前列腺癌的MRI和MRS诊断王宵英演示课件.ppt
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1、Peking University First HospitalPeking University First Hospital前列腺癌的前列腺癌的MRIMRI和和MRSMRS诊断诊断北京大学第一医院北京大学第一医院医学影像科医学影像科王霄英王霄英Peking University First HospitalPeking University First HospitalPeking University First HospitalPeking University First Hospital前列腺概述前列腺概述前列腺癌的前列腺癌的MRIMRI诊断诊断前列腺癌的前列腺癌的MRSMRS诊断
2、诊断Peking University First HospitalPeking University First HospitalPeking University First HospitalPeking University First Hospital前列腺前列腺由纤维、肌肉和腺体组织构成的腺体Peking University First HospitalPeking University First HospitalPeking University First HospitalPeking University First Hospital前列腺的功能前列腺的功能分泌前列腺液构成
3、精液营养精子Peking University First HospitalPeking University First HospitalPeking University First HospitalPeking University First Hospital前列腺癌前列腺癌来源:前列腺的外周带发病率:东西方具有差异美国75.3/100 000为最常见的男性恶性肿瘤发病率第一位中国2.41/100 000随着人们饮食习惯的改变和医疗水平的发展,前列腺癌的临床发病率逐年增高。Peking University First HospitalPeking University First H
4、ospitalPeking University First HospitalPeking University First Hospital前列腺癌的临床表现前列腺癌的临床表现大多数病人无症状在体检时发现在良性前列腺增生手术标本中发现典型症状排尿困难血尿尿潴留病理骨折、骨痛Peking University First HospitalPeking University First HospitalPeking University First HospitalPeking University First Hospital前列腺癌的分期分级前列腺癌的分期分级A A期期B B期期C C期期D
5、 D期期分期和分级决定治疗方案和病人的预后分期和分级决定治疗方案和病人的预后Peking University First HospitalPeking University First HospitalPeking University First HospitalPeking University First Hospital前列腺癌的治疗方法前列腺癌的治疗方法根治性切除:根治性切除:B期以下期以下非手术治疗:非手术治疗:C期以上期以上内分泌治疗放疗冷冻其它Peking University First HospitalPeking University First HospitalPek
6、ing University First HospitalPeking University First Hospital手术并发症手术并发症尿道狭窄尿道狭窄尿失禁尿失禁性功能障碍性功能障碍多器官衰竭多器官衰竭复发、转移复发、转移心、脑、肺、血管意外心、脑、肺、血管意外Peking University First HospitalPeking University First HospitalPeking University First HospitalPeking University First Hospital前列腺癌诊治的核心问题前列腺癌诊治的核心问题早期发现早期发现根治性治疗根治
7、性治疗长期随访长期随访Peking University First HospitalPeking University First HospitalPeking University First HospitalPeking University First Hospital前列腺癌的常用检查手段前列腺癌的常用检查手段 直肠指诊直肠指诊 实验室检查实验室检查 TRUSTRUS CT CT 同位素骨扫描同位素骨扫描 MRIMRI MRS MRSPeking University First HospitalPeking University First HospitalPeking Unive
8、rsity First HospitalPeking University First Hospital前列腺概述前列腺概述前列腺癌的前列腺癌的MRIMRI诊断诊断前列腺癌的前列腺癌的MRSMRS诊断诊断Peking University First HospitalPeking University First HospitalPeking University First HospitalPeking University First Hospital前列腺癌的前列腺癌的MRIMRI检查技术检查技术体线圈体线圈MRIMRI直肠内线圈直肠内线圈(ERC)MRI(ERC)MRIFSEFSE序列
9、:序列:T2T2抑脂显示病灶更敏感抑脂显示病灶更敏感与与PPAPPA联合使用:显示范围更大联合使用:显示范围更大造影剂增强:动态增强有意义造影剂增强:动态增强有意义CT-MRICT-MRI图像整合:可用于放疗定位图像整合:可用于放疗定位Peking University First HospitalPeking University First HospitalPeking University First HospitalPeking University First Hospital前列腺的解剖前列腺的解剖部位:膀胱下方包绕尿道Peking University First Hospita
10、lPeking University First HospitalPeking University First HospitalPeking University First Hospital前列腺的分带解剖是前列腺的分带解剖是MRIMRI诊断的基础诊断的基础Peking University First HospitalPeking University First HospitalPeking University First HospitalPeking University First Hospital正常前列腺的正常前列腺的MRIMRI表现表现T2WIT2WI(FATSATFATS
11、AT)T1WIT1WIPeking University First HospitalPeking University First HospitalPeking University First HospitalPeking University First Hospital前列腺癌病灶的前列腺癌病灶的MRIMRI表现表现 信号改变信号改变肿瘤大小和位置肿瘤大小和位置Peking University First HospitalPeking University First HospitalPeking University First HospitalPeking University
12、First HospitalPeking University First HospitalPeking University First HospitalPeking University First HospitalPeking University First HospitalPeking University First HospitalPeking University First HospitalPeking University First HospitalPeking University First HospitalPeking University First Hospit
13、alPeking University First HospitalPeking University First HospitalPeking University First HospitalPeking University First HospitalPeking University First HospitalPeking University First HospitalPeking University First HospitalPeking University First HospitalPeking University First HospitalPeking Uni
