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在一个大型单一机构的学术中心,从MRI引导的跨直肠切除术到跨关节前列腺切除术的10年经验

Chris Du¹, Rohan Sethi², Timothy M Han¹

¹Loyola University Medical Center.

Urology practice

|February 18, 2026

概括

过渡到MRI-fusion跨关节 (TP) 前列腺活检可以改善癌症检测,但会增加病理学成本和时间. 研究了减轻这些增加的策略,旨在实现大幅度的年度节约.

科学领域:

泌尿器科泌尿器科泌尿器科泌尿器科
病理学病理学病理学
医疗成像医学成像

背景情况:

核磁共振融合活检是前列腺癌诊断的关键工具.
跨直肠 (TR) 活检一直是标准的,但跨膜 (TP) 活检正在获得青.
对于医疗保健系统来说,了解这种转型对资源的影响至关重要.

研究的目的:

为了评估从MRI-fusion TR过渡到TP前列腺活检的10年经验.
从病理学的角度来量化与TP活检相关的增加成本和时间.
探索成本和时间减少的潜在场景.

主要方法:

查询了一个前性维护的MRI融合前列腺活检数据库.
分析了人口,临床,成本和时间数据.
使用R软件进行统计分析.

主要成果:

在10年内,进行了2,370次活检 (1,719 TR,651 TP),TP将在2023年成为首选.
TP活检显示癌症检测率 (CDR) 和临床显著的CDR (csCDR) 显著提高 (p<0.01).
估计病理学成本的年度增加为136,662美元,时间为1332.5小时,通过特定场景每年可节省高达282,750美元和2730小时的潜在成本.

结论:

转向MRI融合TP前列腺活检可以提高前列腺癌的诊断准确性.
这种过渡在病理学处理中产生了显著的额外成本和时间.
实施优化的工作流程和设计可以节省大量的成本和时间.

关键词:

核融合MRI 核融合MRI 核融合MRI 核融合活检模板活检模板前列腺癌是前列腺癌.穿越关节的活检通过直肠进行活检.

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