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Прошлое, настоящее и будущее магнитно-резонансной томографии рака предстательной железы

https://doi.org/10.17650/1726-9776-2021-17-1-142-152

Полный текст:

Аннотация

Спустя почти 40 лет с момента выполнения первой магнитно-резонансной томографии (МРТ) предстательной железы появились значительные технические улучшения: динамическое контрастное усиление, диффузионно-взвешенное изображение и спектроскопия. Также с появлением высокопольных магнитов и фазированных катушек резко улучшилось качество изображений. Эти улучшения привели к повышению точности выявления клинически значимого рака предстательной железы (РПЖ) и ранних рецидивов, облегчая составление плана лечения пациента. В исследованиях PROMIS (the Patient-Reported Outcome Measurement Information System) 2017 г. и PRECISION (Prostate Evaluation for Clinically Important Disease: Sampling Using Image Guidance or Not) 2018 г. продемонстрировано, что МРТ играет важную роль в выявлении клинически значимого РПЖ и уменьшении гипердиагностики клинически незначимого РПЖ. В большом количестве опубликованных научных исследований оценки эффективности МРТ в диагностике РПЖ (определения локализации, стадирования злокачественного процесса) сообщается о различных результатах. Это обусловлено гетерогенностью протоколов исследований и различными аспектами выполнения МРТ. Цель публикации — оценить эффективность МРТ в диагностике РПЖ от начала ее применения до сегодняшнего дня и осветить перспективы будущего.

Об авторах

Д. А. Гончарук
Российская медицинская академия непрерывного профессионального образования Минздрава России; Городская клиническая больница им. С.П. Боткина Департамента здравоохранения г. Москвы
Россия

Гончарук Дмитрий Александрович - старший лаборант кафедры урологии и хирургической андрологии РМАНПО

125993 Москва, ул. Баррикадная, 2/1, стр. 1; 125284 Москва, 2-й Боткинский проезд, 5.


Конфликт интересов:

Нет конфликта интересов



Е. И. Велиев
Российская медицинская академия непрерывного профессионального образования Минздрава России; Городская клиническая больница им. С.П. Боткина Департамента здравоохранения г. Москвы
Россия

Велиев Евгений Ибадович – доктор медицинских наук, профессор кафедры урологии и хирургической андрологии РМАНПО; заведующий 14 урологическим отделением ГКБ им. С.П. Боткина.

125993 Москва, ул. Баррикадная, 2/1, стр. 1; 125284 Москва, 2-й Боткинский проезд, 5.


Конфликт интересов:

Нет конфликта интересов



А. И. Михайлов
Российская медицинская академия непрерывного профессионального образования Минздрава России; Городская клиническая больница им. С.П. Боткина Департамента здравоохранения г. Москвы
Россия

125993 Москва, ул. Баррикадная, 2/1, стр. 1; 125284 Москва, 2-й Боткинский проезд, 5.


Конфликт интересов:

Нет конфликта интересов



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Для цитирования:


Гончарук Д.А., Велиев Е.И., Михайлов А.И. Прошлое, настоящее и будущее магнитно-резонансной томографии рака предстательной железы. Онкоурология. 2021;17(1):142-152. https://doi.org/10.17650/1726-9776-2021-17-1-142-152

For citation:


Goncharuk D.A., Veliev E.I., Mikhaylov A.I. Past, present and future magnetic resonance diagnosis of prostate cancer. Cancer Urology. 2021;17(1):142-152. (In Russ.) https://doi.org/10.17650/1726-9776-2021-17-1-142-152

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ISSN 1726-9776 (Print)
ISSN 1996-1812 (Online)
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