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基于PI-RADS双参数MRI联合临床指标对前列腺癌诊断效能的研究

Research on the Diagnostic Efficacy of Prostate Cancer Based on PI-RADS Dual-Parameter MRI Combined with Clinical Indicators
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摘要 目的探究基于PI-RADS双参数MRI联合临床指标对前列腺癌的诊断效能。方法选取2022年6月—2025年6月在齐齐哈尔医学院附属第三医院接受前列腺穿刺或外科手术治疗的患者70例,依据病理检查结果分为两组,非前列腺癌组40例,前列腺癌组30例。统计分析两组bp-MRI评分、临床指标及bp-MRI评分联合临床指标对前列腺癌的诊断效能。结果前列腺癌组bp-MRI评分、TPSA、FPSA水平均高于非前列腺癌组(P<0.05),bp-MRI评分、bpMRI评分+TPSA、bp-MRI评分+FPSA对前列腺癌的AUC值高于TPSA、FPSA(P<0.05)。结论基于PI-RADS双参数MRI联合临床指标对前列腺癌诊断效能高。 Objective To explore the diagnostic effi cacy of PI-RADS dual-parameter MRI combined with clinical indicators for prostate cancer.Methods A total of 70 patients who underwent prostate puncture or surgical treatment in the Third Affi liated Hospital of Qiqihar Medical University from June 2022 to June 2025 were collected.Based on the diagnosis results of pathological examination,they were divided into two groups:40 cases in the non-prostate cancer group and 30 cases in the prostate cancer group.The diagnostic efficacy of the bp-MRI scores and clinical indicators of the two groups and the combination of bp-MRI scores and clinical indicators for prostate cancer was statistically analyzed.Results The bp-MRI score,TPSA and FPSA levels in the prostate cancer group were all higher than those in the non-prostate cancer group(P<0.05).The AUC of bp-MRI score,bp-MRI score+TPSA and bp-MRI score+FPSA for prostate cancer were all higher than those of TPSA and FPSA(P<0.05).Conclusion The combination of PI-RADS dual-parameter MRI and clinical indicators has a high diagnostic effi cacy for prostate cancer.
作者 丛明奇 李金森 张博 孟祥福 金淼 CONG Mingqi;LI Jinsen;ZHANG Bo;MENG Xiangfu;JIN Miao(Magnetic Resonance Department,The Third Affi liated Hospital of Qiqihar Medical University,Qiqihar Heilongjiang,161000,China;Magnetic Resonance Department,Baiquan County People's Hospital,Qiqihar Heilongjiang,161000,China;Urology Department,The Third Affi liated Hospital of Qiqihar Medical University,Qiqihar Heilongjiang,161000,China)
出处 《中华养生保健》 2025年第19期81-84,共4页 CHINESE HEALTH CARE
基金 齐齐哈尔市联合引导项目(LSFGG-2024032)。
关键词 前列腺癌 PI-RADS双参数MRI 临床指标 诊断效能 prostate cancer dual-parameter MRI based on PI-RADS clinical indicators diagnostic effi cacy
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