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Magnetic Resonance Image in the diagnosis and evaluation of extra-prostatic extension and involvement of seminal vesicles of prostate cancer: a systematic review of literature and meta-analysis
Silva, Rogério Cardoso da; Sasse, André Deeke; Matheus, Wagner Eduardo; Ferreira, Ubirajara.
Afiliação
  • Silva, Rogério Cardoso da; Universidade Estadual de Campinas. Center of Oncologic Evidences (ADS). Department of Uro-oncology (RCS, WEM, UF). Campinas. BR
  • Sasse, André Deeke; Universidade Estadual de Campinas. Center of Oncologic Evidences (ADS). Department of Uro-oncology (RCS, WEM, UF). Campinas. BR
  • Matheus, Wagner Eduardo; Universidade Estadual de Campinas. Center of Oncologic Evidences (ADS). Department of Uro-oncology (RCS, WEM, UF). Campinas. BR
  • Ferreira, Ubirajara; Universidade Estadual de Campinas. Center of Oncologic Evidences (ADS). Department of Uro-oncology (RCS, WEM, UF). Campinas. BR
Int. braz. j. urol ; 39(2): 155-166, Mar-Apr/2013. tab, graf
Artigo em Inglês | LILACS | ID: lil-676262
Biblioteca responsável: BR1.1
ABSTRACT
Objective Systematic review of literature and meta-analysis to evaluate the results of magnetic resonance image 1.5T with endorectal coil in the diagnosis and evaluation of extra-prostatic extension and involvement of seminal vesicles of prostate cancer, compared to the histopathological results of the radical prostatectomy specimen. Materials and Methods It was conducted a systematic review of literature and meta-analyses of all studies data published after 2008. In those studies, the patients with prostate cancer with indication to radical prostatectomy were submitted to magnetic resonance image (MRI) at pre-operatory period and the results were compared to those of histopathological studies after the surgery. The selected terms for research included prostate cancer, magnetic resonance, radical prostatectomy, and prostate cancer diagnosis, in the databases EMBASE, LILACS, PUBMED/MEDLINE and Cochrane Library. The data were collected using a specific qualitative instrument and the meta-analysis data were presented in the forest plot graphics, homogeneity test and sROC curves and funnel plot. Results A total of seven studies were included, with a total of 603 patients. Among these studies, six evaluated the value of MRI for the detection of prostate cancer, and the median sensitivity of meta-analysis was 0.6 and specificity 0.58, but with heterogeneity among the studies. Three studies evaluated extra-prostatic extension with a median sensitivity of 0.49, specificity 0.82 and heterogeneity only for sensitivity. Three studies evaluated invasion of seminal vesicles, with median sensitivity of 0.45 and specificity 0.96, with heterogeneity in both analysis. Conclusion Magnetic resonance of 1.5T with endocoil showed low values of sensitivity and specificity for the diagnosis and staging of prostate cancer. The reviewed studies showed a significant heterogeneity among them. The best observed result was MRI specificity for invasion of seminal ...
Assuntos


Texto completo: Disponível Coleções: Bases de dados internacionais Base de dados: LILACS Assunto principal: Próstata / Neoplasias da Próstata / Glândulas Seminais / Imageamento por Ressonância Magnética Tipo de estudo: Estudo diagnóstico / Pesquisa qualitativa / Revisão sistemática Limite: Humanos / Masculino Idioma: Inglês Revista: Int. braz. j. urol Assunto da revista: Urologia Ano de publicação: 2013 Tipo de documento: Artigo País de afiliação: Brasil Instituição/País de afiliação: Universidade Estadual de Campinas/BR

Texto completo: Disponível Coleções: Bases de dados internacionais Base de dados: LILACS Assunto principal: Próstata / Neoplasias da Próstata / Glândulas Seminais / Imageamento por Ressonância Magnética Tipo de estudo: Estudo diagnóstico / Pesquisa qualitativa / Revisão sistemática Limite: Humanos / Masculino Idioma: Inglês Revista: Int. braz. j. urol Assunto da revista: Urologia Ano de publicação: 2013 Tipo de documento: Artigo País de afiliação: Brasil Instituição/País de afiliação: Universidade Estadual de Campinas/BR
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