Clinica Chimica Acta:新型PHI诺模图的开发和内部验证以识别侵袭性前列腺癌

2020-03-19 MedSci原创 MedSci原创

前列腺健康指数(PHI)是一种新的前列腺癌(PCa)检测方法,提高了总PSA (tPSA)的表现,并与肿瘤的侵袭性有关。本研究目的是在包含PHI的多变量模型的基础上构建诺模列线图。

前列腺健康指数(PHI)是一种新的前列腺癌(PCa)检测方法,提高了总PSA (tPSA)的表现,并与肿瘤的侵袭性有关。本研究目的是在包含PHI的多变量模型的基础上构建诺模列线图,以估计侵袭性PCa的个体可能性。

研究人员选择了276名活检对象,其中包括151名PCa患者。采用D 'Amico标准将这些患者分为三组,这三组与进展风险相关。将中度和高危PCa认为是侵袭性PCa。利用实验室(tPSA、%fPSA、%p2PSA、PHI)和临床变量建立了预测侵袭性PCa的多变量模型。以临床使用的列线图表示最佳预测模型以图形形式。

研究结果显示,年龄、直肠指检、tPSA、%fPSA、PHI、前列腺体积等多变量模型的准确性最高(AUC: 0.815)。DCA证实了诺模列线图的有效性,与包括年龄、直肠指检和tPSA的基础模型相比,其临床净获益(大于7%)更高。

研究结果表明,基于PHI诺模图是检测侵袭性PCa的有效工具。

原始出处:

L. Foj,X. Filella,Development and internal validation of a novel PHI-nomogram to identify aggressive prostate cancer

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    2020-08-24 windight
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    2020-03-21 sunyl07
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    2020-03-19 misszhang

    前列腺癌相关研究,学习了,谢谢梅斯

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