最新前列腺癌的MRI和MRS诊断 -王宵英教学讲义ppt.ppt

《最新前列腺癌的MRI和MRS诊断 -王宵英教学讲义ppt.ppt》由会员上传分享，免费在线阅读，更多相关内容在教育资源-天天文库。

1、前列腺癌的MRI和MRS诊断-王宵英前列腺概述前列腺癌的MRI诊断前列腺癌的MRS诊断PekingUniversityFirstHospitalPekingUniversityFirstHospital前列腺由纤维、肌肉和腺体组织构成的腺体PekingUniversityFirstHospitalPekingUniversityFirstHospital前列腺癌的分期分级A期B期C期D期分期和分级决定治疗方案和病人的预后PekingUniversityFirstHospitalPekingUniversityFirstHospit

2、al前列腺癌的治疗方法根治性切除：B期以下非手术治疗：C期以上内分泌治疗放疗冷冻其它PekingUniversityFirstHospitalPekingUniversityFirstHospital手术并发症尿道狭窄尿失禁性功能障碍多器官衰竭复发、转移心、脑、肺、血管意外PekingUniversityFirstHospitalPekingUniversityFirstHospital前列腺癌诊治的核心问题早期发现根治性治疗长期随访PekingUniversityFirstHospitalPekingUniversityFirs

3、tHospital前列腺癌的常用检查手段直肠指诊实验室检查TRUSCT同位素骨扫描MRIMRSPekingUniversityFirstHospitalPekingUniversityFirstHospital前列腺概述前列腺癌的MRI诊断前列腺癌的MRS诊断PekingUniversityFirstHospitalPekingUniversityFirstHospital前列腺癌的MRI检查技术体线圈MRI直肠内线圈(ERC)MRIFSE序列：T2抑脂显示病灶更敏感与PPA联合使用：显示范围更大造影剂增强：动态增强有意义CT-M

4、RI图像整合：可用于放疗定位PekingUniversityFirstHospitalPekingUniversityFirstHospital前列腺的解剖部位：膀胱下方包绕尿道PekingUniversityFirstHospitalPekingUniversityFirstHospital前列腺的分带解剖是MRI诊断的基础PekingUniversityFirstHospitalPekingUniversityFirstHospital正常前列腺的MRI表现T2WI（FATSAT）T1WIPekingUniversityFir

5、stHospitalPekingUniversityFirstHospital前列腺癌病灶的MRI表现信号改变肿瘤大小和位置PekingUniversityFirstHospitalPekingUniversityFirstHospitalPekingUniversityFirstHospitalPekingUniversityFirstHospitalPekingUniversityFirstHospitalPekingUniversityFirstHospitalPekingUniversityFirstHospitalPek

6、ingUniversityFirstHospitalPekingUniversityFirstHospitalPekingUniversityFirstHospitalPekingUniversityFirstHospitalPekingUniversityFirstHospitalPekingUniversityFirstHospitalPekingUniversityFirstHospital与前列腺癌分期有关的表现突破包膜神经血管束侵犯精囊侵犯膀胱侵犯盆底肌侵犯直肠侵犯淋巴结转移骨转移分期决定治疗PekingUniversi

7、tyFirstHospitalPekingUniversityFirstHospital与前列腺癌分期有关的表现突破包膜神经血管束侵犯精囊侵犯膀胱侵犯盆底肌侵犯直肠侵犯淋巴结转移骨转移PekingUniversityFirstHospitalPekingUniversityFirstHospitalPekingUniversityFirstHospitalPekingUniversityFirstHospitalPekingUniversityFirstHospitalPekingUniversityFirstHospitalPe

8、kingUniversityFirstHospitalPekingUniversityFirstHospitalPekingUniversityFirstHospitalPekingUniversityFirstHospitalPekingUniv