ʻO wai ke kiʻi ʻoi aku ka maikaʻi no ka ʻike ʻana i ka hoʻi hou ʻana o ka biochemical o ka maʻi prostate: PET/CT a i ʻole mpMRI?

Wahi a kekahi meta-analysis, positron emission tomography/computed tomography (PET/CT) a me multi-parameter magnetic resonance imaging (mpMRI) hāʻawi i nā helu ʻike like i ka hoʻomaʻamaʻa ʻana i ka maʻi prostate (PCa).

Ua ʻike nā mea noiʻi ʻo ka prostate specific membrane antigen (PSMA) PET/CT he 69 pakeneka ka nui o ka huli ʻana o ka maʻi maʻi prostate, i hoʻohālikelike ʻia me 70 pakeneka no mpMRI.

"No ka [biochemical relapse], hana nā ala ʻelua. Hōʻike kā mākou mau hopena ʻaʻohe ʻokoʻa koʻikoʻi o ka DR holoʻokoʻa (detection rate) ma waena o nā ʻano kiʻi kiʻi ʻelua, a ʻoi aku ka maikaʻi o ka mpMRI me ka mālama ʻana i ka DR hoʻokahi, "kākau ʻo L. Xu, ka mea kākau noiʻi, pili me ke Kula o Laau lapaau. Hunan University of Traditional Chinese Medicine, Hunan, Kina a me nā hoa hana.

No ka hoʻi hou ʻana o PCa kūloko, ua ʻike nā mea kākau noiʻi ʻo DR On mpMRI he 10% kiʻekiʻe (62% vs. 52%). Ua ʻike pū nā mea noiʻi ua hōʻike ʻo PSMA PET / CT i kahi hoʻomaikaʻi 18% ma DR I ka wā e ʻike ai i ka metastasis lymph node (50% a me 32%, kēlā me kēia). Eia naʻe, ʻaʻohe o nā mea i ʻike ʻia i koʻikoʻi nui, wahi a nā mea kākau noiʻi.

Manaʻo ka poʻe noiʻi hiki i ka ʻike kiʻekiʻe a me ka kikoʻī ke hāʻawi iā PSMA PET / CT i kahi pono i ka hoʻonohonoho ʻana o PCa a me ka ʻike ʻana i nā liʻiliʻi liʻiliʻi, akā hoʻomaopopo pū kekahi i ka loaʻa ʻana o ke ʻano he pilikia. Hiki ke kōkua ʻo Multi-parameter MRI i ka ʻike ʻana i ka hoʻi hou ʻana o ka wahi a me ka PCa koʻikoʻi ma ke kino, akā ʻike nā mea kākau noiʻi he pilikia paha ka interobserver heterogeneity me mpMRI.

Eia nō naʻe, ʻo nā hopena holoʻokoʻa o ka meta-analysis e hōʻike ana he kuleana ko nā ala ʻelua i ka hoʻomaʻamaʻa ʻana i ka PCa BCR, a kuhikuhi i nā haʻawina e hiki mai ana e hiki ke hāʻawi i ka ʻike nui aʻe o kēia ʻano.

Ua koʻikoʻi ʻo Xu a me nā hoa hana i ka hopena nui o nā hopena o ke aʻo ʻana i ka hana lapaʻau. Ua hōʻike lākou i ka hiki ke hoʻohālikelike like o PSMA PET / CT a me mpMRI e hōʻike i ka maikaʻi o nā ala ʻelua i ka ʻike ʻana i ka BCR i nā maʻi PCa. Eia nō naʻe, ua koi lākou i ka pono o ka noiʻi hou ʻana e loiloi i ka hiki ke loaʻa, hiki ke loaʻa, a me ke kumukūʻai o kēia mau ʻenehana kiʻi.

I ke kūkākūkā ʻana i nā palena o ke aʻo ʻana, ua ʻae nā mea kākau ʻo ka liʻiliʻi liʻiliʻi o nā maʻi 290 ma muli o kā lākou nānā ʻana i ka nānā ʻana i nā haʻawina hoʻohālikelike no ka ʻike ʻana i ka BCR i loko o nā pūʻulu maʻi like. Ua hoʻokiʻekiʻe lākou i ka hiki ke hoʻohālikelike i nā hopena ma muli o nā ʻano protocol imaging a me nā ʻano maʻi ma waena o nā haʻawina ʻeono a lākou i loiloi ai.

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Me ka hoʻomohala ʻana o ka ʻenehana kiʻi lāʻau lapaʻau, puka mai nā hui he nui i hiki ke hoʻolako i nā huahana kiʻi, e like me nā injectors a me nā syringes.LnkMedʻenehana lapaʻau kekahi o lākou. Hāʻawi mākou i kahi kōpili piha o nā huahana diagnostic auxiliary:CT hoʻokahi injector，CT pālua poʻo injector,mea hoʻokomo MRIaDSA kiʻekiʻe puʻe injector. Hana maikaʻi lākou me nā hōʻailona CT/MRI scanner like ʻole me GE, Philips, Siemens. Ma waho aʻe o ka injector, hāʻawi pū mākou i ka syringe a me nā paipu i hoʻohana ʻia no nā ʻano like ʻole o ka injector me Medrad / Bayer, Mallinckrodt / Guerbet, Nemoto, Medtron, Ulrich.
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