多参数磁共振/ 经直肠超声成像认知融合靶向穿刺活检对前列腺癌的诊断价值

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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.

Key words： Prostate cancer Imaging fusion Magnetic resonance Ultrasound Targeted biopsy

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	Articles by authors
	LIANG Gengqi
	TAN Bingchao
	GUAN Lixian
	LIAO Junfa
	XU Xun

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LIANG Gengqi,TAN Bingchao,GUAN Lixian, et al. Diagnostic value of multiparameter magnetic resonance image/transrectal ultrasound imaging cognitive fusion targeted puncture biopsy for the diagnosis of prostate cancer[J]. 中国当代医药, 2021, 28(36): 70-72.

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http://dangdaiyiyao.com/EN/ OR http://dangdaiyiyao.com/EN/Y2021/V28/I36/70

[6]	黄海鸣，徐海燕，陈燕娥，等.超声磁共振认知融合下引导前列腺穿刺术的临床研究[J].南通大学学报（医学版），2019，39（5）：384-386.
[7]	白志杰，王新胜，马洪顺，等.mpMRI 与超声融合导航技术在前列腺靶向穿刺的临床研究[J].首都医科大学学报，2020，41（4）：631-635.
[8]	常静，于韬.影像引导下前列腺癌穿刺活检的临床应用进展[J].现代肿瘤医学，2018，26（17）：2815-2818.
[9]	那彦群，叶章群，孙颖浩，等.2014 版中国泌尿外科疾病诊断治疗指南[M].北京：人民卫生出版社，2013：12.
[2]	周柱玉，李金，郑红，等.多模态经直肠超声与MRI 诊断前列腺癌的对比分析[J].临床泌尿外科杂志，2020，35（10）：795-799.
[3]	杨晔，黄瑛.经直肠超声引导前列腺靶向活检的应用进展[J].现代肿瘤医学，2019，27（15）：2780-2783.
[5]	张帆，左强，黄毅，等.核磁共振与超声融合成像引导下前列腺靶向穿刺对Gleason 评分≥7 分前列腺癌检出的临床意义[J].中国男科学杂志，2018，32（3）：33-36，46.
[1]	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.
[11]	庄君龙，尹皓立，阚延晟，等.经会阴前列腺靶向穿刺和系统穿刺与根治术后病理结果的一致性分析[J].江苏大学学报（医学版），2020，30（4）：361-363，368.
[12]	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.
[13]	孔祥丰，陈国俊，鲍海华.多参数磁共振辅助前列腺融合穿刺的最新进展[J].磁共振成像，2019，10（3）：237-240.
[14]	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.
[15]	叶鸣，陈昶宇，刘莹，等.多模态经直肠超声靶向穿刺在首次诊断性前列腺穿刺中的价值[J].中华泌尿外科杂志，2018，39（10）：749-752.
[16]	胡萍，吴涛，王昭辉，等.多序列磁共振与超声融合成像引导下前列腺靶向穿刺活检临床应用的初步体会[J].现代泌尿外科杂志，2018，23（9）：667-671.
[17]	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.
[18]	Rastinehad AR，Turkbey B，Salami SS，et al.Improving detection of clinically significant prostate cancer：magnetic resonance imaging/transrectal ultrasound fusion guided prostate biopsy[J].J Urol，2014，191（6）：1749-1754.
[19]	汪维，张青，张冰，等.自由臂经会阴多参数磁共振-超声影像融合引导靶向穿刺诊断前列腺癌的前瞻性研究[J].中华泌尿外科杂志，2018，39（3）：192-196.