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前列腺磁共振成像对患者选择的附加价值

Erin M Jyo¹, Hyo-Chun Yoon², Bradford Burton^2,3

¹Medical Education, University of Hawai'i at Manoa John A Burns School of Medicine, Honolulu, HI, USA.

The Permanente journal

|April 24, 2024

概括

使用磁共振成像 (MRI) 检测前列腺癌的数量有所增加. 这种增加与更多的活检显示更高的前列腺成像报告和数据系统 (PI-RADS) 和格里森分数相关,表明更好的患者选择.

科学领域:

在瘤学瘤学.
放射学放射学是一门学科.
泌尿器科泌尿器科泌尿器科泌尿器科

背景情况:

磁共振成像 (MRI) 越来越多地用于前列腺癌检测.
前列腺成像报告和数据系统 (PI-RADS) 评分和格里森等级是前列腺癌攻击性的关键指标.

研究的目的:

为了评估前列腺MRI在活检前使用率的变化,在5年的时间内.
评估MRI使用增加对PI-RADS分数和格里森分数分布的影响.

主要方法:

从2017年和2022年进行前列腺MRI研究和随后的活检的回顾性分析.
收集的数据包括PI-RADS最高分数,最高格里森分数和活检核心数.
统计分析使用了曼·惠特尼和t测试.

主要成果:

在2017年至2022年期间,前列腺MRI利用率增加了178%,MRI与随后的活检增加了215%.
在2022年,有91%的带有活检的MRI的PI-RADS得分≥3,而2017年为75%.
在2022年,61%的活检显示格里森等级≥7,而2017年为28%.

结论:

前列腺MRI利用率增加与具有高PI-RADS和格里森分数的活检比例更高有关.
这表明,在综合卫生系统中,改善了患者对活检的选择.

关键词:

格里森等级的格里森等级是什么这就是为什么MRI是MRI.皮拉德斯 (PI-RADS) 是一个前列腺活检活检前列腺活检前列腺癌是前列腺癌.

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