MAGNETIC-RESONANCE-IMAGING FOR THE DIAGNOSIS OF PROSTATE-CANCER METASTATIC TO BONE

MAGNETIC-RESONANCE-IMAGING FOR THE DIAGNOSIS OF PROSTATE-CANCER METASTATIC TO BONE
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DOI:
10.1111/j.1464-410x.1995.tb07232.x
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发表时间:
1995-01-01
期刊:
BRITISH JOURNAL OF UROLOGY
影响因子:
--
通讯作者:
MIZUNO, H
MIZUNO, H
中科院分区:
其他
文献类型:
--
作者:
FUJII, Y;HIGASHI, Y;MIZUNO, H

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目的 探讨磁共振成像 (MRI) 在评估前列腺癌骨转移中的作用。 患者和方法 对 36 例已知患有前列腺癌的患者进行了一系列研究,这些患者正在接受 MRI 和同位素骨扫描。 结果 在 19 例阳性骨扫描中,其中 1 例 MRI 读取为转移阴性。在 8 次模棱两可的扫描中,2 幅 MR 图像被解释为阳性,6 幅被解释为阴性。在 9 次阴性扫描中,1 次 MRI 呈阳性。进一步的 MRI 显示有 6 名患者存在骨闪烁扫描未显示的其他转移性病变。 MRI 清楚地显示了 5 例脊柱转移瘤和相关脊髓病患者的脊髓受压区域。结论 MRI 有助于诊断转移性前列腺癌,特别是当其他影像学检查无法得出结论或怀疑脊髓受压时。
Objective To examine the role of magnetic resonance imaging (MRI) in the evaluation of osseous metastasis in patients with prostate cancer.Patients and methods A series of 36 patients with known prostate cancer, who were undergoing MRI and an isotope bone scan, were studied.Results Of 19 positive bone scans, MRI was read as negative for metastasis in one. Of eight equivocal scans, two MR images were interpreted as positive and six as negative. Of nine negative scans MRI was positive in one. Further MRI demonstrated additional metastatic lesions that were not shown by bone scintigraphy in six patients. MRI clearly indicated the areas of spinal cord compression in five patients with spinal metastases and associated myelopathy.Conclusion MRI is helpful in the diagnosis of metastatic prostate cancer, especially when other radiographic examinations are inconclusive or spinal cord compression is suspected.