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前列腺MRI过渡区体积预测BPH核化体积比其他方法更好
Connor M Forbes1,2, Christina J Peterson3, Nicole L Miller3
1Department of Urology, University of British Columbia, BC, Canada.
Journal of endourology
|September 14, 2024
概括
对于良性前列腺增生症 (BPH) 治疗,MRI过渡区 (TZ) 体积最准确地预测了与其他成像方法相比的手术结果. 这一发现有助于更好地对BPH干预的患者进行分层.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 医疗成像医学成像
- 手术规划 手术规划
背景情况:
- 良性前列腺增生症 (BPH) 准则依赖于基于体积的干预措施.
- 不同的成像方式与治疗的BPH体积相关的准确性尚未得到充分证实.
研究的目的:
- 为了比较术前超声波,CT,MRI和MRI-TZ在预测BPH核化重量的准确性.
- 为了确定哪种成像模式最能与手术BPH体积相关.
主要方法:
- 以后回顾95名接受BPH核化与手术前成像 (TRUS,CT,MRI) 的患者.
- 测量前列腺总体积 (CT,MRI,TRUS) 和MRI过渡区 (TZ) 的体积.
- 使用ANOVA和Tukey的测试对成像体积和无核病理体重进行比较.
主要成果:
- 核磁共振-TZ体积在预测核化体积方面显示了最高的准确性 (p < 0.001).
- 图像和核化体积之间的差异中位数为46cc (TRUS),51cc (CT),53cc (MRI) 和14cc (MRI-TZ).
- MRI-TZ比CT,MRI和TRUS (p <0.03) 准确得多 (p <0.03).MRI-TZ比CT,MRI和TRUS准确得多 (p <0.03).MRI-TZ比CT,MRI和TRUS更准确 (p <0.03).MRI-TZ比CT,MRI和TRUS更准确 (p <0.03).MRI-TZ比CT,MRI和TRUS更准确.
结论:
- 在MRI上,过渡区体积是BPH核化体积最准确的预测指标.
- 来自CT,TRUS和MRI的前列腺总体积测量比MRI-TZ更不准确.
- 使用MRI-TZ体积可以改善BPH治疗的患者分层.
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