Cancer UrologyCancer UrologyОнкоурология1726-97761996-1812Publishing House ABV Press22010.17650/1726-9776-2011-7-4-50-53PROSTATE CANCERРАК ПРЕДСТАТЕЛЬНОЙ ЖЕЛЕЗЫRESULTS OF PREOPERATIVE DETECTION OF LOCALLY ADVANCED PROSTATE CANCER IN PATIENTS UNDERGOING RADICAL PROSTATECTOMYРЕЗУЛЬТАТЫ ДООПЕРАЦИОННОГО ОПРЕДЕЛЕНИЯ МЕСТНОЙ РАСПРОСТРАНЕННОСТИ РАКА ПРЕДСТАТЕЛЬНОЙ ЖЕЛЕЗЫ С ПОМОЩЬЮ МАГНИТНО-РЕЗОНАНСНОЙ ТОМОГРАФИИ У ПАЦИЕНТОВ, КОТОРЫМ БЫЛА ВЫПОЛНЕНА РАДИКАЛЬНАЯ ПРОСТАТЭКТОМИЯShavladzeZ. N.ШавладзеЗ. Н.
Russian Federation
berez@mrrc.obninsk.ruBerezovskayaT. P.БерезовскаяТ. П.
Russian Federation
berez@mrrc.obninsk.ruPetrovaE. A.ПетроваЕ. А.
Russian Federation
berez@mrrc.obninsk.ruKaryakinO. B.КарякинО. Б.
Russian Federation
berez@mrrc.obninsk.ruNeledovD. V.НеледовД. В.
Russian Federation
berez@mrrc.obninsk.ruGorbanN. A.ГорбаньН. А.
Russian Federation
berez@mrrc.obninsk.ruKaryakinA. O.КарякинА. О.
Russian Federation
berez@mrrc.obninsk.ruMedical Radiology Research Center, Ministry of Health and Social Development of Russia, ObninskФГБУ МРНЦ Минздравсоцразвития России, Обнинск301220117450530208201402082014https://oncourology.abvpress.ru/oncur/article/view/220

The values of the diagnostic efficiency and consistency of preoperative evaluations of locally advanced prostate cancer (PC) by magnetic resonance imaging (MRI) with a matrix coil were estimated in 37 patients with PC who had undergone radical prostatectomy. The accuracy of differentiation of T3 and T2 stages in prospective and retrospective assessments was 59 and 73 %; the sensitivity was 7 and 40 %, and the specificity was 96 and 9 %, respectively; with the moderate consistency of evaluations.

Определены показатели диагностической эффективности и согласованности дооперационных оценок местной распространенности рака предстательной железы (РПЖ) с помощью магнитно-резонансной томографии с матричной катушкой у 37 больных РПЖ, которым была выполнена радикальная простатэктомия. Точность дифференциации Т3 и Т2 стадий при проспективнойи ретроспективной оценках составила 59 и 73 % , чувствительность 7 и 40 %, специфичность 96 и 96 % соответственно, при умеренной согласованности оценок.

