臨床泌尿器科76巻11号

2022年10月発行

特集 限局性前立腺癌診療バイブル―このへんでキッチリと前立腺癌診療の“あたりまえ”を整理しよう！

〈診断〉

MRI-TRUS融合画像ガイド下前立腺標的生検

著者： 小路直¹

所属機関： ¹東海大学医学部外科学系腎泌尿器科学

ページ範囲：P.778 - P.783

文献概要

▶ポイント

・MRI-TRUS融合画像ガイド下前立腺標的生検による臨床的に意義のある癌の検出率は，系統的生検（10〜12か所）よりも高い．

・MRI-TRUS融合画像ガイド下前立腺標的生検は，癌局在診断にも有用であり，個別化診療への応用が期待される．

参考文献

1） Stamey TA, et al : Localized Prostate Cancer. Relationship of Tumor Volume to Clinical Significance for Treatment of Prostate Cancer. Cancer 71 （3 Suppl） : 933-938, 1993

2） Onik G, et al : Three-Dimensional Prostate Mapping Biopsy Has a Potentially Significant Impact on Prostate Cancer Management. J Clin Oncol 27 : 4321-4326, 2009

3） Rosenkrantz AB, et al : Prostate Cancer Foci Detected on Multiparametric Magnetic Resonance Imaging Are Histologically Distinct from Those Not Detected. J Urol 187 : 2032-2038, 2012

4） Hamoen EHJ, et al : Use of the Prostate Imaging Reporting and Data System （PI-RADS） for Prostate Cancer Detection with Multiparametric Magnetic Resonance Imaging : A Diagnostic Meta-Analysis. Eur Urol 67 : 1112-1121, 2015

5） Kasivisvanathan V, et al : MRI-Targeted or Standard Biopsy for Prostate-Cancer Diagnosis. N Engl J Med 378 : 1767-1777, 2018

6） Shoji S, et al : Accuracy of Real-Time Magnetic Resonance Imaging-Transrectal Ultrasound Fusion Image-Guided Transperineal Target Biopsy with Needle Tracking with a Mechanical Position-Encoded Stepper in Detecting Significant Prostate Cancer in Biopsy-Naïve Men. Int J Urol 24 : 288-294, 2017

7） Stevens E, et al : Clinical Utility of PSAD Combined with PI-RADS Category for the Detection of Clinically Significant Prostate Cancer. Urol Oncol 38 : 846 e9-e16, 2020

8） Carbunaru S, et al : Performance of Prostate Health Index and PSA Density in a Diverse Biopsy-Naïve Cohort with mpMRI for Detecting Significant Prostate Cancer. BJUI Compass 2 : 370-376, 2021

9） Shoji S, et al : Usefulness of LacdiNAc-Glycosylated Prostate-Specific Antigen Density for Predicting Pathological Findings of Magnetic Resonance Imaging-Transrectal Ultrasound Fusion Image-Guided Prostate Biopsy for the Patients with Highest Prostate Imaging Reporting and Data System category ≥ 3. J Urol, 2022 ［Online ahead of print］

10） Shoji S, et al : Image-Based Monitoring of Targeted Biopsy-Proven Prostate Cancer on Active Surveillance : 11-Year Experience. World J Urol 34 : 221-227, 2016

11） Hung AJ, et al : Robotic Transrectal Ultrasonography During Robot-Assisted Radical Prostatectomy. Eur Urol 62 : 341-348, 2012

12） Shoji S, et al : Intraoperative Ultrasonography with a Surgeon-Manipulated Microtransducer During Robotic Radical Prostatectomy. Int J Urol 21 : 736-739, 2014

13） Shoji S, et al : Current Status and Future Prospective of Focal Therapy for Localized Prostate Cancer : Development of Multiparametric MRI, MRI-TRUS Fusion Image-Guided Biopsy, and Treatment Modalities. Int J Clin Oncol 25 : 509-520, 2020

14） Shoji S, et al : Focal Therapy with High-Intensity Focused Ultrasound for the Localized Prostate Cancer for Asian Based on the Localization with MRI-TRUS Fusion Image-Guided Transperineal Biopsy and 12-Cores Transperineal Systematic Biopsy : Prospective Analysis of Oncological and Functional Outcomes. Int J Clin Oncol 25 : 1844-1853, 2020

15） Shoji S, et al : Development and Future Prospective of Treatment for Localized Prostate Cancer with High-Intensity Focused Ultrasound. J Med Ultrason （2001）, 2022 ［Online ahead of print］