PI-RADS V2提高前列腺癌影像诊断效能的价值评估

何晓静; 郭大静; 蒋伟; 周雪; 刘欣杰; 周君; 刘洋洋

doi:10.16016/j.1000-5404.201703045

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PI-RADS V2提高前列腺癌影像诊断效能的价值评估

临床医学 | 更新时间：2026-01-09

- PI-RADS V2提高前列腺癌影像诊断效能的价值评估
- Evaluation of PI-RADS V2 in improvement of imaging diagnostic efficacy for prostate cancer
- 第三军医大学学报 2017年39卷第18期页码：1841-1847
- 作者机构：
  
  400010 重庆，重庆医科大学附属第二医院放射科
- 作者简介：
  
  [ 郭大静，E-mail：guodaj@163.com GUO Dajing, E-mail:guodaj@163.com
- 基金信息：
  
  国家自然科学基金青年科学基金项目(81401382);重庆市卫计委医学科研计划项目(2016MSXM024)
- DOI：10.16016/j.1000-5404.201703045
  中图分类号： R197.324; R445.2;R737.25
- 收稿：2017-03-07，
  
  修回：2017-04-26，
  
  纸质出版：2017-09-30
- 稿件说明：
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何晓静, 郭大静, 蒋伟, 等. PI-RADS V2提高前列腺癌影像诊断效能的价值评估[J]. 第三军医大学学报, 2017,39(18):1841-1847.

Xiaojing HE, Dajing GUO, Wei JIANG, et al. Evaluation of PI-RADS V2 in improvement of imaging diagnostic efficacy for prostate cancer[J]. Journal of Third Military Medical University, 2017, 39(18): 1841-1847.
何晓静, 郭大静, 蒋伟, 等. PI-RADS V2提高前列腺癌影像诊断效能的价值评估[J]. 第三军医大学学报, 2017,39(18):1841-1847. DOI： 10.16016/j.1000-5404.201703045.

Xiaojing HE, Dajing GUO, Wei JIANG, et al. Evaluation of PI-RADS V2 in improvement of imaging diagnostic efficacy for prostate cancer[J]. Journal of Third Military Medical University, 2017, 39(18): 1841-1847. DOI： 10.16016/j.1000-5404.201703045.

摘要

目的

探讨前列腺影像报告和数据系统第2版(PI-RADS V2) 提高前列腺癌影像诊断效能的应用价值。

方法

初级、中级、高级职称医师各3名，根据各自经验分别对符合入组标准的76例前列腺MRI图像进行经验评分，然后根据PI-RADS V2的评分标准进行2次评分。分析2次PI-RADS V2评分及3个层次医师PI-RADS V2评分的一致性。计算并比较3个层次医师经验评分与PI-RADS V2评分的相关性、经验诊断与PI-RADS V2诊断结果的一致性，对比前列腺癌检出的敏感度、特异度、阳性预测值、阴性预测值，并绘制ROC曲线。

结果

2次PI-RADS V2评分结果高度一致，3个层次医师PI-RADS V2评分具有较好一致性，3个层次医师经验诊断评分与PI-RADS V2评分

正相关(

值分别为0.672、0.805、0.890)。3个层次医师及PI-RADS V2诊断正确率呈递增趋势，无效率呈递减趋势，错误率3个层次医师呈递减趋势，PI-RADS V2错误率略高于高级医师。ROC曲线结果显示高级医师的诊断准确性最高，其次为PI-RADS V2。PI-RADS V2诊断敏感度最高，其次为高级医师。高级医师特异度最高，其次为PI-RADS V2。

结论

PI-RADS V2具有良好的可重复性，对于中级、初级医师，PI-RADS V2可以显著提高其对前列腺癌影像诊断效能。

Abstract

Objective

To investigate the value of prostate imaging-reporting and data system version 2 (PI-RADS V2) in improving the diagnostic efficacy of prostate cancer.

Methods

Nine radiologists were divided into junior

attending and senior groups according to their titles

and each group had 3 radiologists. They firstly scored the prostate MR images of 76 cases meeting our inclusion criteria based on their experience

then scored the images again after learning the standards of PI-RADS V2

and finally made the scoring according to PI-RADS V2 for the second time in 1 week later. The consistency of the first and second scores of PI-RADS V2 with the results based on their experience was analyzed

and the correlation between the experience-gained scores of the 3 groups of radiologists and the PI-RADS V2 scores were calculated and compared. The diagnoses based on experience and on PI-RADS V2 were analyzed for the consistency. The sensitivity

specificity

positive predictive value

negative predictive value for prostate cancer of the experience and PI-RADS V2 scoring systems were detected with receiver operative characteristic (ROC) and the results were compared between the 2 systems.

Results

The PI-RADS V2 scores of 2 times were highly consistent

and good consistency was also found among the results from the 3 groups of radiologists based on PI-RADS V2. The experience-gained scores of the 3 groups were positively correlated with the scores of PI-RADS V2

respectively (

=0.672

0.805

0.890). With the increase of the 3-rank of radiologists

the diagnostic accuracy of experience-gained results and PI-RADS V2 results showed an increasing trend

the inefficiencies were in a decreasing trend

and the error rates in a decreasing trend. The error rate of PI-RADS V2 was higher than that of the senior radiologists. The ROC curve showed that senior radiologists had the highest diagnostic performance

followed by PI-RADS V2. PI-RADS V2 had the highest diagnostic sensitivity

followed by senior radiologists. Senior radiologists had the highest specificity

followed by PI-RADS V2.

Conclusion

PI-RADS V2 has excellent repeatability. For the junior and attending radiologists

PI-RADS V2 could significantly improve their diagnostic efficacy of prostate cancer.

关键词

Keywords

references

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