rentradВестник рентгенологии и радиологииJournal of radiology and nuclear medicine0042-46762619-0478Limited Liability Company "LUCHEVAYA DIAGNOSTIKA", Russian Association of Radiologists10.20862/0042-4676-2016-97-1-48-55rentrad-112Research ArticleОРИГИНАЛЬНЫЕ СТАТЬИORIGINAL RESEARCHБИОПСИЯ ПРЕДСТАТЕЛЬНОЙ ЖЕЛЕЗЫ ПОД КОНТРОЛЕМ МАГНИТНО-РЕЗОНАНСНОЙ ТОМОГРАФИИPROSTATE BIOPSY UNDER MAGNETIC RESONANCE IMAGING GUIDANCEКуплевацкийВ. И.KuplevatskiyV. I.

ведущий специалист отдела МРТ-диагностики, врач-радиолог

Leading Specialist of the Department of Magnetic Resonance Imaging Diagnosis, Radiologist

ЧеркашинМ. А.CherkashinM. A.

заместитель главного врача по научной работе, врач-хирург

Deputy Chief Physician of the Scientific Work, Surgeon

РощинД. А.RoshchinD. A.

к. м. н., руководитель Центра здоровья простаты, врач-онкоуролог

MD, PhD, Head of the Health Center of the Prostate, Oncourologist

БерезинаН. А.BerezinaN. A.

к. м. н., главный врач

MD, PhD, Head Physician

ВоробьёвН. А.Vorob’evN. A.

к. м. н., руководитель Центра Кибер-нож, врач-радиолог

MD, PhD, Director of the Center Cyber Knife, Radiologist

ООО «Лечебно-диагностический центр Международного института биологических систем им. С.М. Березина»РоссияMedical and Diagnostic Center of the S.M. Berezin International Institute of Biological SystemsRussian Federation2016260520169714855Copyright © Куплевацкий В.И., Черкашин М.А., Рощин Д.А., Березина Н.А., Воробьёв Н.А., 20162016Куплевацкий В.И., Черкашин М.А., Рощин Д.А., Березина Н.А., Воробьёв Н.А.Kuplevatskiy V.I., Cherkashin M.A., Roshchin D.A., Berezina N.A., Vorob’ev N.A.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.russianradiology.ru/jour/article/view/112

Рак предстательной железы (РПЖ) представляет собой одну из важнейших проблем в современной онкологии. По статистическим данным РПЖ занимает второе место в структуре онкологической заболеваемости в Российской Федерации и развитых странах, и распространённость его в последнее десятилетие прогрессивно растёт. Необходимость ранней диагностики и максимально точной морфологической верификации диагноза в сложных клинических случаях (неудобное расположение опухоли для выполнения стандартной трансректальной биопсии, рубцовые изменения в железе, сочетающиеся с простатитом и кровоизлияниями, пороговые значения простат-специфического антигена с неясной динамикой его удвоения в единицу времени, подозрение на биохимический рецидив или клиническое прогрессирование опухолевого процесса после специального лечения) приводит к пересмотру диагностических алгоритмов и внедрению в клиническую практику новых высокотехнологичных методов инвазивной диагностики. В данной работе представлен первый в отечественной практике анализ литературных данных, посвящённых одному из новых методов верификации рака предстательной железы – трансректальной биопсии предстательной железы под контролем магнитно-резонансной томографии (МРТ). Авторы провели поиск в базах MEDLINE и Pubmed за период 1995–2015 гг. Практический интерес для специалистов представляет описание показаний к МР-направленной биопсии, разработан- ных K. Chan Kyo (2015 г.) и адаптированных авторами этой публикации.

 

Prostate cancer (PC) is one of the most important problems in modern oncology. According to statistical data, PC ranks second in the cancer morbidity structure in the Russian Federation and developed countries and its prevalence has been progressively increasing over the past decade. A need for early diagnosis and maximally accurate morphological verification of the diagnosis in difficult clinical cases (inconvenient tumor location for standard transrectal biopsy; gland scarring changes concurrent with prostatitis and hemorrhage; threshold values of prostate-specific antigen with unclear changes in its doubling per unit time; suspicion of biochemical recurrence or clinical tumor progression after special treatment) leads to revised diagnostic algorithms and clinically introduced new high-tech invasive diagnostic methods. This paper gives the first analysis of literature data on Russian practice using one of the new methods to verify prostate cancer (transrectal prostate cancer under magnetic resonance imaging (MRI) guidance). The have sought the 1995-2015 data in the MEDLINE and Pubmed. The account of the MRI-guided biopsy indications developed by K. Chan Kyo (2015) and adapted by the authors of this publication is of practical interest to specialists.

 

 

 

 

 

 

 

 

 

 

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The authors declare that there are no conflicts of interest present.