{"id":20136,"date":"2019-07-02T19:01:59","date_gmt":"2019-07-02T11:01:59","guid":{"rendered":"\/\/www.afterroberto.com\/?p=20136"},"modified":"2023-10-05T14:36:27","modified_gmt":"2023-10-05T06:36:27","slug":"%e7%a3%81%e5%8a%9b%e5%85%b1%e6%8c%af%e6%96%b0%e6%8a%80%e8%a1%93-%e8%86%80%e8%83%b1%e7%99%8c%e7%9d%87%e7%9c%9f%e5%95%b2","status":"publish","type":"post","link":"\/\/www.afterroberto.com\/%e7%a3%81%e5%8a%9b%e5%85%b1%e6%8c%af%e6%96%b0%e6%8a%80%e8%a1%93-%e8%86%80%e8%83%b1%e7%99%8c%e7%9d%87%e7%9c%9f%e5%95%b2\/","title":{"rendered":"\u78c1\u529b\u5171\u632f\u65b0\u6280\u8853 \u8180\u80f1\u764c\u7747\u771f\u5572"},"content":{"rendered":"

\u3010\u660e\u5831\u5c08\u8a0a\u3011\u5f71\u50cf\u6aa2\u67e5\uff0c\u5c0d\u8180\u80f1\u764c\u7684\u8a3a\u65b7\u548c\u6cbb\u7642\u5341\u5206\u91cd\u8981\u3002\u8fd1\u5e74\uff0c\u591a\u53c3\u6578\u78c1\u5171\u632f\u6210\u50cf\uff08mpMRI\uff09\u6280\u8853\u8fc5\u901f\u767c\u5c55\uff0c\u6210\u70ba\u8180\u80f1\u764c\u5176\u4e2d\u4e00\u6a23\u91cd\u8981\u7684\u5f71\u50cf\u6aa2\u67e5\uff0c\u8b93\u91ab\u751f\u5728\u8853\u524d\u66f4\u6e96\u78ba\u9810\u8a08\u624b\u8853\u5207\u9664\u7684\u7bc4\u570d\u53ca\u6df1\u6dfa\uff0c\u6e1b\u4f4e\u6b98\u7559\u764c\u7d30\u80de\u98a8\u96aa\uff0c\u5f9e\u800c\u964d\u4f4e\u5fa9\u767c\u53ca\u6b7b\u4ea1\u7387\u3002<\/p>\n

 <\/p>\n

\"\"
\u65b0\u6280\u8853\u6e2c\u764c\u2014\u2014\u78c1\u529b\u5171\u632f\u65b0\u6280\u8853\uff0c\u66f4\u6e96\u78ba\u5206\u8fa8\u8180\u80f1\u764c\u7684\u7bc4\u570d\u53ca\u6df1\u6dfa\u7a0b\u5ea6\uff0c\u8b93\u91ab\u751f\u8853\u524d\u66f4\u6709\u8a08\u5283\uff0c\u63d0\u5347\u6210\u529f\u7387\u3002\uff08MagicMine@iStockphoto\uff09<\/figcaption><\/figure>\n

 <\/p>\n

\u5728\u9999\u6e2f\uff0c\u8180\u80f1\u764c\u6bcf\u5e74\u6709\u8d85\u904e400\u5b97\u65b0\u75c7\uff0c\u7537\u6027\u60a3\u8005\u660e\u986f\u6bd4\u5973\u6027\u591a\uff0c\u6bd4\u4f8b\u7d043\u6bd41\uff0c\u5e38\u898b\u65bc55\u81f370\u6b72\u4eba\u58eb\u8eab\u4e0a\u3002\u7d0480\uff05\u7684\u78ba\u8a3a\u60a3\u8005\uff0c\u7686\u5c6c\u975e\u808c\u8089\u6d78\u6f64\u6027\u8180\u80f1\u764c\uff08non-muscle invasive bladder cancer\uff0cNMIBC\uff09\uff0c\u5373\u6dfa\u8868\u6027\u8180\u80f1\u764c\uff08superficial bladder cancer\uff09\uff0c\u764c\u7d30\u80de\u53ea\u9577\u5728\u9ecf\u819c\u6216\u9ecf\u819c\u4e0b\u5c64\u3002\u7d93\u5c3f\u9053\u8180\u80f1\u816b\u7624\u5207\u9664\u8853\uff08Transurethral resection of bladder tumor\uff0cTURBT\uff09\u662f\u6dfa\u8868\u6027\u8180\u80f1\u764c\u7684\u6a19\u6e96\u6cbb\u7642\u3002<\/p>\n

