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确诊前列腺癌的金标准无疑是病理组织学检查,影像引导下的前列腺定向穿刺活检又是这当中最有效、最便捷的方式。而基于前列腺特异抗原(prostate specific antigen,PSA)筛查以及6分活检结果的前列腺癌诊断,已经由于其对低度肿瘤的过度诊断和对临床上有意义前列腺癌(格林森评分≥7)的诊断不足遭到批评。所以纵观国内外,影像引导已经增加到先用多参数MRI(multi-parametric magnetic resonance imaging,mpMRI)扫描检出病变组织再进行前列腺定向穿刺活检,包括,in-bornMRI引导,认知融合引导,以及MRI/TRUS融合引导下的活检。本文就一些影像引导下前列腺定向穿刺活检术的研究进展进行综述。
The gold standard for the diagnosis of prostate cancer is undoubtedly the pathological examination, guided by the prostate biopsy needle orientation is the most effective and the most convenient way. Prostate cancer diagnosis based on prostate specific antigen (PSA) screening and 6-point biopsy results has been attributed to its over-diagnosis of low-grade tumors and to clinically significant prostate cancer (Greenssen’s score ≥7) Poor diagnosis has been criticized. Therefore, at home and abroad, imaging guidance has been increased to the first use of multi-parametric magnetic resonance imaging (MRI) scan detection of diseased tissue and then prostate biopsy, including in-bornMRI guidance, cognitive fusion guidance, And biopsy guided by MRI / TRUS fusion. In this paper, some imaging-guided prostate biopsies are reviewed.