磁共振成像预测前列腺癌根治术后生化复发的研究进展  

Research progress of magnetic resonance imaging in predicting biochemical recurrence of prostate cancer after radical prostatectomy

作　　者：冯朝燕 张配配 闵祥德 FENG Zhaoyan;ZHANG Peipei;MIN Xiangde(Department of Radiology,Tongji Hospital,Tongji Medical College,Huazhong University of Science and Technology,Wuhan 430030,China)

机构地区：[1]华中科技大学同济医学院附属同济医院放射科,武汉430030

出　　处：《磁共振成像》2023年第5期186-190,202,共6页Chinese Journal of Magnetic Resonance Imaging

基　　金：国家自然科学基金(编号:81801668、82102028)。

摘　　要：前列腺癌是老年男性常见的恶性肿瘤之一,根治性前列腺切除术是局限性前列腺癌的主要治疗方式,目前预测根治术后生化复发的模型主要是依据一些临床和病理学指标,MRI具有优越的软组织分辨力和空间分辨力,且具有多序列、多参数以及分析技术(如人工智能),在评估前列腺癌根治术后生化复发方面已经进行了广泛的研究。本文拟对MRI在预测前列腺癌根治术后生化复发中的研究进行综述,分析现阶段MRI预测前列腺癌根治术后生化复发的优势与不足及未来发展方向,旨在为临床医师提供参考,从而改善前列腺癌患者的预后。Prostate cancer(PCa)is one of the most common malignant tumors in elderly men.Radical prostatectomy(RP)is the main treatment option of localized PCa.Some clinical and pathologic variables are used to predict probability of biochemical recurrence-free progression after RP.MRI,with its superior soft tissue resolution and spatial resolution,and multi-sequence,multi-parameter and analytical techniques(such as artificial intelligence),has been extensively studied in evaluating biochemical recurrence after RP.In this paper,we review the application of MRI in the predicting biochemical recurrence after RP,to analyze the advantages and shortcomings of MRI at this stage and the future development direction,hoping to provide references to clinicians and improve the prognosis of PCa patients.

关 键 词：前列腺癌 根治性前列腺切除术 生化复发 磁共振成像 多参数 预后 

分 类 号：R445.2[医药卫生—影像医学与核医学] R737.25[医药卫生—诊断学]