 <\/p>\n

\u5206\u8fa8\u4fb5\u8755\u7a0b\u5ea6 mpMRI\u516b\u6210\u6e96<\/h2>\n

\u50b3\u7d71\u8a3a\u65b7\u4e3b\u8981\u4f9d\u8cf4\u96fb\u8166\u6383\u63cf\uff0c\u4f46\u5b83\u672a\u80fd\u6e96\u78ba\u8a3a\u65b7\u808c\u8089\u5c64\u4fb5\u8755\u7684\u7a0b\u5ea6\uff0c\u6e96\u78ba\u5ea6\u7d0435%\u81f355%\uff1b\u78c1\u529b\u5171\u632f\u53ef\u4ee5\u9810\u5148\u4f30\u8a08\u808c\u8089\u5c64\u7684\u4fb5\u8755\u60c5\u51b5\uff0c\u8b93\u91ab\u751f\u5728\u8853\u524d\u66f4\u597d\u597d\u8a08\u5283\u3002\u800c\u73fe\u5728\u4f7f\u7528\u7684\u591a\u53c3\u6578\u78c1\u5171\u632f\u6210\u50cfmpMRI\uff0c\u80fd\u66f4\u7cbe\u6e96\u5206\u8fa8\u764c\u7d30\u80de\u4fb5\u8755\u7684\u7a0b\u5ea6\uff0c\u6e96\u78ba\u5ea6\u9ad8\u905485%\u3002<\/p>\n

\u70ba\u63d0\u9ad8\u624b\u8853\u7684\u6210\u529f\u7387\uff0c\u6e1b\u4f4e\u5fa9\u767c\u98a8\u96aa\uff0c2018\u5e74\u65e5\u672c\u8179\u90e8\u653e\u5c04\u7dda\u5b78\u6703\u3001\u6b50\u6d32\u6ccc\u5c3f\u5f71\u50cf\u5b78\u6703\u548c\u6b50\u6d32\u6ccc\u5c3f\u5b78\u6703\uff0c\u57fa\u65bcmpMRI\u5831\u544a\u548c\u6578\u64da\u8a55\u5206\u7cfb\u7d71\uff08RADS\uff09\u61c9\u7528\u65bc\u4e73\u817a\u764c\u3001\u809d\u764c\u548c\u524d\u5217\u817a\u764c\u7b49\u6210\u529f\u7d93\u9a57\uff0c\u5171\u540c\u7f72\u540d\u767c\u8868\u300c\u8180\u80f1\u5f71\u50cf\u5831\u544a\u548c\u6578\u64da\u7cfb\u7d71\u300d\uff08vesical imaging-reporting and data system\uff0cVI-RADS\uff09\u3002VI-RADS\u5c0d\u8180\u80f1mpMRI\u6aa2\u67e5\u8a2d\u5099\u548c\u6280\u8853\u8981\u6c42\u63d0\u51fa\u4e86\u6307\u5c0e\u6027\u5efa\u8b70\uff0c\u5c0dMRI\u8a2d\u5099\u3001\u6280\u8853\u898f\u7bc4\u3001\u6383\u63cf\u53c3\u6578\u53ca\u8a55\u4f30\u5206\u985e\u6a19\u6e96\u5236\u5b9a\u4e86\u898f\u7bc4\uff0c\u9069\u7528\u65bc\u5f9e\u672a\u63a5\u53d7\u904e\u6cbb\u7642\uff0c\u6216\u66fe\u63a5\u53d7\u7d93\u5c3f\u9053\u8180\u80f1\u816b\u7624\u5207\u9664\u8853\u7684\u60a3\u8005\u3002<\/p>\n

