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在前列腺癌诊断中,通过质体的MRI向活检与通过直肠的全身活检对比
Zixi An1, Pengyu Sun2,3, Min Liu4
1Hebei Medical University, Shijiazhuang, China.
通过质体MRI向活检 (MRI-TB) 显示的前列腺癌检测率与通过直肠活检 (TRUSBx) 相似,但并发症较少. 这种技术为患者提供了一种更安全的替代方案,特别是那些患出血或感染风险较高的人.
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
- 在瘤学瘤学.
背景情况:
- 前列腺癌的诊断依赖于活检,其中跨直肠超声波活检 (TRUSBx) 是一种常见的方法.
- 穿质体内磁共振成像向活检 (MRI-TB) 是一种新兴的前列腺癌检测技术.
研究的目的:
- 为了比较经过活检的男性中跨质MRI-TB和TRUSBx之间的临床显著前列腺癌 (csPCa) 检测率.
- 评估和比较与每个活检技术相关的并发症率.
主要方法:
- 对从未做过活检的男性接受多参数MRI的临床数据的回顾性分析.
- 患者被分为两组:TRUSBx (对照组) 和晶体核磁共振-TB (观察组).
- 组间的csPCa检测率和并发症发生率的比较.
主要成果:
- 在跨质MRI-TB (22.4%) 和TRUSBx (27.3%) 之间没有观察到csPCa检测率的显著差异.
- 与TRUSBx (P <0.05) 相比,通过质MRI-TB显示的整体并发症和出血率显著降低 (P <0.05).
- 发烧,血和失尿症的发病率在两组之间没有显著差异.
结论:
- 转质MRI-TB是检测csPCa的可行的替代方案,提供与TRUSBx相比较的检测率.
- 转质疗法与减少并发症,特别是出血有关,使其成为风险患者的更安全选择.
- 这种技术可能不需要专门的设备,如穿孔托盘或广泛的麻醉管理.
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