Staging of Prostate Cancer: Role of Multiparametric Magnetic Resonance Imaging in Different Risk Classes.

0 UROLOGY & NEPHROLOGY
Francesco Saverio Guerra, Laura Eusebi, Francesco Bartelli, Sara Cecchini, Enrico Paci, Giuseppe Guglielmi
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引用次数: 0

Abstract

Using multiparametric magnetic resonance imaging, it is now possible to diagnose prostate cancer and categorize its risk. As it can accurately determine the extracapsu- lar extension of the tumor, invasion of seminal vesicles, involvement of lymph nodes, and the potential presence of bone metastases, multiparametric magnetic resonance imaging plays a crucial role not only in the diagnosis but also in the local staging of prostate cancer. The patients with a history of negative biopsy/increasing prostate- specific antigen and the existence of further data supporting its use in biopsy-naive patients and active surveillance are the most blatant indications for multiparametric magnetic resonance imaging in guidelines. The traditional clinical examination, pros- tate-specific antigen tests, and systematic biopsy are all enhanced by multiparametric magnetic resonance imaging, which will miss certain cancers due to insufficient size or changes in tissue density. The use of multiparametric magnetic resonance imaging is expected to rise, and further advances in the method will be crucial for the secure adoption of targeted therapeutic ideas. Here, we give a succinct overview of multipa- rametric magnetic resonance imaging's application to the identification and risk clas- sification of prostate cancer.

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前列腺癌分期:多参数磁共振成像在不同风险等级中的作用。
使用多参数磁共振成像,现在可以诊断癌症前列腺并对其风险进行分类。由于多参数磁共振成像可以准确确定肿瘤的体外延伸、精囊侵袭、淋巴结受累和骨转移的潜在存在,因此它不仅在诊断癌症方面,而且在前列腺癌的局部分期中都起着至关重要的作用。有活检阴性/前列腺特异性抗原增加史的患者,以及有进一步数据支持其在活检初始患者中的使用和积极监测,是指南中多参数磁共振成像最明显的适应症。传统的临床检查、国家特异性抗原检测和系统活检都通过多参数磁共振成像来增强,由于尺寸不足或组织密度变化,这些成像会错过某些癌症。多参数磁共振成像的使用预计会增加,该方法的进一步进展对于安全采用靶向治疗理念至关重要。在此,我们简要概述了多参数磁共振成像在前列腺癌症识别和风险分类中的应用。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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CiteScore
2.60
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