Application of mpMRI-TRUS AI fusion targeted transperineal biopsy under local anesthesia with"one-plane three-point"dual probe ultrasound localization
10.3969/j.issn.1009-8291.2024.06.013
- VernacularTitle:"一平面三点"双探头超声定位局部麻醉下经会阴前列腺mpMRI-TRUS多模态AI影像融合靶向穿刺的应用初探
- Author:
Yongjun YANG
1
;
Xianya HE
;
Yiming ZENG
;
Qiang LU
;
Yuanwei LI
Author Information
1. 湖南师范大学附属第一医院,湖南省人民医院泌尿外科,湖南长沙 410005
- Keywords:
prostate cancer;
transperineal;
puncture;
mpMRI-TRUS;
one-plane three-point;
targeted puncture;
clinically significant prostate cancer;
artificial intelligence
- From:
Journal of Modern Urology
2024;29(6):540-546
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the efficacy and safety of multi-parametric magnetic resonance imaging and transrectal ultrasonography(mpMRI-TRUS)fusion targeted transperineal biopsy(TPB)under local anesthesia(LA)with"one-plane three-point"dual probe ultrasound localization.Methods Clinical data of 134 suspected prostate cancer(PCa)patients treated with this method in our hospital during Jan.and Sep.2023 were retrospectively analyzed.The same doctor applied visual analog scale(VAS)and visual digital scale(VNS)to evaluate the pain level and satisfaction of patients during TPB(VAS-1 and VNS-1)and 1 hour after TPB(VAS-2 and VNS-2),and recorded the perioperative clinical data and detection rate of clinically significant prostate cancer(csPCa).Results VAS-1 score was(1.60±0.68)and VAS-2 score was(1.13±0.55);VNS-1 score was(2.84±0.41),and VNS-2 score was(3.74±0.44).The operation time was(16.12±3.35)minutes.The postoperative pathological results showed that the detection rate of csPCa was 65.67％(88/134).According to the PI-RADS score in subgroup analysis,the detection rates of patients with PI-RADS scores of 2,3,4,and 5 were 23.08％(6/26),52.94％(18/34),62.50％(15/24)and 98.00％(49/50),respectively.After TPB,gross hematuria occurred in 20.90％(28/134)patients,and urinary retention occurred in 4.00％(5/125)patients,which were relieved after symptomatic treatment.No complications such as perineal puncture area hematoma,urinary tract infection,hematospermia,vagal nerve reaction,and septic shock occurred.Conclusion The mpMRI-TRUS fusion targeted TPB under LA with"one-plane three-point"dual probe ultrasound localization provides a feasible and tolerable surgical procedure for suspected PCa patients with a high detection rate of csPCa,which is worthy of further clinical promotion and application.
