多参数磁共振成像在前列腺癌治疗中的当代作用

I. Akpayak, Kenis Felangu, Lemech E. Nabasu
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引用次数: 0

摘要

背景:在当代实践中,多参数磁共振成像已成为区分高侵袭性和低侵袭性前列腺癌的有用工具,减少误诊、过度诊断和过度治疗。本文旨在提供前列腺多参数磁共振成像(mpMRI)的简要综述,其解释及其在当前前列腺癌管理中的作用。方法:本文对当代mpMRI在前列腺癌治疗中的作用进行了综述。在泌尿学和放射学的数据库和期刊中搜索相关的和当代的现有文献。结果:我们回顾了前列腺mpMRI的技术方面,描述了前列腺的T-2加权成像、扩散加权成像和动态对比增强成像以及磁共振波谱。我们还回顾了目前使用PI-RADS对前列腺mpMRI的解释和报道;以及当代mpMRI在前列腺癌治疗中的作用。结论:mpMRI是一种技术强大且发展迅速的成像方式,已成为前列腺癌诊断、分期和治疗计划的重要工具。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Contemporary role of multiparametric magnetic resonance imaging in the management of prostate cancer
Background: In contemporary practice, multiparametric magnetic resonance imaging has become a useful tool to differentiate between prostate cancers of high and low aggressiveness, reduce misdiagnosis, overdiagnosis and therefore overtreatment. This article aims to provide a concise review of the multiparametric magnetic resonance imaging (mpMRI) of the prostate, its interpretation and its role in the current management of prostate cancer. Methods: his was a narrative review of the contemporary role of the mpMRI in the management of prostate cancer. The databases and journals in urology and radiology were searched for relevant and contemporary existing literature on the subject. Results: We reviewed the technical aspects of the mpMRI of the prostate, describing the T-2 weighted imaging, the diffusion weighted imaging and the dynamic contrast enhanced imaging as well as the magnetic resonance spectroscopy of the prostate. We also reviewed the current interpretation and reporting of the mpMRI of the prostate using the PI-RADS; as well as the contemporary role of the mpMRI in prostate cancer management. Conclusion: The mpMRI is technologically robust and fast evolving imaging modality that has become a significant tool in the diagnosis, staging and treatment planning of prostate cancer.
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