[1]马宏 侯惠民 吴鹏杰 王淼 张耀光 万奔 刘明**.快速现场评估在前列腺穿刺活检中的应用价值[J].中国微创外科杂志,2023,01(9):648-651.
　Ma Hong,Hou Huimin,Wu Pengjie,et al.On Application Value of Rapid Onsite Evaluation in Biopsy of Prostate[J].Chinese Journal of Minimally Invasive Surgery,2023,01(9):648-651.
点击复制

快速现场评估在前列腺穿刺活检中的应用价值()
分享到：

《中国微创外科杂志》[ISSN:1009-6604/CN:11-4526/R]

卷:
01
期数:
2023年9期
页码:
648-651
栏目:
临床研究
出版日期:
2023-09-25

文章信息/Info

Title:
On Application Value of Rapid Onsite Evaluation in Biopsy of Prostate
作者:
马宏 侯惠民 吴鹏杰 王淼 张耀光 万奔 刘明**
(北京医院泌尿外科国家老年医学中心中国医学科学院老年医学研究院，北京100730)
Author(s):
Ma Hong;  Hou Huimin;  Wu Pengjie;  et al.
Department of Urology, Beijing Hospital, National Center of Gerontology, Institute of Geriatric Medicine of Chinese Academy of Medical Sciences, Beijing 100730, China
关键词:
快速现场评估;  前列腺穿刺;  前列腺癌
Keywords:
Rapid onsite evaluation; Prostate puncture; Prostate cancer
文献标志码:
A
摘要:
目的探讨快速现场评估(rapid onsite evaluation，ROSE)在前列腺穿刺活检中的应用价值。方法回顾性分析2020年10月~2021年6月47例MRI可疑前列腺癌行MRI-超声融合穿刺同期行ROSE检测的资料。术前均行多参数磁共振(multiparametric magnetic resonance imaging，mpMRI)检查，存在前列腺成像报告和数据系统(Prostate ImagingReporting and Data System，PIRADS)评分4~5分位点110个。均行MRI-超声融合穿刺，每个位点除标准穿刺外额外穿刺2针进行ROSE检测。结果47例穿刺过程顺利，术后无严重并发症发生。共进行110个PIRADS 4~5分位点穿刺，病理诊断前列腺癌位点53个，阳性检出率48.2％(53/110)。110个位点均进行ROSE检测，以穿刺标本石蜡病理为金标准，ROSE检测前列腺癌的敏感性67.9％(36/53)，特异性100％(57/57)，准确率84.5％(93/110)，阳性预测值100%(36/36)，阴性预测值77.0%(57/74)。结论ROSE技术运用于前列腺穿刺术中诊断，结果准确可靠，特异性和阳性预测值达100%。
Abstract:
ObjectiveTo evaluate the application value of rapid onsite evaluation (ROSE) applied in the biopsy for diagnosis of prostate cancer.MethodsClinical data of 47 patients with suspected prostate cancer by MRI and targeted MRIultrasound combined puncture with simultaneous ROSE diagnosis in our hospital from October 2020 to June 2021 were analyzed retrospectively. All the patients underwent multiparametric magnetic resonance imaging (mpMRI) examination before operation. There were 110 points with the Prostate ImagingReporting and Data System (PIRADS) score of 4-5. MRIultrasound combined puncture was given in all the patients. In addition to standard puncture, 2 needles were punctured at each point for ROSE detection. ResultsAll the 47 patients successfully completed the puncture, and there were no serious complications after operation. All the 110 loci with PIRADS score of 4-5 were given ROSE diagnosis. Using paraffin pathology of puncture specimens as the gold standard, the ROSE diagnosis of prostate cancer showed a sensitivity of 67.9% (36/53), a specificity of 100% (57/57), an accuracy of 84.5% (93/110), a positive predictive value of 100% (36/36), and a negative predictive value of 77.0% (57/74).ConclusionThe application of ROSE in the biopsy for diagnosis of prostate cancer is simple, accurate, and reliable, with the specificity and positive predictive value reaching 100%.

