574
326195226014562119177
ORIGINÁLNÍ852207016996181224324367468561635735777
PRÁCE1667207016983165262348424
Ces8507936014570127174
Urol10497936014578115180208
2019;12827936014562121176229253
23(4):15607936014562122153210240262
325–33218487936014561118178239298355412
cívkou.85089801314969116160214270287
Sonografické1155898013152108164220278307355378405451494544
měření1718898013190140169218273293
bylo2029898013161106127183
provedeno223189801316090145191240298349405461
na2711898013159105
pří‑283589801316090110141
stroji850104801314071100153172190
Toshiba1055104801315097134187206262308
Applio13771048013163119176196214268
50016591048013153101152
pomocí18261048013159115200254300319
end‑fire21591048013153107162192215242269317
transrektální2490104801313462108162198226274316349395414468486
sondy.850119801314197153211257268
TRUS11361198013151105171217
měření13711198013190141169218274293
prostaty1682119801316191145183215263293342
prováděli2042119801316191145191239296346367386
tři245011980131305980
urologové2548119801315887142163218277332378428
s8501348013142
dvaceti,9201348013161109157204254286306322
sedmi12641348013148100159247267
a15541348013156
dvěma16391348013160108159247294
lety1956134801312981112162
zkušeností2141134801315195152190241298355394427447
v26111348013156
oboru.26961348013159118176206263280
Velikost8501498013155101120139181234270302
prostaty1166149801316089142178210256285332
byla15131498013160103124169
u16961498013158
TRUS17691498013150102166211
i20011498013116
MR20321498013184135
vypočtena2182149801314997154210256288336390435
změření26321498013143147196223271325344
největších8501648013159110129176225256295314360415
rozměrů1281164801313286126214264293349
ve1645164801315099
třech1760164801313463112159215
rovinách1991164801313286132152208254300356
pomocí23621648013161118205261308327
vzorce2705164801315094148178222271
„šířka85017980131326988120163211
x10761798013147
výška1138179801314998136178226
x13791798013147
hloubka1441179801315978133188245288336
x17921798013147
0,523“.1854179801315468119166215243252
Ze21221798013158106
zjištěných224417980131446483119150198253296341395
velikostí2655179801314998118137179233270302321
prostaty850194801316089143180211258287336
byla12011948013160104125170
následně13861948013159105141161210267322372
dopočítána17731948013159114172228274293323370424470
PSAdenzita22581948013155102161236285340381401432478
(PSA/2758194801312273120179218
velikost850209801315099120139182237274307
prostaty1176209801316191145183215263293342
v15382098013149
ml).16072098013190110136149
Výsledky:10002246013362113155179232294343397419
Celkově14472248013164114136181238286338
bylo18082248013169116138196
hodnoceno20282248013167125185243301351401459517
58225692248013161113164
paci‑27632248013162112160181214
entů.8502398013153110141198214
Průměrný1087239801316291149236288319376421
věk15312398013157108152
pacientů17132398013161110158178230287318374
byl21172398013161107129
62,8622692398013161110127182234
let2526239801313182114
(31–91),2663239801313786132180232279298313
průměrné850254801316192149236288318376428
PSA13002548013155104165
bylo14872548013160106129186
8,701694254801315472122171
ng/ml18822548013159117156241262
(0,53–75,00).216725480131287894146195249295343358411465490504
Průměrný1000269801315583139226277306362406
rozdíl1428269801313388128184203225
velikosti16762698013150100120139182237275307327
mezi20262698013190141183204
TRUS22532698013151105170216
a24922698013150
MR25652698013185138
měře‑27262698013190141169218250
ním850284801315979166
prostaty1044284801316090145183215263293343
byl14142848013161106128
+8,41ml,15702848013165117133184227332352368
u19652848013159
vyšetřujícího20462848013156106144195226256312332351397417475531
s26002848013147
dvaceti26742848013160108156202251282302
lety850299801312374105154
praxe1026299801316090138183232
potom12802998013161118148202289
+3,66ml,15912998013165110125177229333353369
u19812998013159
vyšetřujícího20612998013150100138189220249305325344390410467524
se2606299801314192
sedmi2720299801314192150236256
lety850314801312374105154
praxe1030314801316090138183233
+11,19ml12883148013166107145155199242346367
a16763148013154
u17563148013158
