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前列腺多参数MRI的演变及其在前列腺癌临床管理中的应用

Tsutomu Tamada¹, Mitsuru Takeuchi^1,2, Kazunori Moriya¹

¹Department of Radiology, Kawasaki Medical School, Kurashiki, Okayama, Japan.

International journal of urology : official journal of the Japanese Urological Association

|January 7, 2026

概括

多参数MRI (mpMRI) 对于诊断前列腺癌 (PCa) 是至关重要的. 本综述涵盖了mpMRI技术,扩散张力成像,双参数MRI,PI-RADS标准和MRI-超声波融合活检,以改善PCa检测和管理.

科学领域:

放射学放射学是一门学科.
在瘤学瘤学.
医疗成像医学成像

背景情况:

前列腺癌 (PCa) 诊断在很大程度上依赖于多参数MRI (mpMRI).
mpMRI集成了T2加权成像 (T2WI),扩散加权成像 (DWI) 和动态对比增强MRI (DCE-MRI).
准确的mpMRI解释对于疑似PCa病例的临床决策至关重要.

研究的目的:

审查前列腺mpMRI的制备技术,演变和当前技术.
探索扩散张力成像 (DTI) 在激进前列腺切除计划中的临床应用.
评估双参数MRI (bpMRI) 的潜力,并在PCa诊断中解决PI-RADS类别3病变.
讨论MRI-超声波融合针对PCa的生物检查的现状.

主要方法:

关于前列腺mpMRI技术和应用的综合文献综述.
扩散张力成像 (DTI) 分析用于手术规划.
在PCa诊断中对双参数MRI (bpMRI) 的评估.
对PI-RADS标准和MRI-超声波融合活检技术的审查.

主要成果:

mpMRI准备和先进的技术对于准确的PCa检测至关重要.
在指导激进前列腺切除术方面,DTI显得有前途.
bpMRI提供了一个潜在的替代方案,但PI-RADS类别3病变仍然存在挑战.
核磁共振-超声波融合活检提高了针对性活检的准确性.

结论:

前列腺mpMRI,包括先进的技术和融合活检,对于PCa管理至关重要.
对bpMRI和PI-RADS标准的持续研究是必要的.
优化mpMRI协议和解释可以提高诊断准确性和患者的治疗结果.

关键词:

用T2加权成像技术进行成像.扩散加权成像技术的使用.动态对比增强型MR成像技术磁共振成像技术的使用前列腺瘤前列腺瘤.

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