초음파 또는 자기공명영상 유도하에 따른 전립선 재검의 암진단율 비교: 성향 점수 매칭, 단일 병원 경험
Serial Comparison of Cancer Detection Rate Between Transrectal Ultrasound Sonography Guided Biopsy and Magnetic Resonance Imaging for Repeat Biopsy by a Propensity Score Matching Cohort: A Single Center Experience
방석환, 최영효, 강민용, 전황균, 정병창, 서성일, 전세현, 김찬교, 박병관, 이현무,
소속 상세정보
방석환 ( Bang Seok-Hwan )
성균관대학교 삼성서울병원 비뇨의학과
최영효 ( Choi Young-Hyo )
가톨릭대학교 의과대학 성빈센트병원 비뇨의학과
강민용 ( Kang Min-Yong )
성균관대학교 삼성서울병원 비뇨의학과
전황균 ( Jeon Hwang-Gyun )
성균관대학교 삼성서울병원 비뇨의학과
정병창 ( Jeong Byong-Chang )
성균관대학교 삼성서울병원 비뇨의학과
서성일 ( Seo Seong-Il )
성균관대학교 삼성서울병원 비뇨의학과
전세현 ( Jeon Se-Hyun )
성균관대학교 삼성서울병원 비뇨의학과
김찬교 ( Kim Chan-Kyo )
성균관대학교 삼성서울병원 영상의학과
박병관 ( Park Byung-Kwan )
성균관대학교 삼성서울병원 영상의학과
이현무 ( Lee Hyun-Moo )
성균관대학교 삼성서울병원 비뇨의학과
Abstract
Purpose: To compare biopsy performance of 2 approaches for multiparametric magnetic resonance imaging (MRI) guided biopsy and transrectal ultrasonography (TRUS)-guided biopsy with 2nd and 3rd repeat biopsy patients in prostate cancer detection.
Materials and Methods: This retrospective study reviewed 2,868 patients who was performed prostate biopsy between September 2013 to March 2017 at Samsung Medical Center, Seoul, Korea with TRUS-guided random biopsy and MRI fusion, MRI cognitive, and MRI-guided biopsy as 2nd and 3rd repeat biopsy and propensity matching was applied to reduce bias. Detection rate of each study was compared with 1:1 matching.
Results: Among 265 patients who performed TRUS 2nd biopsy, positivity rate for prostate cancer (PCa) was 18.49% (n=49/265) while 54.72% (n=145/265) for MRI-guided biopsy. In 3rd biopsy, positivity rate for PCa of TRUS biopsy was 17.74% (n=11/62) while 56.45% (n=35/62) for MRI guided biopsy. There was no significant difference in the detection rate for the patient with Gleason score 8 or more.
Conclusions: MRI-guided biopsy was associated with a higher detection rate of prostate cancer with especially in patients with prior negative biopsy.
키워드
Prostatic neoplasm; Repeat biopsy; Magnetic resonance imaging; Transrectal ultrasonography; Outcome
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