摘要
目的探讨基于多参数磁共振(mp-MRI)的前列腺影像报告和数据系统(PI-RADS)评分在前列腺癌术前分期的诊断价值。方法选取医院2021年3月-2022年4月收治的102例疑似前列腺癌患者,全部患者均行mp-MRI检查,对mp-MRI图像进行PI-RADS评分,并行手术病理或穿刺活检检查,将手术病理或穿刺活检检查结果作为“金标准”,分析mp-MRI的PIRADS评分对前列腺癌及术前分期的诊断效能。结果102例疑似前列腺癌患者经手术病理或穿刺活检确诊73例,占71.57%,其中A期12例,B期24例,C期29例,D期8例;依据手术病理或穿刺活检检查“金标准”,mp-MRI的PI-RADS评分对前列腺癌的诊断灵敏度为95.89%(70/73)、特异度为96.55%(28/29)、准确度为96.08%(98/102),且mp-MRI的PI-RADS评分对前列腺癌临床分期的诊断符合率为93.15%(68/73),其与手术病理或穿刺活检检查结果一致性极好(Kappa值=0.901)。结论基于mpMRI的PI-RADS评分对前列腺癌术前诊断与分期具有较高诊断价值,值得临床推广应用。
Objective To investigate the diagnostic value of multi-parameter magnetic resonance(mp-MRI)based prostate imaging reporting and data system(PI-RADS)score in the preoperative stage of prostate cancer.Methods The 102 patients with suspected prostate cancer admitted to the hospital from March 2021 to April 2022 underwent mp-MRI,PI-RADS score was performed on mp-MRI images,and surgical pathology or needle biopsy was performed in parallel.The results of surgical pathology or needle biopsy were regarded as the"gold standard".To analyse the diagnostic efficacy of PI-RADS score of mp-MRI on prostate cancer and preoperative stage.Results 73 of 102 patients with suspected prostate cancer were confirmed by surgical pathology or needle biopsy,accounting for 71.57%,among these,12 cases were in stage A,of the 24 patients in stage B,of the 29 patients in stage C,8 cases in stage D.According to the"gold standard"of surgical pathology or needle biopsy examination,the PI-RADS score of mp-MRI had a diagnostic sensitivity of 95.89%(70/73),specificity of 96.55%(28/29)and accuracy of 96.08%(98/102).Moreover,the rate of PI-RADS score for clinical stage of prostate cancer was 93.15%(68/73),It showed excellent agreement with surgical pathology or needle biopsy results(Kappa value=0.901).Conclusion PI-RADS score based on mp-MRI has high diagnostic value for preoperative diagnosis and staging of prostate cancer and is worthy of clinical application.
作者
焦宝园
JIAO Baoyuan(Department of Magnetic Resonance Room,the Third Affiliated Hospital of Xinxiang Medical College,Xinxiang,Henan,453000,China)
出处
《新疆医学》
2024年第5期558-561,共4页
Xinjiang Medical Journal
关键词
前列腺癌
多参数磁共振
前列腺影像报告和数据系统
术前分期
诊断价值
Prostate cancer
multiparameter magnetic resonance
prostate imaging report and data system
preoperative staging
diagnostic value
