活跃监测期间前列腺癌的双参数MRI:这是安全的吗?
Iztok Caglic1, Nikita Sushentsev1,2, Tom Syer1,2
1Department of Radiology, Cambridge University Hospitals NHS Foundation Trust, Addenbrooke's Hospital, Cambridge, United Kingdom.
European radiology
|April 24, 2024
概括
双参数核磁共振 (bpMRI) 可能适用于监测稳定前列腺癌患者的积极监测,提供成本和时间的好处. 在某些情况下,多参数MRI (mpMRI) 可能仍然是必要的,AI可能会增强bpMRI协议.
科学领域:
- 放射学 放射学是一门学科.
- 在瘤学瘤学.
背景情况:
- 积极监测 (AS) 是低中期风险前列腺癌的标准.
- 核磁共振是对AS的评估和监测至关重要的.
- 目前的指导方针缺乏特定的MRI协议和AS随访的频率建议.
研究的目的:
- 评估MRI在前列腺癌积极监测中的作用.
- 探索双参数MRI (bpMRI) 与多参数MRI (mpMRI) 在AS随访中的适当性.
- 为满足AS监控中对比度增强序列的需求.
主要方法:
- 对前列腺癌积极监测中的MRI当前文献和指导方针的审查.
- 在AS背景下讨论bpMRI和mpMRI的优点和局限性.
- 探索AI对MRI协议的潜在影响.
主要成果:
- 没有对比的双参数核磁共振 (bpMRI) 可能具有成本效益和效率,用于监测AS的稳定患者.
- 多参数MRI (mpMRI) 在特定场景中可能会带来优势,例如改善图像质量和分阶段.
- 目前对AS随访中bpMRI的证据有限.
结论:
- 在等待进一步证据之前,bpMRI可能是临床稳定患者的常规AS随访的可行选择.
- mpMRI对某些患者可能仍然至关重要,提供更广泛的诊断信息.
- 人工智能的进步可能会提高MRI协议在AS的实用性和效率.
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