首页> 美国卫生研究院文献>Canadian Urological Association Journal >Multiparametric magnetic resonance imaging of the prostate at 1.5-Tesla without endorectal coil: Can it be used to detect clinically significant prostate cancer in men with medical devices that are contraindicated at 3-Tesla?
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Multiparametric magnetic resonance imaging of the prostate at 1.5-Tesla without endorectal coil: Can it be used to detect clinically significant prostate cancer in men with medical devices that are contraindicated at 3-Tesla?

机译:在没有胸内线圈的1.5-tesla的前列腺的多射磁共振成像:它可以用来检测男性的临床显着的前列腺癌在3-tesla禁忌的医疗装置中吗?

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摘要

Multiparametric magnetic resonance imaging (mpMRI) is accurate for detection of clinically significant (International Society of Urogenital Pathology [ISUP] grade group ≥2) prostate cancer (CS-PCa).1 Imaging quality is crucial for accurate mpMRI and should be compliant with Prostate Imaging and Data Reporting System (PI-RADS) specifications. 2,3 mpMRI can be performed without endorectal coil (ERC) at 3-Tesla (T),4,5 which improves patient tolerance, ease of use, and imaging artifact.5 A 1.5T mpMRI without ERC is more controversial. PI-RADS version 2 suggests imaging at 3T should be performed over 1.5T whenever possible and ERC may be indispensable at 1.5T;2 however, it is acknowledged that credible results have been obtained at 1.5T without ERC.6 There remains a subset of men in whom 3T imaging is contraindicated and where 1.5T imaging is required, namely those with uncleared (MRI-unsafe) medical devices for 3T. At institutions such as our own, that now perform mpMRI exclusively without ERC at 3T, accessibility and experience with ERC for 1.5T mpMRI is limited. This study evaluates the accuracy for detecting CS-PCa using 1.5T mpMRI without ERC in men with uncleared medical devices for 3T.
机译:Multiparametric磁共振成像(MPMRI)准确用于检测临床显着(国际泌尿生殖病病理学学会[ISUP]≥2)前列腺癌(CS-PCA).1成像质量对于准确的MPMRI至关重要,应符合前列腺成像和数据报告系统(PI-RADS)规格。在3-Tesla(T)的情况下,可以在没有抵抗线圈(ERC)的情况下进行2,3个MPMRI,4,5改善患者耐受性,易用性和成像Artifact.5 A.5T的MPMRI而没有ERC更具争议。 PI-RADS版本2建议在3T时的成像应每当尽可能超过1.5T时进行,并且ERC可能在1.5T处是必不可少的;然而,确认在1.5T中获得了可信的结果,没有ERC.6仍有一个子集.6 3T成像被禁止的男性,需要1.5T成像,即3T的未清除(MRI-UNSAWE)医疗设备的人。在我们自己的机构中,现在在3T的3T,ERC的可访问性和经验中仅在没有ERC的情况下执行MPMRI,但是1.5T MPMRI有限。本研究评估了使用1.5T MPMRI检测CS-PCA的准确性,在没有ERC的男性中使用未清除的医疗器械进行3T。

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