方针增强了前列腺MRI报告的标准化,用于积极监测的患者.
- 需要进一步的研究来确定显著的瘤大小增加,以监测治疗反应.
相关概念视频
01:14Imaging Studies I: CT and MRI
239
Introduction: MRI and CT scans are crucial advancements in medical imaging techniques, playing a vital role in diagnosing conditions related to the gastrointestinal (GI) system. Each scan serves distinct purposes, targets specific areas, and requires unique nursing duties.
Description of the Procedures
Computed Tomography (CT) scan:
Computed Tomography (CT) scans use X-ray technology to generate detailed images of bones, organs, and tissues. During the scan, the patient lies on a moving table...
Description of the Procedures
Computed Tomography (CT) scan:
Computed Tomography (CT) scans use X-ray technology to generate detailed images of bones, organs, and tissues. During the scan, the patient lies on a moving table...
239
01:24Magnetic Resonance Imaging
5.1K
Magnetic resonance imaging (MRI) is a noninvasive medical imaging technique based on a phenomenon of nuclear physics discovered in the 1930s, in which matter exposed to magnetic fields and radio waves was found to emit radio signals. In 1970, a physician and researcher named Raymond Damadian noticed that malignant (cancerous) tissue gave off different signals than normal body tissue. He applied for a patent for the first MRI scanning device in clinical use by the early 1980s. The early MRI...
5.1K