国际放射医学核医学杂志
國際放射醫學覈醫學雜誌
국제방사의학핵의학잡지
INTERNATIONAL JOURNAL OF RADIATION MEDICINE AND NUCLEAR MEDICINE
2015年
2期
124-128
,共5页
刘辰%杨悦%张雪宁%李小东
劉辰%楊悅%張雪寧%李小東
류신%양열%장설저%리소동
前列腺肿瘤%磁共振成像%Partin表%病理特征%受试者工作特征曲线
前列腺腫瘤%磁共振成像%Partin錶%病理特徵%受試者工作特徵麯線
전렬선종류%자공진성상%Partin표%병리특정%수시자공작특정곡선
Prostate neoplasms%Magnetic resonance imaging%Partin tables%Pathological features%Receiver operating characteristic curve
目的 比较MRI与1997年版Partin表对前列腺癌病理特征预测结果的准确性.方法 随机选取2012年1月至2014年2月51例前列腺癌患者并行根治性前列腺切除术,统计资料具备术前血清前列腺特异性抗原结果、临床分期、Gleason评分、盆腔MRI资料以及术后病理报告.分别将术前MRI及Partin表对前列腺癌器官局限性癌、包膜侵犯、精囊侵犯以及淋巴结转移4种病理特征的预测结果与术后病理结果进行比较,通过受试者工作特征曲线(ROC)分析法检验MRI与Partin表预测前列腺癌病理特征的准确性并进行比较.结果 应用Partin表预测器官局限性癌、包膜侵犯、精囊侵犯以及淋巴结转移4种病理特征的曲线下面积分别为0.911、0.742、0.827、0.899;应用MRI预测的曲线下面积分别为0.902、0.765、0.563、0.500.MRI与Partin表预测器官局限性癌和包膜侵犯的ROC曲线下面积差异无统计学意义(Z=0.071、0.020,P均＞0.05);预测精囊侵犯和淋巴结转移的ROC曲线下面积差异有统计学意义(Z=0.286、0.499,P均＜0.01).结论 Partin表预测前列腺癌4种病理特征具有临床诊断价值;MRI与Partin表预测前列腺癌器官局限性癌、包膜侵犯2种病理特征的准确性差异无统计学意义,Partin表预测精囊侵犯、淋巴结转移2种病理特征的准确性高于MRI.
目的 比較MRI與1997年版Partin錶對前列腺癌病理特徵預測結果的準確性.方法 隨機選取2012年1月至2014年2月51例前列腺癌患者併行根治性前列腺切除術,統計資料具備術前血清前列腺特異性抗原結果、臨床分期、Gleason評分、盆腔MRI資料以及術後病理報告.分彆將術前MRI及Partin錶對前列腺癌器官跼限性癌、包膜侵犯、精囊侵犯以及淋巴結轉移4種病理特徵的預測結果與術後病理結果進行比較,通過受試者工作特徵麯線(ROC)分析法檢驗MRI與Partin錶預測前列腺癌病理特徵的準確性併進行比較.結果 應用Partin錶預測器官跼限性癌、包膜侵犯、精囊侵犯以及淋巴結轉移4種病理特徵的麯線下麵積分彆為0.911、0.742、0.827、0.899;應用MRI預測的麯線下麵積分彆為0.902、0.765、0.563、0.500.MRI與Partin錶預測器官跼限性癌和包膜侵犯的ROC麯線下麵積差異無統計學意義(Z=0.071、0.020,P均＞0.05);預測精囊侵犯和淋巴結轉移的ROC麯線下麵積差異有統計學意義(Z=0.286、0.499,P均＜0.01).結論 Partin錶預測前列腺癌4種病理特徵具有臨床診斷價值;MRI與Partin錶預測前列腺癌器官跼限性癌、包膜侵犯2種病理特徵的準確性差異無統計學意義,Partin錶預測精囊侵犯、淋巴結轉移2種病理特徵的準確性高于MRI.
목적 비교MRI여1997년판Partin표대전렬선암병리특정예측결과적준학성.방법 수궤선취2012년1월지2014년2월51례전렬선암환자병행근치성전렬선절제술,통계자료구비술전혈청전렬선특이성항원결과、림상분기、Gleason평분、분강MRI자료이급술후병리보고.분별장술전MRI급Partin표대전렬선암기관국한성암、포막침범、정낭침범이급림파결전이4충병리특정적예측결과여술후병리결과진행비교,통과수시자공작특정곡선(ROC)분석법검험MRI여Partin표예측전렬선암병리특정적준학성병진행비교.결과 응용Partin표예측기관국한성암、포막침범、정낭침범이급림파결전이4충병리특정적곡선하면적분별위0.911、0.742、0.827、0.899;응용MRI예측적곡선하면적분별위0.902、0.765、0.563、0.500.MRI여Partin표예측기관국한성암화포막침범적ROC곡선하면적차이무통계학의의(Z=0.071、0.020,P균＞0.05);예측정낭침범화림파결전이적ROC곡선하면적차이유통계학의의(Z=0.286、0.499,P균＜0.01).결론 Partin표예측전렬선암4충병리특정구유림상진단개치;MRI여Partin표예측전렬선암기관국한성암、포막침범2충병리특정적준학성차이무통계학의의,Partin표예측정낭침범、림파결전이2충병리특정적준학성고우MRI.
Objective To compare the accuracies of MRI and 1997 edition of Partin tables in predicting the pathological features of prostate cancer.Methods A total of 51 patients with prostate carcinoma underwent radical prostatectomy from January 2012 to February 2014.Preoperative serum prostate specific antigen,clinical stage,biopsy Gleason score,percentage of positive biopsy scores,pelvic MRI,and pathological report of prostatectomy specimen were collected.Postoperative pathological results were compared with MRI results and Partin tables.Receiver operating characteristic curves were plotted to determine the accuracies of MRI and Partin tables in predicting the pathological features of prostate cancer.Results The areas under the curve(AUCs)of the Partin tables to predict organ-confined disease (OCD),established capsular penetration (ECP),seminal vesicle involvement (SVI),and lymph nodal involvement (LNI) were 0.911,0.742,0.827,and 0.899,respectively.The corresponding AUCs of MRI were 0.902,0.765,0.563,and 0.5.The AUCs of OCD and ECP did not significantly differ between MRI and Partin tables (Z=0.071 and 0.020,both P＞0.05).By contrast,the AUCs of SVI and LNI significantly differed between MRI and Partin tables (Z=0.286 and 0.499,both P＜0.01).Conclusions Partin tables exhibit a high clinical diagnostic value in the prediction of the pathological feature of prostate cancer.The accuracies of predicting OCD and ECP did not significantly differ between MRI and Partin tables.However,Partin tables were more accurate in predicting SVI and LNI than MRI.
