在前列腺多参数MRI上偶然的膀病变:患病率和与膀癌相关的因素
Siddhant Dogra1, Joshua Lee2, Mutita Siriruchatanon3
1New York University Langone Health, Department of Radiology, New York, New York (S.D., C.H.).
Academic radiology
|November 11, 2025
概括
在前列腺MRI扫描中发现的偶尔膀病变可能表明膀癌. 大型出血是恶性瘤的关键指标,有助于早期检测和风险分层.
科学领域:
- 泌尿外科瘤学 泌尿外科瘤学
- 放射学 放射学是一门学科.
- 诊断成像诊断成像的使用
背景情况:
- 前列腺多参数磁共振成像 (MRI) 对于前列腺癌管理至关重要.
- 偶发的膀病变经常被观察到,但没有得到充分的描述.
- 关于这些偶然发现中与恶性瘤相关的患者特征的数据有限.
研究的目的:
- 评估前列腺MRI上偶发性膀病变的流行率和组织病理结果.
- 在这些病变中确定与恶性瘤相关的临床特征.
- 通过风险分层来评估早期发现膀癌的潜力.
主要方法:
- 31,241次前列腺MRI检查的回顾性审查 (2013年1月至2023年1月).
- 对偶发的膀病变,人口统计,症状和结果的成像报告和医疗记录的分析.
- 后勤回归和接收器运行特征分析以确定与恶性瘤的关联.
主要成果:
- 在0.74%的检查中发现了偶然的膀病变.
- 透析确认的膀癌发生在14.8%的病例中,病变 (0.11%的患者).
- 大型出血症与活检证明的膀癌的关联最强 (OR 9.26,p<0.001).
结论:
- 在前列腺MRI上偶尔出现的膀病变有可能用于早期发现膀癌.
- 大型出血是这些病变风险分层的一个重要因素.
- 综合血评估可以改善早期癌症检测,减少不必要的手术.
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