摘要
病理结果是诊断前列腺癌的金标准,而获取病理组织的途径之一就是前列腺穿刺活检,随着检查技术水平的提高,生化检测及影像技术使前列腺癌检出率有了很大提高,但治疗方案的选择还需要最终的病理结果,因此,这对前列腺活检穿刺技术的精准度要求极高。具体要求包括能准确定位病灶,活检取材能取到阳性组织,减少不必要的盲目穿刺给患者带来的痛苦,对于深部病灶精准导航,避免损伤尿道及膀胱,减少出血等并发症。近年来,随着影像学和人工智能的发展,穿刺技术有了巨大的改进。本文旨在阐释图像融合与机器人在前列腺穿刺活检中的最新应用等方面展开论述。
Pathological results are a gold standard for the diagnosis of prostate cancer(PCa),one of the ways to obtain the pathological tissue is prostate biopsy.With the advances in detection technology,biochemical examination and medical imaging have greatly improved the detection rate of PCa.However,the final therapeutic option depends on pathological results,and therefore the precision of prostate biopsy and puncturing technique is highly required.Specific requirements include pinpoint positioning of the lesion and exact sampling of the positive tissue to reduce pain caused by unnecessary invalid punctures,accurate navigation for deep lesions to avoid damage to the urethra and bladder and reduce bleeding and other complications.Current development of medical imaging and artificial intelligence has significantly promoted biopsy puncture techniques.This review updates the application of image fusion and robotics in prostate biopsy.
作者
王雅洁(综述)
吴静(审校)
WANG Ya-jie;WU Jing(Department of Radiology,The Affiliated Hospital of Inner Mongolia Medical University,Hohhot,Inner Mongolia 010059,China)
出处
《中华男科学杂志》
CAS
CSCD
2024年第12期1141-1146,共6页
National Journal of Andrology
基金
内蒙古自治区自然科学基金(2020MS08128)。
关键词
前列腺癌
机器人
穿刺活检
磁共振成像
超声
Prostate cancer
robot
biopsy puncture
magnetic resonance imaging
ultrasonography