参考文献/References:

[1]李汉忠,董德鑫.前列腺癌热点研究与前景展望.中华外科杂志，2015，53(4)：253-256.
[2]郑荣寿,张思维,孙可欣,等.2016年中国恶性肿瘤流行情况分析.中华肿瘤杂志,2023,45(3):212-220.
[3]Vargas HA,Htker AM,Goldman DA,et al.Updated prostate imaging reporting and data system (PIRADS v2) recommendations for the detection of clinically significant prostate cancer using multiparametric MRI:critical evaluation using wholemount pathology as standard of reference.Eur Radiol,2016,26(6):1606-1612.
[4]罗南,张凯,李鸿波,等.不同专业影像医生采用PIRADS评分诊断有临床意义前列腺癌的差异性研究.中华泌尿外科杂志,2018,39(12):922-925.
[5]杨飞亚，李亚健，韩苏军，等.前列腺癌术前免穿刺临床应用初步探讨.中华医学杂志,2020,100(34):2658-2662.
[6]Yarmus L,Van der Kloot T,Lechtzin N,et al.A randomized prospective trial of the utility of rapid onsite evaluation of transbronchial needle aspirates specimens.J Bronchol Interv Pulmonol,2011,18(2):121-127.
[7]Westerman ME,Sharma V,Bailey GC,et al.Impact of time from biopsy to surgery on complications,functional and oncologic outcomes following radical prostatectomy.Int Braz J Urol,2019,45(3):468-477.
[8]Wysock JS,Mendhiratta N,Zattoni F,et al.Predictive value of negative 3T multiparametric magnetic resonance imaging of the prostate on 12core biopsy results.BJU Int,2016,118(4):515-520.
[9]Pokorny MR,de Rooij M,Duncan E,et al.Prospective study of diagnostic accuracy comparing prostate cancer detection by transrectal ultrasoundguided biopsy versus magnetic resonance (MR) imaging with subsequent MRguided biopsy in men without previous prostate biopsies.Eur Urol,2014,66(1):22-29.
[10]王立鹏，阳青松，张威，等.多参数磁共振成像在前列腺癌中的诊断价值.第二军医大学学报，2019,40(11):1236-1241.
[11]黄琦,柯志滨,许宁,等.基于PSMA PET影像融合穿刺在前列腺癌诊断中的应用.中华泌尿外科杂志,2022,43(4):317-320.
[12]Ravaioli S,Bravaccini S,Tumedei MM,et al.Easily detectable cytomorphological features to evaluate during ROSE for rapid lung cancer diagnosis:from cytology to histology.Oncotarget,2017,8(7):11199-11205.
[13]Oki M,Saka H,Kitagawa C,et al.Rapid onsite cytologic evaluation during endobronchial ultrasoundguided transbronchial needle aspiration for diagnosing lung cancer:a randomized study.Respiration,2013,85(6):486-492.
[14]Muri R,Trippel M,Borner U,et al.The impact of rapid onsite evaluation (ROSE) on the quality and diagnostic value of thyroid nodule fineneedle aspirations.Thyroid,2022,32(6):667-674.
[15]Nebel JA,Soldan M,Dumonceau JM,et al.Rapid onsite evaluation by endosonographer of endoscopic ultrasound fineneedle aspiration of solid pancreatic lesions:a randomized controlled trial.Pancreas,2021,50(6):815-821.
[16]Archibugi L,Mariani A,Ciambriello B,et al.High sensitivity of ROSEsupported ERCPguided brushing for biliary strictures.Endosc Int Open,2021,9(3):E363-E370.
[17]Chen L,Li Y,Gao X,et al.High diagnostic accuracy and safety of endoscopic ultrasoundguided fineneedle aspiration in malignant lymph nodes:a systematic review and metaanalysis.Dig Dis Sci,2021,66(8):2763-2775.
[18]Witt BL.Rapid on site evaluation (ROSE):a pathologists’ perspective.Tech Vasc Interv Radiol,2021,24(3):100767.
[19]Pearson L,Factor RE,White SK,et al.Rapid onsite evaluation of fineneedle aspiration by noncytopathologists:a systematic review and metaanalysis of diagnostic accuracy studies for adequacy assessment.Acta Cytol,2018,62(4):244-252.

备注/Memo

备注/Memo:
基金项目：吴阶平医学基金会临床科研专项资助基金(320.6750.20201412)**通讯作者，Email：liuming19731029@163.com
更新日期/Last Update: 2023-12-01