vyšetřujícího18363148013154104142192223253309328348394413471527
se2385314801314596
dvěma25073148013159107156243289
lety2818314801312778109158
praxe850329801316191138184233
+8,12ml.11033298013165116132177219324344360
Průměrný1000344801315585142229281311369414
rozdíl1437344801313388129186207230
v16903448013150
PSA17633448013156104166
denzitě19523448013160112168211233265315
mezi22903448013190142186207
TRUS25213448013151106172219
a27643448013150
MR28373448013185139
byl8503598013160104125
-0,02599735980131268095146193243
ng/ml/ml.12553598013158114151233253289372392408
Při1680359801315481102
použití17983598013159116171212232263283
hraniční2097359801315886134188208253308327
hodnoty24413598013157113170225280310358
PSA28163598013154101160
denzity8503748013160112168212233265315
k11883748013150
indikaci1261374801312783141162206256303324
biopsie1611374801316182139198237257309
0,151946374801315470115159
ng/ml/ml21223748013159117155240261299384405
a25503748013153
0,202630374801315370123174
ng/28213748013159117155
ml/ml8503898013190111149234255
by11343898013161107
bylo12693898013161107129186
při1484389801316192113
TRUS16203898013157112179225
měření18743898013190142171222278299
bioptováno2202389801316082139198229284331380437494
o27253898013158
828063898013160
%28953898013181
respektive850404801313283122179232277312333381432
o13004048013158
613764048013154
%méně14484048013181188240297349
pacientů18154048013160109156177228285315371
než22044048013159111154
při2376404801316191112
použití25064048013161119176218240272292
MR.28164048013186139160
Závěr:10004196013360110157206238259
Transrektální1273419801315073120175212240289332367414434488508
ultrasonografie1797419801315878109138185223278334389447476523546572623
v24364198013149
našem25014198013158104142192277
sou‑2795419801314096151182
boru8504348013161119150207
ve10794348013150101
srovnání1203434801314070125172230278334355
s15814348013140
magnetickou16434348013190138197253305337358405450505562
rezonancí2228434801313282126181239286343390411
velikost26614348013150101122143187242281315
prostaty850449801316192147186219268299349
nadhodnocovala.12174498013159106165221278338394451500554601650671719737
Tento1972449801315196153183238
rozdíl,2233449801312883124181202225241
promítnutý2492449801316192147236256289346402434484
do8504648013159115
PSA9834648013155102163
denzit11634648013159110166209230261
by14424648013160105
znamenal15654648013144100147234285341388409
6–8%19914648013153109162240
rozdíl2254464801312781122178198221
v24924648013150
indikacích2564464801311873131151194243290310356412
biopsií850479801316182139198237257278
prostaty1152479801316192147186220268299349
na15264798013159107
základě1656479801314695140163210269320
PSA20014798013155104165
denzity21914798013159111168211233265315
v25314798013149
závislosti2603479801314696142164202223280319352373
na8504948013159107
použité9784948013161119176219240273322
hraniční1322494801315989138195215262319340
hodnotě.16844948013158116175232289320370386
KLÍČOVÁ8525234014770132164236320392464
SLOVA13435234014762123207279351
Velikost8505398013156106129150196253293328
prostaty,12025398013169101158198233283315367380
transrektální1606539801314274125183222253305351388438460518540
ultrazvuk,2170539801316789122154205249303361407428
magne‑26315398013190139199257310345
tická850554801313456104150200
rezonance1075554801313284128185243292350398449
prostaty,1548554801316193149189224274306357370
PSA19425548013155105167
denzita.21335548013160113171215238271321340
SUMMARY8525834014762143243345423493561
Stejskal1000599801315184136160201248300324
J,1350599801313655
Adamcova14295998013164124175265316373423475
V,1928599801315669
Pavlicko20215998013155105154179203253300358
A,2403599801316487
Záleský25145998013159111135189231278331
M,28695998013186107
Ryznarová8506148013156108157219270304363414466
Z,1343614801317091
Votrubová14606148013167124159193254316378429481
J,1968614801314868
Zachoval20626148013170123174234295346398423
R.2512614801316689
A26286148013175
com‑27296148013160119211247
parison8506298013162116151177220283346
of12236298013171103
prostate13536298013174109170214252306342397
volumes17776298013162124150211305363407
measured22226298013193150202246307342397462
