Ni ayahe mashusho afite akamaro kanini mugutahura ibinyabuzima bya Kanseri ya Prostate: PET / CT cyangwa mpMRI?

Dukurikije isesengura rya meta riherutse gukorwa, positron emission tomografiya / computing tomografiya (PET / CT) hamwe na magnetiki resonance yerekana amashusho (mpMRI) itanga igipimo gisa nacyo cyo gusuzuma kanseri ya prostate (PCa).

Abashakashatsi bagaragaje ko prostate yihariye ya antigen (PSMA) PET / CT yari ifite igipimo rusange cya 69% cyo kwandura kanseri ya prostate, ugereranije na 70% kuri mpMRI.

“Kuri [biohimiki isubira], inzira zombi zirakora. Ibisubizo byacu byerekana ko nta tandukaniro rinini rigaragara muri rusange DR (igipimo cyo gutahura) hagati yuburyo bubiri bwo gufata amashusho, kandi mpMRI irahenze cyane mugihe ikomeza DR imwe, "ibi ni ibyanditswe n’umwanditsi witwa L. Xu, ukorana n’ishuri rya Ubuvuzi. Kaminuza ya Hunan yubuvuzi gakondo bwabashinwa, Hunan, Ubushinwa na bagenzi be.

Kubisubiramo PCa yaho, abanditsi b'ubushakashatsi bavuze ko DR Kuri mpMRI yari hejuru ya 10% (62% na 52%). Abashakashatsi basanze kandi PSMA PET / CT yerekanye iterambere rya 18% muri DR Mugihe wasuzumye lymph node metastasis (50% na 32%). Abanditsi b'ubushakashatsi bavuze ko, ariko, nta na kimwe mu byagaragaye cyagaragaye mu mibare.

Abashakashatsi bemeza ko ibyiyumvo byinshi kandi byihariye bishobora guha PSMA PET / CT akarusho mu gutunganya PCa no kumenya ibikomere bito, ariko kandi bakemera ko kuboneka k'uburyo ari ikibazo. Ibice byinshi bya MRI birashobora gufasha mugupima aho byagarukiye ndetse na PCa ifite akamaro kanini, ariko abanditsi b'ubushakashatsi bemeza ko itandukanyirizo rya interobserver rishobora kuba ikibazo na mpMRI.

Nyamara, ibisubizo rusange byubushakashatsi bwakozwe byerekana ko ubwo buryo bwombi bufite uruhare mu gusuzuma PCa BCR, kandi bukerekana ubushakashatsi buzaza bushobora gutanga ibisobanuro birambuye muri urwo rwego.

Xu na bagenzi be bashimangiye ingaruka zikomeye z’ibyavuye mu bushakashatsi ku bikorwa by’ubuvuzi. Bagaragaje ko ubushobozi bwo kugereranya PSMA PET / CT na mpMRI bugereranya imikorere yuburyo bwombi mugushakisha BCR mubarwayi ba PCa. Icyakora, bashimangiye ko hakenewe ubundi bushakashatsi kugira ngo harebwe uburyo buhendutse, bworoshye, ndetse n’ibiciro bikoreshwa muri ubwo buryo bwo gufata amashusho.

Igihe baganiraga ku mbogamizi z’ubushakashatsi, abanditsi bemeje ko ingano ntoya y’abarwayi 290 yaturutse ku kwibanda ku gusesengura ubushakashatsi bugereranya bwo kumenya BCR mu matsinda amwe y’abarwayi. Bazamuye kandi amahirwe yo kubogama mubisubizo bitewe na protocole zitandukanye zerekana amashusho nibiranga abarwayi mubushakashatsi butandatu basuzumye.

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Hamwe niterambere ryiterambere rya tekinoroji yubuvuzi, hasohoka ibigo byinshi bishobora gutanga ibicuruzwa byerekana amashusho, nka inshinge na syring.LnkMedtekinoroji y'ubuvuzi ni imwe muri zo. Dutanga portfolio yuzuye y'ibicuruzwa bifasha gusuzuma:CT inshinge imwe，CT inshinge ebyiri,Injiza ya MRInaDSA inshinge nyinshi. Bakorana neza na marike atandukanye ya CT / MRI nka GE, Philips, Siemens. Usibye gutera inshinge, tunatanga siringe na tube ikoreshwa kubirango bitandukanye byatewe inshinge harimo Medrad / Bayer, Mallinckrodt / Guerbet, Nemoto, Medtron, Ulrich.
Ibikurikira nimbaraga zacu zingenzi: ibihe byo gutanga byihuse; Impamyabumenyi yuzuye yuzuye, imyaka myinshi yuburambe bwo kohereza hanze, inzira nziza yo kugenzura ubuziranenge, ibicuruzwa bikora neza, twakiriye neza ikibazo cyawe.