Prostate cancer diagnosis: Present and future

被引:1
作者
Baseilhac, P. [1 ]
Rouviere, O. [1 ,2 ,3 ,4 ]
机构
[1] Hop Edouard Herriot, Serv Imageire, Hosp Civils Lyon, Lyon, France
[2] Univ Lyon 1, Lyon, France
[3] Inserm U1032, LabTau, Lyon, France
[4] Hop Edouard Herriot, Serv Imagerie, Pavillon B,5 Pl Arsonval, F-69003 Lyon, France
来源
MEDECINE NUCLEAIRE-IMAGERIE FONCTIONNELLE ET METABOLIQUE | 2023年 / 47卷 / 05期
关键词
Prostate cancer; Magnetic Resonance Imaging; Diagnostic; Classifications; SIOG GUIDELINES; LOCAL TREATMENT; DATA SYSTEM; ANTIGEN; BIOPSY; OVERDIAGNOSIS; MORTALITY; MRI; MEN; PERFORMANCE;
D O I
10.1016/j.mednuc.2023.07.006
中图分类号
R36 [病理学];
学科分类号
100104 ;
摘要
MRI has become a central element in prostate cancer diagnosis because it can improve the detection of aggressive tumours by guiding biopsies. It is also increasingly used, in conjunction with PSA density, to select patients for biopsies. Systematic sextant biopsies, which are still recommended in addition to targeted biopsies, could gradually disappear and be replaced by more extensive sampling of MRI targets and their surroundings (peri-lesional biopsies). Organized prostate cancer screening, which is not currently recommended, could be proposed in the future if it can be shown that MRI, in combination with PSA and other simple biomarkers, can maintain good detection of aggressive cancers while limiting overdiagnosis of indolent forms.(c) 2023 Elsevier Masson SAS. All rights reserved.
引用
收藏
页码:233 / 240
页数:8
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