MR imaging of prostate cancer present limitations

MR imaging of prostate cancer present limitations

ID:37945734

大小:1.30 MB

頁數(shù):34頁

時間:2019-06-03

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1、CASEPRESENTATIONANDMINI-REVIEWMRImagingofProstateCancer:PresentLimitationsandFutureDirectionsDavidA.BoyajianHMS4,GillianB.LiebermanM.D.Thursday,18September2003BethIsraelDeaconessMedicalCenterDavidA.BoyajianHMS4GillianB.LiebermanM.D.Prostate:Functionlargestaccessoryglandofmalerep

2、roductivesystemproducesathin,milky,slightlyalkalinefluidthatprovidesapproximately20%ofthevolumeofsemenprostaticfluidaidsinmotilityandfertilityofsperm2DavidA.BoyajianHMS4GillianB.LiebermanM.D.Prostate:RelationalAnatomysagitalcoronalfrom:http://www.types-of-incontinence.comfrom:ht

3、tp://images.webmd.com3DavidA.BoyajianHMS4GillianB.LiebermanM.D.Prostate:InherentAnatomytwo-thirdsglandular,one-thirdfibromuscularhasadense,fibrouscapsulethatissurroundedbyafibrousprostaticsheath,whichiscontinuouswiththepuboprostaticligamentscoronalobliqueaxialImagesfrom:http://m

4、edocs.ucdavis.eduisdividedbyurologistsandradiologistsintozonalanatomy,althoughlobaranatomyismorecommonlydescribed.4DavidA.BoyajianHMS4GillianB.LiebermanM.D.ProstateCancer190,000newcasesperyearintheUSearlieridentificationmaypresentanopportunityformoreeffectivetreatment,but…h(huán)ugera

5、ngeofbiologicalmalignancylackofaccurateprognostics:currenttoolsincludeDRE,serumPSA,histologicalgrading(Gleasonscore),biopsy,stagingschemata,andimagingtechniques5DavidA.BoyajianHMS4GillianB.LiebermanM.D.ProstateCancerGrading:performedatbiopsythesumofdominantandsecondaryGleasongra

6、depatternscorrelateslooselywithclinicaloutcomefrom:http://www.rmg.md6DavidA.BoyajianHMS4GillianB.LiebermanM.D.ProstateCancerStaging:theTNMandtheWhitmore-Jewettsystemshavebeenusedwidelymodifiedtoincorporateresultsofimagingstudies(US,MR)manygroupsarenowusingmultiplexstagingmodelst

7、hevaluetoprognosisandtreatmentrecommendationsremainscontroversial.from:Dillioglugiletal,EuropeanUrology28(2):85-101,1995.7DavidA.BoyajianHMS4GillianB.LiebermanM.D.PatientPresentation49y.o.CaucasianmaleingoodhealthPSAvaluesatannualphysicalexam:Dec20002.1μg/LDec20012.3μg/LJuly2002

8、1.8μg/LJuly20035.4μg/LTRUS-guidedbiopsyinJuly20

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