14、versity First HospitalPeking University First HospitalPeking University First HospitalPeking University First HospitalPeking University First HospitalPeking University First Hospital与前列腺癌分期有关的表现与前列腺癌分期有关的表现突破包膜突破包膜神经血管束侵犯神经血管束侵犯精囊侵犯精囊侵犯膀胱侵犯膀胱侵犯盆底肌侵犯盆底肌侵犯直肠侵犯直肠侵犯淋巴结转移淋巴结转移骨转移骨转移分期决定治疗分期决定治疗Peking Uni
15、versity First HospitalPeking University First HospitalPeking University First HospitalPeking University First Hospital与前列腺癌分期有关的表现与前列腺癌分期有关的表现突破包膜突破包膜神经血管束侵犯神经血管束侵犯精囊侵犯精囊侵犯膀胱侵犯膀胱侵犯盆底肌侵犯盆底肌侵犯直肠侵犯直肠侵犯淋巴结转移淋巴结转移骨转移骨转移Peking University First HospitalPeking University First HospitalPeking University Firs
16、t HospitalPeking University First HospitalPeking University First HospitalPeking University First HospitalPeking University First HospitalPeking University First HospitalPeking University First HospitalPeking University First HospitalPeking University First HospitalPeking University First HospitalPe
17、king University First HospitalPeking University First HospitalPeking University First HospitalPeking University First HospitalPeking University First HospitalPeking University First HospitalPeking University First HospitalPeking University First HospitalPeking University First HospitalPeking Univers
18、ity First HospitalPeking University First HospitalPeking University First HospitalPeking University First HospitalPeking University First HospitalPeking University First HospitalPeking University First HospitalPeking University First HospitalPeking University First HospitalPeking University First Ho
19、spitalPeking University First Hospital与前列腺癌分期有关的表现与前列腺癌分期有关的表现突破包膜突破包膜神经血管束侵犯神经血管束侵犯精囊侵犯精囊侵犯膀胱侵犯膀胱侵犯盆底肌侵犯盆底肌侵犯直肠侵犯直肠侵犯淋巴结转移淋巴结转移骨转移骨转移Peking University First HospitalPeking University First HospitalPeking University First HospitalPeking University First HospitalPeking University First HospitalPeking
20、 University First HospitalPeking University First HospitalPeking University First HospitalPeking University First HospitalPeking University First HospitalPeking University First HospitalPeking University First HospitalPeking University First HospitalPeking University First HospitalPeking University
21、First HospitalPeking University First HospitalPeking University First HospitalPeking University First HospitalPeking University First HospitalPeking University First HospitalPeking University First HospitalPeking University First HospitalPeking University First HospitalPeking University First Hospit
22、al与前列腺癌分期有关的表现与前列腺癌分期有关的表现突破包膜突破包膜神经血管束侵犯神经血管束侵犯精囊侵犯精囊侵犯膀胱侵犯膀胱侵犯盆底肌侵犯盆底肌侵犯直肠侵犯直肠侵犯淋巴结转移淋巴结转移骨转移骨转移Peking University First HospitalPeking University First HospitalPeking University First HospitalPeking University First HospitalPeking University First HospitalPeking University First HospitalPeking Uni
23、versity First HospitalPeking University First HospitalPeking University First HospitalPeking University First HospitalPeking University First HospitalPeking University First HospitalPeking University First HospitalPeking University First HospitalPeking University First HospitalPeking University Firs
24、t Hospital与前列腺癌分期有关的表现与前列腺癌分期有关的表现突破包膜突破包膜神经血管束侵犯神经血管束侵犯精囊侵犯精囊侵犯膀胱侵犯膀胱侵犯盆底肌侵犯盆底肌侵犯直肠侵犯直肠侵犯淋巴结转移淋巴结转移骨转移骨转移Peking University First HospitalPeking University First HospitalPeking University First HospitalPeking University First HospitalPeking University First HospitalPeking University First HospitalPe
25、king University First HospitalPeking University First HospitalPeking University First HospitalPeking University First HospitalPeking University First HospitalPeking University First Hospital与前列腺癌分期有关的表现与前列腺癌分期有关的表现突破包膜突破包膜神经血管束侵犯神经血管束侵犯精囊侵犯精囊侵犯膀胱侵犯膀胱侵犯盆底肌侵犯盆底肌侵犯直肠侵犯直肠侵犯淋巴结转移淋巴结转移骨转移骨转移Peking Univers
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- 前列腺癌 MRI MRS 诊断 王宵英 演示 课件
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