用于前列腺癌分期的全身核磁共振成像:叙述性综述

IF 3.7 2区 医学 Q1 UROLOGY & NEPHROLOGY
Andrew M. Fang, Justin R. Gregg, Curtis Pettaway, Jingfei Ma, Janio Szklaruk, Tharakeswara K. Bathala, Devaki Shilpa S. Surasi, Brian F. Chapin
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引用次数: 0

摘要

目的就全身磁共振成像(WBMRI)在对高危前列腺癌(HRPCa)患者进行分期时的诊断准确性进行综述,并将其与已有的成像模式进行比较:全身"、"磁共振成像"、"MRI"、"前列腺癌"、"风险分层 "和 "分期"。结果 在评估淋巴转移方面,与传统的计算机断层扫描(CT)相比,WBMRI 的灵敏度和特异性即使没有提高,也不相上下。此外,与骨闪烁成像(BS)相比,WBMRI 在检测骨转移方面的灵敏度和特异性也有所提高。结论在检测 HRPCa 患者的转移性疾病方面,WBMRI 的诊断能力超过了传统的 CT 和 BS 成像。然而,WBMRI 的表现不如 PSMA PET/CT。需要进一步研究 WBMRI 和 PSMA PET/CT 的成本比较,并对 PSMA PET/MRI 进行联合评估。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Whole‐body MRI for staging prostate cancer: a narrative review
ObjectiveTo present a narrative review regarding the diagnostic accuracy of whole‐body magnetic resonance imaging (WBMRI) in staging patients with high‐risk prostate cancer (HRPCa) and compare it to established imaging modalities.MethodsA narrative review was carried out using PubMed using the following keywords: ‘whole body’, ‘magnetic resonance imaging’, ‘MRI’, ‘prostate cancer’, ‘risk stratification’, and ‘staging’. Articles that evaluated WBMRI as the imaging modality to stage patients with HRPCa were included, while studies that solely assessed for biochemical recurrence or metastatic disease progression were excluded.ResultsIn the evaluation of lymphatic metastases, WBMRI has demonstrated a comparable, if not improved, sensitivity and specificity compared to conventional imaging of computed tomography (CT). Furthermore, WBMRI demonstrates improved sensitivity and specificity in detecting bone metastases compared to bone scintigraphy (BS). However, with advent of prostate‐specific membrane antigen (PSMA) radioligands for positron emission tomography (PET), the diagnostic performance of WBMRI to detect metastatic disease appears inferior.ConclusionsThe diagnostic capabilities of WBMRI exceed that of conventional imaging of CT and BS in detecting metastatic disease in patients with HRPCa. However, WBMRI does not perform as well as PSMA PET/CT. Further study on cost comparisons between WBMRI and PSMA PET/CT are needed, as well as evaluations of combined PSMA PET/MRI are needed.
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来源期刊
BJU International
BJU International 医学-泌尿学与肾脏学
CiteScore
9.10
自引率
4.40%
发文量
262
审稿时长
1 months
期刊介绍: BJUI is one of the most highly respected medical journals in the world, with a truly international range of published papers and appeal. Every issue gives invaluable practical information in the form of original articles, reviews, comments, surgical education articles, and translational science articles in the field of urology. BJUI employs topical sections, and is in full colour, making it easier to browse or search for something specific.
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