 <\/p>\n

\"\"
\u78c1\u529b\u5171\u632f\u5716\u50cf\u2014\u2014\u5716\u70ba\u540c\u4e00\u8180\u80f1\u764c\u5728\u4e0d\u540c\u53c3\u6578\u4e0b\u7684\u78c1\u529b\u5171\u632f\u5f71\u50cf\uff0c\u7d93\u5206\u6790\u5f8c\u653e\u5c04\u79d1\u91ab\u751f\u6703\u904b\u7528VI-RADS\u7cfb\u7d71\uff0c\u66f4\u7cbe\u6e96\u63a8\u65b7\u816b\u7624\u5728\u808c\u8089\u5c64\u6d78\u6f64\u7684\u6a5f\u7387\u3002\u7bad\u5634\u70ba\u816b\u7624\u4f4d\u7f6e\u3002\uff08\u4f5c\u8005\u63d0\u4f9b\uff09<\/figcaption><\/figure>\n

 <\/p>\n

\u986f\u793a\u816b\u7624\u5f71\u97ff\u7bc4\u570d \u6709\u52a9\u8853\u524d\u898f\u5283<\/h2>\n

VI-RADS\u4f7f\u75285\u9ede\u8a55\u5206\u7cfb\u7d71\uff0c\u70ba\u60a3\u8005\u5728\u63a5\u53d7\u6cbb\u7642\u524d\u8a55\u5206\uff0c\u4f86\u78ba\u5b9a\u662f\u5426\u5b58\u5728\u4fb5\u8755\u6027\u8180\u80f1\u764c\u3002\u5b83\u9069\u7528\u65bc\u539f\u767c\u6027\u6216\u5fa9\u767c\u6027\u816b\u7624\u7684\u6aa2\u6e2c\u3001\u5b9a\u4f4d\u548c\u6e96\u78ba\u5206\u671f\uff0c\u5305\u62ec\u975e\u808c\u8089\u6d78\u6f64\u6027\u8180\u80f1\u764c\u548c\u808c\u8089\u6d78\u6f64\u6027\u8180\u80f1\u764c\u4e4b\u9593\u7684\u5340\u5225\u3002\u800cmpMRI\u53ef\u4ee5\u986f\u793a\u816b\u7624\u5c40\u9650\u65bc\u9ecf\u819c\u6216\u9ecf\u819c\u4e0b\uff0c\u6709\u52a9\u91ab\u751f\u5728\u624b\u8853\u524d\u898f\u5283\uff0c\u9078\u64c7\u5408\u9069\u624b\u8853\uff1b\u4ee5\u53ca\u63d0\u4f9b\u8180\u80f1\u808c\u8089\u5c64\u4fb5\u8755\u98a8\u96aa\u6982\u7387\u3001\u78ba\u5207\u4f4d\u7f6e\u548c\u7a0b\u5ea6\u3002<\/p>\n

VI-RADS\u5c08\u5bb6\u7d44\u5f37\u8abf\uff0cmpMRI\u514b\u670d\u4e86CT\u96fb\u8166\u6383\u63cf\u7684\u5c40\u9650\uff0c\u6539\u5584\u8180\u80f1\u764c\u7684\u8a3a\u65b7\u548c\u6e96\u78ba\u5206\u671f\u3002\u7531\u65bcmpMRI\u5177\u6709\u6975\u4f73\u7684\u8edf\u7d44\u7e54\u5c0d\u6bd4\u5ea6\uff0c\u9664\u986f\u793a\u816b\u7624\u5f62\u614b\u5916\uff0c\u4e5f\u63d0\u4f9b\u7d44\u7e54\u7d30\u80de\u548c\u8840\u7ba1\u7684\u529f\u80fd\u4fe1\u606f\uff0c\u4e26\u80fd\u5340\u5206\u808c\u8089\u548c\u816b\u7624\u5468\u570d\u708e\u75c7\u7684\u4fe1\u865f\u5f37\u5ea6\u56b4\u91cd\u6027\u548c\u7e96\u7dad\u5316\u7a0b\u5ea6\uff0c\u5f9e\u800c\u964d\u4f4e\u5047\u967d\u6027\u6a5f\u6703\u7387\u3002\u6b64\u5916\uff0cmpMRI\u7121\u8f3b\u5c04\uff0c\u5c0d\u65bc\u6709\u8a08\u5283\u751f\u80b2\u7684\u5e74\u8f15\u60a3\u8005\uff0c\u610f\u7fa9\u5c24\u5176\u91cd\u8981\u3002<\/p>\n

