Ndeipi Mifananidzo Inoshanda Zvikuru Pakuona Kudzoka kweKenza yeProstate muBiochemical: PET/CT kana mpMRI?

Zvichienderana nekuongorora kwakaitwa munguva pfupi yapfuura, positron emission tomography/computed tomography (PET/CT) uye multi-parameter magnetic resonance imaging (mpMRI) zvinopa mwero wakafanana wekuona kenza yeprostate (PCa) ichidzoka.

Vaongorori vakaona kuti prostate specific membrane antigen (PSMA) PET/CT yaive nehuwandu hwe69 muzana hwekuonekwa kwekenza yeprostate, zvichienzaniswa ne70 muzana ye mpMRI.

"Panyaya ye [biochemical relapse], nzira dzese dziri mbiri dzinoshanda. Zvatakawana zvinoratidza kuti hapana musiyano wakakura muDR yose (detection rate) pakati penzira mbiri dzekufungidzira, uye mpMRI inodhura zvishoma uku ichichengetedza DR imwe chete," akanyora kudaro L. Xu, munyori wekudzidza, akabatana neSchool of Medicine. Hunan University of Traditional Chinese Medicine, Hunan, China nevamwe vaanoshanda navo.

Pakudzokororwa kwePCa yemuno, vanyori vekudzidza vakataura kuti DR On mpMRI yaive yakakwira ne10% (62% vs. 52%). Vaongorori vakaonawo kuti PSMA PET/CT yakaratidza kuvandudzika ne18% muDR When diagnosing lymph node metastasis (50% uye 32%, zvichiteerana). Zvisinei, hapana chimwe chezvakawanikwa chaive chakakosha muhuwandu, vanyori vekudzidza vakadaro.

Vaongorori vanotenda kuti kunzwisiswa kwakanyanya uye kujeka kunogona kupa PSMA PET/CT mukana wekutarisa PCa uye kuona maronda madiki, asi vanobvumawo kuti kuwanikwa kwenzira iyi idambudziko. MRI yemhando dzakasiyana inogona kubatsira pakuongorora kudzoka kwechirwere munzvimbo iyoyo uye PCa yakakosha mukurapa, asi vanyori vechidzidzo ichi vanobvuma kuti kusiyana kwevanoona chirwere ichi kunogona kunge kuri dambudziko ne mpMRI.

Zvisinei, mhedzisiro yese yekuongorora kwemeta inoratidza kuti nzira dzese dziri mbiri dzine basa mukuongorora PCa BCR, uye dzinoratidza zvidzidzo zvemangwana zvinogona kupa kujeka kukuru panyaya iyi.

Xu nevamwe vake vakasimbisa kukosha kwemhedzisiro yechidzidzo ichi pakurapa. Vakaratidza kuti kugona kwakafanana kwekuongorora kwePSMA PET/CT ne mpMRI kunoratidza kushanda kwenzira dzese dziri mbiri pakuona BCR muvarwere vePCa. Zvisinei, vakasimbisa kudiwa kwekutsvaga kwakawedzerwa kuti vaongorore kuti nzira idzi dzekufungidzira dzinokwanisika here, dziri nyore kushandisa, uye dzinoshanda sei.

Pavaikurukura nezvemiganhu yechidzidzo ichi, vanyori vakabvuma kuti huwandu hudiki hwevarwere mazana maviri nemakumi mapfumbamwe hwakakonzerwa nekutarisisa kwavo kuongorora zvidzidzo zvekuenzanisa kuti vaone BCR mukati memapoka evarwere vamwe chete. Vakaratidzawo mukana wekuti pave nekusarura mumhedzisiro nekuda kwemaitiro akasiyana-siyana emifananidzo uye hunhu hwevarwere muzvidzidzo zvitanhatu zvavakaongorora.

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Nekuvandudzwa kwetekinoroji yemifananidzo yekurapa, kune makambani akawanda anogona kupa zvigadzirwa zvemifananidzo, zvakaita semajekiseni nemasirinji.LnkMedTekinoroji yezvekurapa ndeimwe yacho. Tinopa huwandu hwakazara hwezvigadzirwa zvekubatsira pakuongorora chirwere:jekiseni reCT rimwe chete，jekiseni reCT remusoro miviri,Jekiseni reMRIuyeJekiseni reDSA rinodzvanywa zvakanyanya. Dzinoshanda zvakanaka nemarudzi akasiyana-siyana eCT/MRI scanner akadai seGE, Philips, Siemens. Kunze kweinjector, tinopawo sirinji nechubhu zvinoshandiswa pamhando dzakasiyana dzeinjector dzinosanganisira Medrad/Bayer, Mallinckrodt/Guerbet, Nemoto, Medtron, Ulrich.
Izvi ndizvo zvatinogona kuita: nguva yekutumira nekukurumidza; Zvitupa zvakakwana, makore mazhinji eruzivo rwekutumira kunze kwenyika, maitiro ekuongorora emhando yepamusoro, zvigadzirwa zvinoshanda zvizere, tinogamuchira nemufaro mubvunzo wako.