Ko tēhea Whakaahua e Whai Hua Ana mō te Kite i te Hokinga Mai o te Matepukupuku Repeure: PET/CT, mpMRI rānei?

E ai ki tētahi tātaritanga whānui tata nei, he rite tonu te tere o te kitenga o te positron emission tomography/computed tomography (PET/CT) me te multi-parameter magnetic resonance imaging (mpMRI) ki te tautuhi i te hokinga mai o te mate pukupuku prostate (PCa).

I kitea e ngā kairangahau ko te auau kitenga whānui o te mate pukupuku repeure i roto i te prostate specific membrane antigen (PSMA) PET/CT he 69 ōrau, ki te whakaritea ki te 70 ōrau mō te mpMRI.

"Mō te [reanga anō o te mate koiora], e mahi ana ngā huarahi e rua. E whakaatu ana ā mātou hua kāore he rerekētanga nui i roto i te DR whānui (tere kitenga) i waenga i ngā momo whakaahua e rua, ā, he pai ake te utu o te mpMRI me te pupuri tonu i te DR kotahi," te tuhituhi a te kaituhi tahi o te rangahau a L. Xu, he hononga ki te Kura Rongoā. Te Whare Wānanga o Hunan mō te Rongoā Hainamana Tuku Iho, Hunan, Haina me ōna hoa mahi.

Mō te hokinga mai o te PCa ā-rohe, i kī ngā kaituhi o te rangahau he 10% teitei ake te DR i runga i te mpMRI (62% vs. 52%). I kitea anō hoki e ngā kairangahau he 18% te whakapainga o te DR i roto i te PSMA PET/CT i te wā e tātaritanga ana i te metastasis o ngā kōpū lymph (50% me te 32%, ia). Heoi, kāore tetahi o ngā kitenga i whai tikanga ā-tatauranga, e ai ki ngā kaituhi o te rangahau.

E whakapono ana ngā kairangahau mā te tairongo me te motuhaketanga teitei ka whai hua pea te PSMA PET/CT ki te whakatau i te PCa me te kimi i ngā whara iti ake, engari e whakaae ana hoki he take te wātea o te tikanga. Tērā pea he āwhina te MRI maha-tawhā ki te tautuhi i te hokinga mai o te mate ā-rohe me te PCa nui haumanu, engari e whakaae ana ngā kaituhi o te rangahau he take pea te rerekētanga o ngā kaimātakitaki ki te mpMRI.

Heoi, ko ngā hua whānui o te tātaritanga-maha e whakaatu ana he wāhi tō ngā huarahi e rua ki te tautuhi i te PCa BCR, ā, e tohu ana ki ngā rangahau ā-mua ka taea te whakarato i te māramatanga ake mō tēnei mea.

I whakanuia e Xu mā te hunga mahi te pānga nui o ngā hua o te rangahau ki ngā mahi haumanu. I tohu rātou ko ngā āheinga tātaritanga rite o te PSMA PET/CT me te mpMRI e whakaatu ana i te whai huatanga o ngā tikanga e rua ki te kimi i te BCR i roto i ngā tūroro PCa. Heoi, i whakanuia e rātou te hiahia mō ētahi atu rangahau hei aromatawai i te utu whaitake, te wātea, me te whai huatanga o ēnei tikanga whakaahua.

I te matapakinga o ngā herenga o te rangahau, i whakaae ngā kaituhi ko te iti o te tauira o ngā tūroro 290 he hua nō tā rātou arotahi ki te tātari i ngā rangahau whakatairite mō te kimi i te BCR i roto i ngā rōpū tūroro kotahi. I whakaarahia anō hoki e rātou te tūponotanga o te whakaaro pāhekoheko i roto i ngā hua nā te rerekētanga o ngā kawa whakaahua me ngā āhuatanga o te tūroro puta noa i ngā rangahau e ono i arotakehia e rātou.

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I te whanaketanga o te hangarau whakaahua hauora, kua puta mai he maha ngā kamupene e taea ana te tuku hua whakaahua, pērā i ngā werohanga me ngā ngira.LnkMedKo te hangarau hauora tētahi o ēnei. E whakarato ana mātou i tētahi kohinga katoa o ngā hua tātaritanga āwhina:Pūwero kotahi CT，Pūwero upoko rua CT,Werohanga MRImeDSA werohanga pēhanga teiteiHe pai te mahi tahi me ngā momo waitohu matawai CT/MRI pērā i a GE, Philips, Siemens. Haunga te werowero, ka tukuna atu hoki e mātou te werowero me te ngongo hei whakamahi mā ngā momo waitohu werowero pērā i a Medrad/Bayer, Mallinckrodt/Guerbet, Nemoto, Medtron, Ulrich.
Ko ngā kaha matua e whai ake nei: ngā wā tuku tere; Ngā tohu tiwhikete katoa, he maha ngā tau o te wheako kaweake, he tukanga tirotiro kounga tino tika, he hua tino mahi, ka mihi nui ki a koe mō tāu patai.