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PI-RADS v2.1联合ADC值对PSA灰区前列腺癌的诊断效能评估

SONG Jingjing, XIE Yao, GONG Zhigang,HUANG Yanwen, WANG Hui,TAN Wenli, WANG Song

Chinese Imaging Journal of Integrated Traditional and Western Medicine（2023）

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Abstract
目的:探讨前列腺影像报告和数据系统 2.1 版(PI-RADS v2.1)联合ADC值对前列腺特异性抗原(PSA)灰区前列腺癌的诊断价值.方法:回顾性收集 105 例PSA值在 4～10 μg/L前列腺病变患者的临床及影像资料.所有患者均行 3.0 T MRI检查,并于 8 周内经穿刺或手术得到病理结果,根据病理结果分为前列腺癌组(33 例)与非前列腺癌组(72 例).分析PI-RADS v2.1 联合ADC值对PSA灰区前列腺癌的诊断价值.结果:PI-RADS v2.1 联合ADC值诊断PSA灰区前列腺显著癌的AUC为 0.900,高于单独使用PI-RADS v2.1 的AUC(0.824),差异有统计学意义(P＜0.05).结论:PI-RADS v2.1 联合ADC值可提高对PSA灰区前列腺癌的临床诊断效能.
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Key words
Prostate neoplasms,Prostate Imaging Reporting and Data System,Apparent diffusion coefficient
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