prostate cancermagnetic resonance imagingstagingрак предстательной железымагнитно-резонансная томографиястадирование1. Воробьев Н.В., Алексеев Б.Я., Филимонов В.В., Землянский А.Ю. Комплексный анализ факторов прогноза у больных локализованным и местно-распространенным раком предстательной железы. Онкоурология 2009;1:56−63.Воробьев Н.В., Алексеев Б.Я., Филимонов В.В., Землянский А.Ю. Комплексный анализ факторов прогноза у больных локализованным и местно-распространенным раком предстательной железы. Онкоурология 2009;1:56−63.2. Partin A.W., Yoo J., Carter H.B. et al. The use of prostate specific antigen, clinical stage and Gleason score to predict pathological stage in men with localized prostate cancer. J Urol 1993;150:110–4.Partin A.W., Yoo J., Carter H.B. et al. The use of prostate specific antigen, clinical stage and Gleason score to predict pathological stage in men with localized prostate cancer. J Urol 1993;150:110–4.3. Koh H., Kattan M.W., Scardino P.T. et al. A nomogram to predict seminal vesicle invasion by the extent and location of cancer in systematic biopsy results. J Urol 2003; 170:1203−8.Koh H., Kattan M.W., Scardino P.T. et al. A nomogram to predict seminal vesicle invasion by the extent and location of cancer in systematic biopsy results. J Urol 2003; 170:1203−8.4. Mukamel E., Hanna J., deKernion J.B. Pitfalls in preoperative staging in prostate cancer. Urology 1987;30:318−21.Mukamel E., Hanna J., deKernion J.B. Pitfalls in preoperative staging in prostate cancer. Urology 1987;30:318−21.5. Dickinson L., Ahmed H.U., Allen C. et al. Magnetic resonance imaging for detection, localization and characterization of prostate cancer: Recommendations from a European consensus Meeting. Eur Urol 2011;59: 477−94.Dickinson L., Ahmed H.U., Allen C. et al. Magnetic resonance imaging for detection, localization and characterization of prostate cancer: Recommendations from a European consensus Meeting. Eur Urol 2011;59: 477−94.6. Renard-Penna R., Rouprêt M., Comperat E. et al. Accuracy of high resolution (1.5 tesla) pelvic phased array magnetic resonance imaging (MRI) in staging prostate cancer in candidates for radical prostatectomy: Results from a prospective study. Urol Oncol [Epub. ahead of print 2011 Jul 18 2011 http://www.ncbi.nlm.nih.gov/pubmed/21775172]Renard-Penna R., Rouprêt M., Comperat E. et al. Accuracy of high resolution (1.5 tesla) pelvic phased array magnetic resonance imaging (MRI) in staging prostate cancer in candidates for radical prostatectomy: Results from a prospective study. Urol Oncol [Epub. ahead of print 2011 Jul 18 2011 http://www.ncbi.nlm.nih.gov/pubmed/21775172]7. Borre M., Lundorf E., Marcussen N. et al. Phased array magnetic resonance imaging for staging clinically localized prostate cancer. Acta Oncol 2005;44(6):589−92.Borre M., Lundorf E., Marcussen N. et al. Phased array magnetic resonance imaging for staging clinically localized prostate cancer. Acta Oncol 2005;44(6):589−92.8. Soulié M., Aziza R., Escourrou G. et al. Assessment of the risk of positive surgical margins with pelvic phased-array magnetic resonance imaging in patients with clinically localized prostate cancer: a prospective study. Urology 2001; 58(2):228−32. 9. www.biometrica.tomsk.ru/freq2.htm.Soulié M., Aziza R., Escourrou G. et al. Assessment of the risk of positive surgical margins with pelvic phased-array magnetic resonance imaging in patients with clinically localized prostate cancer: a prospective study. Urology 2001; 58(2):228−32. 9. www.biometrica.tomsk.ru/freq2.htm.10. Петри А., Сэбли К. Наглядная статистика в медицине. Пер. с англ. В.П. Леонова. М: ГЭОТАР-Мед, 2003; с. 96−8.Петри А., Сэбли К. Наглядная статистика в медицине. Пер. с англ. В.П. Леонова. М: ГЭОТАР-Мед, 2003; с. 96−8.11. Engelbrecht R.M., Jager G.J., Laheij R.J. et al. Local staging of prostste cancer using magnetic resonance imaging: a meta-analis. Eur Rad 2002;12:2294−302.Engelbrecht R.M., Jager G.J., Laheij R.J. et al. Local staging of prostste cancer using magnetic resonance imaging: a meta-analis. Eur Rad 2002;12:2294−302.12. Yu K.K., Hricak H., Alagappan R. et al. Detection of extracapsular extension of prostate carcinoma with endorectal and phased-array coil MR imaging: Multivariate feature analysis. Radiology 1997;202:697−702.Yu K.K., Hricak H., Alagappan R. et al. Detection of extracapsular extension of prostate carcinoma with endorectal and phased-array coil MR imaging: Multivariate feature analysis. Radiology 1997;202:697−702.13. Kwek J., Thvg C.H., Tan P.H. et al. Phased-array magnetic resonance imaging of the prostate with correlation to radical prostatectomy specimens: local experience Asian J Surg 2004;27(3):219−24.Kwek J., Thvg C.H., Tan P.H. et al. Phased-array magnetic resonance imaging of the prostate with correlation to radical prostatectomy specimens: local experience Asian J Surg 2004;27(3):219−24.14. Kim B., Breau R.H., Papadatos D. et al. Diagnostic accuracy of surface coil magnetic resonance imaging at 1.5T for local staging of elevated risk prostate cancer. CUAJ 2010; 4(4):257−62.Kim B., Breau R.H., Papadatos D. et al. Diagnostic accuracy of surface coil magnetic resonance imaging at 1.5T for local staging of elevated risk prostate cancer. CUAJ 2010; 4(4):257−62.15. Zhang J., Loughlin K.R., Zou K.H. et al. The role of endorectal coil MRI in the management of patients with prostate cancer and in determining radical prostatectomy surgical margin status: a report of single surgeon’s practice. Urology 2007; 69(6):1134−7.Zhang J., Loughlin K.R., Zou K.H. et al. The role of endorectal coil MRI in the management of patients with prostate cancer and in determining radical prostatectomy surgical margin status: a report of single surgeon’s practice. Urology 2007; 69(6):1134−7.16. Langlotz C.P., Schnall M.D., Malkowicz S.B., Schwartz J.S. Costeffectiveness of endorectal magnetic resonance imaging for the staging of prostate cancer. Acad Radiol 1996; 3(Suppl 1):24−7.Langlotz C.P., Schnall M.D., Malkowicz S.B., Schwartz J.S. Costeffectiveness of endorectal magnetic resonance imaging for the staging of prostate cancer. Acad Radiol 1996; 3(Suppl 1):24−7.17. Heidenreich A., Aus G., Bolla M. et al. EAU guidelines on prostate cancer. Eur Urol 2008;53:68−80.Heidenreich A., Aus G., Bolla M. et al. EAU guidelines on prostate cancer. Eur Urol 2008;53:68−80.18. Ruprecht O., Weisser P., Bodelle B. et al. MRI of prostate: Interobserver agreement compared with histopathologic outcome after radical proatatectomy. Eur J Radiol [Epub. ahead print 2011 26 Feb http://www.ncbi.nlm. nih.gov/pubmed/21354732].Ruprecht O., Weisser P., Bodelle B. et al. MRI of prostate: Interobserver agreement compared with histopathologic outcome after radical proatatectomy. Eur J Radiol [Epub. ahead print 2011 26 Feb http://www.ncbi.nlm. nih.gov/pubmed/21354732].