前列腺活检的进展
Jillian M Egan Kelly1, Badar M Mian1
1Department of Urology, Albany Medical Center, Albany, NY 12208, USA.
The Urologic clinics of North America
|November 20, 2025
概括
前列腺活检技术得到了改进,以更好地检测癌症和安全性. 最近的试验表明,穿越直肠和穿越膜活检具有相似的结果,预计未来的进展.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 在瘤学瘤学.
- 医疗成像医学成像
背景情况:
- 超声波引导的,直肠横向的前列腺活检已经有了显著的进化.
- 活检模板的修改,从6个样本增加到24个样本,其中10-12个核心是最有效的,改善了诊断产量.
- 多参数磁共振成像 (mpMRI) 有助于管理前列腺癌过度诊断的担忧.
研究的目的:
- 审查前列腺活检程序的修改.
- 评估不断发展的活检技术的诊断产量和安全性.
- 为了比较跨直肠与跨腹膜前列腺活检的疗效和安全性.
主要方法:
- 对超声波导向,直肠横向,六位数前列腺活检的修改进行审查.
- 活检模板演变和有效性的分析.
- 在诊断策略中包括多参数磁共振成像 (mpMRI).
- 考虑来自三项大型随机试验的证据,比较跨直肠和跨膜活检方法.
主要成果:
- 10-12核心活检模板被认为是最有效的.
- 多参数MRI有助于解决低风险前列腺癌的过度诊断问题.
- 三项大型随机试验表明,跨直肠和跨关节前列腺活检的疗效和安全结果相似.
结论:
- 前列腺活检程序得到了改进,以提高诊断准确性和患者安全.
- 跨直肠和跨膜活检方法显示了可比的结果.
- 未来生物标志物和分子成像技术的进步有望进一步提高前列腺活检的有效性和安全性.
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