\u7e3d\u62ec\u800c\u8a00\uff0cVI-RADS\u6709\u52a9\u65bc\u63a8\u52d5\u8180\u80f1\u764c\u7684\u8a3a\u65b7\u3001\u5206\u671f\u3001\u4fb5\u8972\u6027\u9810\u6e2c\u548c\u7642\u6548\u8a55\u4f30\uff0c\u800c\u898f\u7bc4\u5316\u7684\u6578\u64da\u53ef\u5728\u4e0d\u540c\u91ab\u7642\u55ae\u4f4d\u9593\u7684\u4e92\u8a8d\u3001\u5171\u4eab\u5f71\u50cf\uff0c\u7bc0\u7d04\u91ab\u7642\u8cc7\u6e90\uff0c\u4e5f\u70ba\u57fa\u65bc\u91ab\u5b78\u5f71\u50cf\u5927\u6578\u64da\u7684\u4eba\u5de5\u667a\u80fd\u63d0\u4f9b\u65b9\u4fbf\u6536\u96c6\u7684\u91ab\u5b78\u6578\u64da\u3002<\/p>\n

 <\/p>\n

\u6587\uff1a\u5d14\u5bb6\u502b\uff08\u6ccc\u5c3f\u5916\u79d1\u5c08\u79d1\u91ab\u751f\uff09<\/p>\n

\u7de8\u8f2f\uff1a\u5ed6\u5049\u9f8d<\/p>\n

\u96fb\u90f5\uff1afeature@mingpao.com<\/a><\/p>\n

 <\/p>\n

\u76f8\u95dc\u6587\u7ae0:<\/strong><\/p>\n

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\u3010\u660e\u5831\u5c08\u8a0a\u3011\u5f71\u50cf\u6aa2\u67e5\uff0c\u5c0d\u8180\u80f1\u764c\u7684\u8a3a\u65b7\u548c\u6cbb\u7642\u5341\u5206\u91cd\u8981\u3002\u8fd1\u5e74\uff0c\u591a\u53c3\u6578\u78c1\u5171\u632f\u6210\u50cf\uff08mpMRI\uff09\u6280\u8853\u8fc5\u901f\u767c\u5c55\uff0c\u6210\u70ba\u8180\u80f1\u764c\u5176\u4e2d\u4e00\u6a23\u91cd\u8981\u7684\u5f71\u50cf\u6aa2\u67e5\uff0c\u8b93\u91ab\u751f\u5728\u8853\u524d\u66f4\u6e96\u78ba\u9810\u8a08\u624b\u8853\u5207\u9664\u7684\u7bc4\u570d\u53ca\u6df1\u6dfa\uff0c\u6e1b\u4f4e\u6b98\u7559\u764c\u7d30\u80de\u98a8\u96aa\uff0c\u5f9e\u800c\u964d\u4f4e\u5fa9\u767c\u53ca\u6b7b\u4ea1\u7387\u3002     \u5728\u9999\u6e2f\uff0c\u8180\u80f1\u764c\u6bcf\u5e74\u6709\u8d85\u904e400\u5b97\u65b0\u75c7\uff0c\u7537\u6027\u60a3\u8005\u660e\u986f\u6bd4\u5973\u6027\u591a\uff0c\u6bd4\u4f8b\u7d043\u6bd41\uff0c\u5e38\u898b\u65bc55\u81f370\u6b72\u4eba\u58eb\u8eab\u4e0a\u3002\u7d0480\uff05\u7684\u78ba\u8a3a\u60a3\u8005\uff0c\u7686\u5c6c\u975e\u808c\u8089\u6d78\u6f64\u6027\u8180\u80f1\u764c\uff08non-muscle invasive bladder cancer\uff0cNMIBC\uff09\uff0c\u5373\u6dfa\u8868\u6027\u8180\u80f1\u764c\uff08superficial bladder cancer\uff09\uff0c\u764c\u7d30\u80de\u53ea\u9577\u5728\u9ecf\u819c\u6216\u9ecf\u819c\u4e0b\u5c64\u3002\u7d93\u5c3f\u9053\u8180\u80f1\u816b\u7624\u5207\u9664\u8853\uff08Transurethral resection of bladder tumor\uff0cTURBT\uff09\u662f\u6dfa\u8868\u6027\u8180\u80f1\u764c\u7684\u6a19\u6e96\u6cbb\u7642\u3002   \u5206\u8fa8\u4fb5\u8755\u7a0b\u5ea6 mpMRI\u516b\u6210\u6e96 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