Diagnostic value of multiparameter magnetic resonance image/transrectal ultrasound imaging cognitive fusion targeted puncture biopsy for the diagnosis of prostate cancer
LIANG Gengqi1 TAN Bingchao2 GUAN Lixian1 LIAO Junfa1 XU Xun1
1.Department of Urology, the Sixth Affiliated Hospital of South China University of Technology (the People′s Hospital of Nanhai District, Foshan City), Guangdong Province, Foshan 528200, China;
2.Department of Ultrasound, the Sixth Affiliated Hospital of South China University of Technology (the People′s Hospital of Nanhai District, Foshan City),Guangdong Province, Foshan 528200, China
Abstract：Objective To explore the diagnostic value of multiparameter magnetic resonance image/transrectal ultrasound (mpMRI/TRUS) imaging cognitive fusion targeted puncture biopsy for the diagnosis of prostate cancer.Methods A total of 130 patients with suspected prostate cancer admitted to the Sixth Affiliated Hospital of South China University of Technology from July 2017 to December 2020 were selected retrospectively as the research objects, after mpMRI scanning, TRUS conventional 12-needle systematic puncture biopsy and mpMRI/TRUS imaging cognitive fusion targeted puncture biopsy were performed.The diagnostic value of mpMRI/TRUS imaging cognitive fusion targeted puncture biopsy (specificity, sensitivity, accuracy, positive predictive value, negative predictive value) was observed with the results of conventional 12-needle systematic puncture biopsy as the gold standard.Results The mpMRI/TRUS imaging cognitive fusion targeted puncture biopsy was 79.22% (61/77), sensitivity of 79.25% (42/53), accuracy of 79.23% (103/130), positive prediction of 72.41% (42/58) and negative prediction of 84.72% (61/72).Conclusion The diagnostic efficacy of mpMRI/TRUS imaging is high in medium and high risk prostate cancer and is worthy of clinical application.
Mottet N，Bellmunt J，Bolla M，et al.EAU-ESTRO-SIOG Guidelines on Prostate Cancer.Part 1：Screening，Diagnosis，and Local Treatment with Curative Intent[J].Eur Urol，2017，71（4）：618-629.
[4]
Goldman H，Singh N，Harding C，et al.Accuracy of multiparametric magnetic resonance imaging to detect significant prostate cancer and index lesion location[J].ANZ J Surg，2019，89（1-2）：106-110.
[10]
Tomaskovic I，Knezevic M，Pezelj I，et al.Role of Multiparametric Magnetic Resonance Imaging in Prostate Cancer Assessment[J].Acta Clin Croat，2018，57（Suppl 1）：35-39.
Panebianco V，Giganti F，Kitzing YX，et al.An update of pitfalls in prostate mpMRI：a practical approach through the lens of PI-RADS v.2 guidelines[J].Insights Imaging，2018，9（1）：87-101.
Oberlin DT，Casalino DD，Miller FH，et al.Diagnostic Value of Guided Biopsies：Fusion and Cognitive -registration Magnetic Resonance Imaging Versus Conventional Ultrasound Biopsy of the Prostate[J].Urology，2016，92：75-79.
Brown LC，Ahmed HU，Faria R，et al.Multiparametric MRI to improve detection of prostate cancer compared with transrectal ultrasound-guided prostate biopsy alone：the PROMIS study[J].Health Technol Assess，2018，22（39）：1-176.
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