| 刘洁玉,刘明辉,王国涛,杨谢青.影像引导下前列腺定向穿刺活检术的研究进展[J].现代生物医学进展英文版,2017,17(4):795-797. |
| 影像引导下前列腺定向穿刺活检术的研究进展 |
| Advances in Image-guided Targeted Prostate Biopsy |
| Received:June 23, 2016 Revised:July 18, 2016 |
| DOI：10.13241/j.cnki.pmb.2017.04.051 |
| 中文关键词: 前列腺癌 穿刺活检 定向 MRI/TRUS |
| 英文关键词: Prostate cancer Biopsy Targeted MRI/TRUS |
| 基金项目:湖南省自然科学基金项目（12JJ3102） |
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| 中文摘要: |
| 摘要：确诊前列腺癌的金标准无疑是病理组织学检查，影像引导下的前列腺定向穿刺活检又是这当中最有效、最便捷的方式。而基于前列腺特异抗原（prostate specific antigen，PSA）筛查以及6分活检结果的前列腺癌诊断，已经由于其对低度肿瘤的过度诊断和对临床上有意义前列腺癌（格林森评分≥7）的诊断不足遭到批评。所以纵观国内外，影像引导已经增加到先用多参数MRI（multi-parametric magnetic resonance imaging，mpMRI）扫描检出病变组织再进行前列腺定向穿刺活检，包括，in-bornMRI引导，认知融合引导，以及MRI/TRUS融合引导下的活检。本文就一些影像引导下前列腺定向穿刺活检术的研究进展进行综述。 |
| 英文摘要: |
| ABSTRACT: Undoubtedly, pathological findings is the golden standard for diagnosing prostate cancer. As we all know, targeted prostate biopsy under the guidance of image-guiding is the most efficient and the most convenient. Nevertheless,based on prostate specific antigen（PSA）screening and sextant biopsy, has been criticized for both overdiagnosis of low-grade tumors and underdiagnosis of clinically significant prostate cancers (Gleason score ≥7). So on viewing vertically of both national and abroad,image guidance has been added to perform targeted biopsies of lesions detected on multi-parametric magnetic resonance imaging (mpMRI) scans, including in-bore MRI-guided, cognitive fusion, and MRI/transrectal ultrasound fusion-guided biopsy. This review will examine advances in these image-guided targeted prostate biopsy techniques. |
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