经直肠超声、超声造影与磁共振动态增强成像在前列腺癌诊断中临床价值比较
DOI: 10.3971/j.issn.1000-8578.2015.09.012
Keywords: A Metaanalysis,Effect of Intensity Modulated Radiotherapy Combined with Hormonal Therapy on Fatigue in Patients with Locally Advanced Prostate Cancer,Nitric Oxide-donor Drugs and Prostate Cancer: An Update,Effect of CRM1 Inhibitor KPT-185 on Growth of Human Prostate Cancer Cells,Clinical Observation of Abriaterone Acetate and Prednison on Patients with Castrationresistant Prostate Cancer,Effect of Tetrandrine on Proliferation and Apoptosis of Prostate Cancer Cells PC3,Laser Interstitial Thermotherapy in Treatment of Prostate Cancer,Down-regulating AnnexinA2 Expression could Promote Invasion and Metastasis of Prostate Cancer,Synergism and Mechanism of Octreotide on Docetaxel-resistant Cancer Cell DU145,Androgen Deprivation Therapy Can Change Proportion of Prostate Cancer Stem Cells#br# CHEN Wei, WANG Guomin,Effects of Ibandronic Acid Sodium on Bone Mineral Density of Prostate Cancer Patients#br# with Bone Metastasis after Androgen Deprivation Therapy,Serologic Evidence in Early Detection of Bone Metastasis in Patients with Prostate Cancer,Comparison of Puncture Methods for Transrectal Ultrasound-guided Prostate Biopsy at#br# Various PSA Levels,Progress and Development Trend of Treatment for Urological Tumor
Abstract:
摘要 目的 研究比较经直肠超声（transrectal ultrasound, TRUS）、超声造影（contrast-enhanced ultrasonography, CEUS）与磁共振动态增强成像（dynamic contrast material-enhanced magnetic resonance imaging, DCE-MRI）在前列腺癌诊断中的临床价值。方法 回顾性分析临床疑诊前列腺癌并进一步行系统穿刺活检术的63例患者术前TRUS、CEUS、DCE-MRI的相关检查数据，结合病理组织学结果，对上述三种检查方法在前列腺癌诊断中的临床价值进行比较。结果 TRUS、CEUS、DCE-MRI对前列腺癌诊断的特异性分别为48.84%、74.42%和69.77%，敏感度分别为60%、65%和85%，诊断准确率分别为52.38%、71.43%、74.60%，TRUS、CEUS、DCE-MRI三种影像学检查方法对前列腺癌的诊断价值差异无统计学意义（P>0.05）；TRUS、CEUS、DCE-MRI的ROC曲线下面积比较结果分别为0.550、0.723、0.781，其中DCE-MRI的敏感度和准确率最高。结论 对疑诊前列腺癌患者的筛查中，CEUS、DCE-MRI较TRUS具有更高的准确率，而其中DCE-MRI的敏感度和准确率最高
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