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前列腺体积估计最准确的技术和配方:通过直肠超声波,磁共振成像和三维细分的比较分析
Sinharib Citgez1, Kadir C Sahin1, Göktuğ Kalender1
1Cerrahpaşa Faculty of Medicine, Department of Urology, Istanbul University Cerrahpaşa, Istanbul, Turkey.
Journal of endourology
|April 4, 2025
概括
跨直肠超声波 (TRUS) 和多参数前列腺磁共振成像 (MpMRI) 提供可比的前列腺体积估计. 虽然3D细分提供了精确度,但TRUS是临床使用的实际选择.
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
- 病理学 病理学 病理学
背景情况:
- 精确的前列腺体积估计对于泌尿病患者的评估至关重要.
- 对于前列腺体积计算的不同成像技术的比较准确性仍然是争论的主题.
- 这项研究比较了跨直肠超声波 (TRUS),多参数前列腺磁共振成像 (MpMRI) 和3D构造的MpMRI用于体积估计.
研究的目的:
- 以TRUS,MpMRI和3D构造的MpMRI获得的前列腺体积测量的准确性与实际的前列腺切除样本体积进行比较.
- 评估前列腺体积评估的不同成像方法的临床实用性.
主要方法:
- 对150名接受了手术前TRUS和MpMRI激进前列腺切除术 (Rp) 的患者进行了回顾性审查.
- 使用水位移法测量的前列腺切除试样.
- 使用3D Slicer软件对3D体积重建进行细分的轴向T2加权的MpMRI序列.
- 从TRUS (圆形和子弹方法),MpMRI,3D细分和病理学测量中获得的体积的比较.
主要成果:
- 中位体积:TRUS-圆形 (43.45 cc),TRUS-子弹 (54.32 cc),MpMRI (44.05 cc),3D细分 (43.11 cc) 和病理学 (42 cc).
- 与其他方法相比,TRUS-bullet测量显示出了统计学上显著的差异.
- 在TRUS圆体,MpMRI,3D细分和病理学测量之间没有发现显著差异.
- 通过MpMRI和3D细分,可以提供更接近病理学测量的估计.
结论:
- 磁力共振成像和3D细分提供精确的前列腺体积估计,3D细分产生更精确的结果.
- 基于TRUS的测量,特别是使用圆公式,是可靠的,可以安全地在临床实践中使用,因为它们的可访问性,可重复性,时间效率和成本效益.
- 由于存在重大差异,TRUS-bullet方法应谨慎使用.
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