MRI定量技术在前列腺癌中的研究进展
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南京医科大学第一附属医院

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江苏省医学重点人才基金项目


Research progress of quantitative MRI technologies in prostate cancer
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Jiangsu Provincial Medical Key Talent Fund Project

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    摘要:

    前列腺癌是男性常见的恶性肿瘤之一,多参数磁共振(multiple parameter MRI,mpMRI)是目前前列腺癌无创性检出、定位和分期的首选影像学方法。然而,mpMRI图像解读基于阅片者的经验和主观判断,往往会造成诊断偏差。定量技术能够对前列腺病灶的病理生理学特性进行更加客观、精准的分析,传统的定量技术包括扩散张量成像、扩散峰度成像、体内非相干运动成像及T2 mapping等,但它们各自的局限性使之不能广泛应用于临床。合成磁共振序列是一种新型的定量扫描方法,单次扫描后可获得多组基于组织病理生理特性的绝对测量值,具有高效率和高容错率,在前列腺癌的诊断中有良好的临床前景。本文将针对传统及新型的定量扫描方法在前列腺癌中的临床应用展开综述。

    Abstract:

    Prostate cancer is one of the common malignancies in men. Currently, mpMRI is the preferred imaging modality for the non-invasive detection, localization, and staging prostate cancer. However, the interpretation of mpMRI images relies on the experience and subjective judgment of the reader, leading to potential diagnostic bias. Quantitative techniques can provide a more objective and precise interpretation for the pathophysiological characteristics of prostate lesions. Traditional quantitative techniques include DTI、DKI、IVIM and T2 mapping, but their limitations restrict their widespread clinical utility. Nevertheless, Synthetic MRI has emerged as a novel quantitative technique that enables the acquisition of multiple sets of absolute measurements based on histopathophysiological properties in a single scan. With its high scanning efficiency and error tolerance rate, Synthetic MRI holds promising clinical prospects in prostate cancer. This review will discuss the clinical applications of both traditional and novel quantitative techniques in prostate cancer.

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  • 收稿日期:2023-11-24
  • 最后修改日期:2024-03-14
  • 录用日期:2024-07-08
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