数字直肠检查在前列腺癌查和PSA升高工作-还有什么作用吗?
1Department of Urology, University of Minnesota, 420 Delaware St. SE, MMC 394, Minneapolis, MN, 55455, USA.
Current urology reports
|June 13, 2024
概括
数字直肠检查 (DRE) 在前列腺癌 (PCa) 查中起到有限的作用. 虽然它可能会稍微提高PSA的检测,但MRI显示出更大的承诺作为一个优越的查工具.
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.
- 诊断成像 诊断成像 诊断成像
背景情况:
- 包括数字直肠检查 (DRE) 在内的前列腺癌 (PCa) 查方法正在进行评估.
- 作为PCa的独立查工具,DRE的有效性受到质疑.
研究的目的:
- 批判性地评估数字直肠检查 (DRE) 在前列腺癌 (PCa) 查中的实用性和准确性.
- 审查目前关于DRE与其他查方式 (如PSA和MRI) 结合作用的证据.
主要方法:
- 在前列腺癌查中对DRE,PSA和MRI最近的研究进行系统审查.
- 对临床显著PCa (CSPC) 的敏感性,特异性和检测率的数据分析.
主要成果:
- 单独的DRE显示PCa查的准确性有限,导致错过诊断和不必要的活检.
- 将PSA与DRE结合起来,小幅增加了CSPC检测,但具有可疑的临床益处.
- 核磁共振扫描显示,CSPC的识别准确度很高,具有作为优越查工具的潜力,尽管与DRE的直接比较有限.
结论:
- 在目前的前列腺癌查中,DRE的作用有限.
- 新出现的证据表明,MRI可能提供比DRE更有效的查方法.
- 需要进一步的研究来直接比较MRI与DRE用于PCa查.
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