Prostate Cancer P D:前列腺癌积极监测患者的多参数核磁共振成像作用研究

2018-12-18 AlexYang MedSci原创

多参数核磁共振成像(mpMRI)在积极监测(AS)患者中的使用非常有前景。最近,有研究人员分析了mpMRI在AS患者中的作用。研究人员对英文文献进行了综合的搜索,文献的截止日期为2017年10月30日。在排除了重复之后,总共有226个研究被选择作为研究的对象。对这些研究进行入选标准分析后,总共有43个研究被鉴定为符合他们的系统性回顾研究,总共包括了6605名患者。研究发现,跟踪调查的AS患者的MR

多参数核磁共振成像(mpMRI)在积极监测(AS)患者中的使用非常有前景。最近,有研究人员分析了mpMRI在AS患者中的作用。

研究人员对英文文献进行了综合的搜索,文献的截止日期为2017年10月30日。在排除了重复之后,总共有226个研究被选择作为研究的对象。对这些研究进行入选标准分析后,总共有43个研究被鉴定为符合他们的系统性回顾研究,总共包括了6605名患者。研究发现,跟踪调查的AS患者的MRI时间是不一致的,就像AS方法中的入选标准不同一样。总的来讲,所有的研究中均具有低风险的偏差。另外,1.5特斯拉诊断元分析的敏感度为0.6,阴性预测值(NPV)为0.75,分层汇总接收操作曲线(HSROC)为0.74,;3.0特斯拉是mpMRI的敏感度为0.81, HSROC为0.83。

最后,研究人员指出,已经存在的证据表明了1.5特斯拉和3.0特斯拉mpMRI是AS跟踪调查中监控恶化的有利工具,表现出了在检测PCa重鉴定中良好的准确性。然而,mpMRI中怎样的形态才意味着疾病恶化还需要进一步的评估。

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  5. [GetPortalCommentsPageByObjectIdResponse(id=1953290, encodeId=9ee2195329022, content=<a href='/topic/show?id=8dbae512483' target=_blank style='color:#2F92EE;'>#积极监测#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=44, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=75124, encryptionId=8dbae512483, topicName=积极监测)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=b70c362, createdName=jiadan198782, createdTime=Mon Oct 14 20:06:00 CST 2019, time=2019-10-14, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1791561, encodeId=9c451e91561a0, content=<a href='/topic/show?id=b77f14e4541' target=_blank style='color:#2F92EE;'>#Prostate Ca#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=31, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=14745, encryptionId=b77f14e4541, topicName=Prostate Ca)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=a691420, createdName=30397604, createdTime=Wed Jan 30 09:06:00 CST 2019, time=2019-01-30, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1316605, encodeId=9990131660519, content=<a href='/topic/show?id=ffb862113ca' target=_blank style='color:#2F92EE;'>#核磁共振#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=0, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=62113, encryptionId=ffb862113ca, topicName=核磁共振)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=49cf452, createdName=xsm918, createdTime=Thu Dec 20 11:06:00 CST 2018, time=2018-12-20, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1341641, encodeId=bc0b1341641f4, content=<a href='/topic/show?id=24b8e37529a' target=_blank style='color:#2F92EE;'>#磁共振#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=19, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=73752, encryptionId=24b8e37529a, topicName=磁共振)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=24a22500182, createdName=1696533704_45270454, createdTime=Thu Dec 20 11:06:00 CST 2018, time=2018-12-20, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1364426, encodeId=57981364426c5, content=<a href='/topic/show?id=7c5615628ad' target=_blank style='color:#2F92EE;'>#ROS#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=24, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=15628, encryptionId=7c5615628ad, topicName=ROS)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=acc3210, createdName=lsndxfj, createdTime=Thu Dec 20 11:06:00 CST 2018, time=2018-12-20, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1506360, encodeId=d60a1506360ff, content=<a href='/topic/show?id=005d6211ed7' target=_blank style='color:#2F92EE;'>#核磁共振成像#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=28, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=62117, encryptionId=005d6211ed7, topicName=核磁共振成像)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=061d9741590, createdName=yangcx0918, createdTime=Thu Dec 20 11:06:00 CST 2018, time=2018-12-20, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1602096, encodeId=0d2f16020969e, content=<a href='/topic/show?id=2f801469e57' target=_blank style='color:#2F92EE;'>#PRO#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=19, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=14697, encryptionId=2f801469e57, topicName=PRO)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=a60b18898917, createdName=sunylz, createdTime=Thu Dec 20 11:06:00 CST 2018, time=2018-12-20, status=1, ipAttribution=)]
    2018-12-20 lsndxfj
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    2018-12-20 sunylz

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