个性化前列腺MRI:在日益增长的需求时代,量身定制对比介质的使用
Georgios Agrotis1,2, Stephan Ursprung1,3, Ivo G Schoots4,5
1Department of Radiology, Netherlands Cancer Institute, Amsterdam, The Netherlands.
European radiology
|June 16, 2025
概括
优化前列腺MRI包括减少对比剂的使用. 桌上监测显示,有望减少76%的对比增强检查,而不会影响癌症检测或活检率.
科学领域:
- 放射学和医学成像学 医学成像学
- 在瘤学瘤学.
- 诊断程序 诊断程序 诊断程序
背景情况:
- 前列腺癌 (PCa) 的诊断,分期和监测越来越依赖于MRI.
- 对前列腺MRI的需求日益增加,需要优化资源利用和对比剂的使用.
- 积极监测和基于MRI的查研究进一步增加了对MRI随访的需求.
研究的目的:
- 在前列腺癌 (PCa) 诊断中探索对比增强型MRI的场景.
- 评估桌上监测的可行性,以指导对比剂的使用.
- 确定优化MRI扫描时间和PCa对比度使用的策略.
主要方法:
- 对比度增强提高了PCaMRI诊断信心的场景的审查.
- 检查桌上监测以指导患者特定的对比剂的使用.
- 对减少对比度使用的证据分析,而不影响癌症检测或活检率.
主要成果:
- 桌上监测显示,可降低76%的前列腺MRI检查的可行性.
- 这种降低在没有影响癌症检测或活检率的情况下实现.
- 建议使用双参数MRI和选择性对比剂,以减少MRI服务的压力.
结论:
- 桌上监测是一种有希望的方法,可以减少前列腺MRI中基于加多的对比剂的使用.
- 需要进一步验证,以确认桌上监控对指导对比度增强收购的有效性.
- 根据个体患者的风险概况定制成像协议对于优化资源使用和维持前列腺MRI诊断质量至关重要.
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