CAJ | 학술논문

前列腺癌是世界上第二常见的男性恶性肿瘤,我国前列腺癌的发病率亦呈逐年上升趋势.MRI有着良好的软组织分辨率及多方位成像优势,能较好地显示前列腺的解剖结构及相邻的组织结构,随着MRI技术的不断发展,其对前列腺癌的诊断发挥着越来越重要的作用.该文从前列腺癌MRI常规序列的影像表现着手,对各种功能MRI在前列腺癌的诊断和鉴别诊断中的应用进行了详细地论述,如MR灌注加权成像、MR波谱、MR扩散加权成像、MR扩散张量成像、体素内不相干运动扩散加权成像、MR磁敏感加权成像等,介绍了功能MRI相对于常规扫描的优势及其所能提供的更多的影像学资料,通过系列半定量和定量数据,能进一步提供前列腺癌的血流灌注、水分子扩散、微循环状态、物质代谢及生化成分变化等信息.
전렬선암시세계상제이상견적남성악성종류,아국전렬선암적발병솔역정축년상승추세.MRI유착량호적연조직분변솔급다방위성상우세,능교호지현시전렬선적해부결구급상린적조직결구,수착MRI기술적불단발전,기대전렬선암적진단발휘착월래월중요적작용.해문종전렬선암MRI상규서렬적영상표현착수,대각충공능MRI재전렬선암적진단화감별진단중적응용진행료상세지논술,여MR관주가권성상、MR파보、MR확산가권성상、MR확산장량성상、체소내불상간운동확산가권성상、MR자민감가권성상등,개소료공능MRI상대우상규소묘적우세급기소능제공적경다적영상학자료,통과계렬반정량화정량수거,능진일보제공전렬선암적혈류관주、수분자확산、미순배상태、물질대사급생화성분변화등신식.
Prostate cancer is the second most common cancer in the world,and the incidence of prostate cancer in China shows an upward trend.MRI has high soft tissue resolution and mnulti-dimensional imaging advantages,and it can better show the anatomy of the prostate and adjacent tissue structures.With the development of MR technique,it plays a more and more important role in prostate cancer diagnosis.This review starts from the imaging performance of routine MRI sequence of prostate cancer,and a variety of functional MRI applications in the diagnosis and differential diagnosis of prostate cancer are described in detail,such as MR perfusion-weighted imaging,MR spectroscopy,MR diffusion-weighted imaging,MR diffusion tensor imaging,intravoxel incoherent motion diffusion-weighted imaging,MR susceptibility-weighted imaging.Meanwhile this review introduces that functional MRI has more advantages and can provide more image information than routine MRI sequence.According to a series of semi-quantitative and quantitative data,functional MRI can further provide the blood perfusion of prostate cancer,water molecule diffusion and microcirculation state,metabolism and biochemical composition change information.