using27126298013170113138200264
transrectal850644801313468120180222255308360398450475
ultrasound1349644801315983118152205246307367427489
and18626448013150110172
magnetic20596448013190141202262318353377428
resonance2513644801313185127187248299359410463
imaging;8506598013123114165227251310372391
and12676598013158118180
the14736598013142102157
effect1656659801316292127181233271
of1953659801316797
their20776598013141102157181214
differences2317659801316892123158212246299359410463506
on28496598013166127
PSA8506748013155107172
density.10506748013160115175217240276329345
Aim:1000689601336997192215
The12426898013170133189
aim1457689801316993186
of16696898013177108
this18036898013153114138179
study2008689801316097158220272
is2306689801314182
to24156898013152111
compare25526898013168127221284337370425
prostate850704801316296155197233284318371
volumes12477048013159119143202294350392
and16647048013160120182
calculated18717048013159111135185245268319352405468
PSA23657048013165117181
densities25727048013170125185226249284307362404
measured8507198013190143190230286317368428
by12987198013161107
transrectal1429719801313062112169208239290339375424446
ultrasound1895719801315980113145195234292349407466
performed23817198013161114145177234266355408468
by28697198013160107
urologists850734801315890146169227288309348383425
with13007348013180102136194
different1519734801316082111141193224276334366
levels1909734801312578126178201240
of2174734801315987
experience,22877348013153101161215247269322380428479496
and28077348013152109169
prostate850749801316193150190224274306358
volumes12327498013157115138195284337378
calculated16347498013157107129178235257306338389450
based21087498013169119159212272
on24057498013166125
magnetic25627498013190139199257310343365414
resonance850764801313284124182241290347396447
measurements.13217648013190143191231288319370459512570602644663
Methods:3353896013391147183243303366409429
The3806898013159119172
study400189801314983141201249
comprises4273898013157113204264295317356409449
patients4751898013163113144166218276308349
who5130898013181140199
underwent32031048013158114171222251331381437466
transrectal3691104801313060107163200229278325359407427
needle41361048013158109161219239290
biopsy4443104801316181137195233280
between47411048013160112143222272324380
Feb‑51381048013151100158191
ruary3203119801313289135164214
201534351198013154103149192
and36451198013150106163
November38271198013170126172222309366418447
2018.42931198013153103148193209
All4521119801316485104
of4644119801315885
these4751119801313086137175226
patients49961198013160108138158208264294333
underwent32031348013158113170220249329378433463
amultiparametric36811348013150155210229260280336384412460546596627656676722
prostateMR4418134801316190144182214261290339439492
using4925134801315895114169225
1,5T5166134801315363113162
Signa3203149801315169126181227
HDXT34461498013169136190241
GEwith37031498013168116211231262317
endorectal40361498013153108165220250299345379426446
coil44971498013149102122142
beforehand.46541498013161112138192222270326372427484501
The51701498013151108159
ultrasound3203164801315979111141190228285341398456
measurement,36871648013191143190228283313363451503559589606
done43221648013160117174226
using4576164801315997117173231
the4829164801314197149
Toshiba50001648013158108146202222280329
Applio32031798013165123182203223279
50035041798013160110163
device36951798013161112159180226276
with39991798013180101132189
end-fire42101798013159116174205230257286336
endorectal45681798013159116174230260310358392440461
probe,5057179801316191146205257272
was32031948013179127164
performed33911948013161112142171226256344395453
by38681948013160105
three3995194801313692120170221
urologists4240194801315887142163218276296333365405
with46681948013180100131187
two,48771948013135115170185
seven5084194801314293140189245
and32032098013150106163
2033892098013153103
years3515209801314898144173212
of3750209801315884
clinical385720980131496989144163209257277
experience.4157209801315399157209238258309364411459474
Prostate4654209801315584138176208255285334
volume50112098013150105126180267318
was32032248013181130169
in3395224801313087
all350522480131577898
patients36322248013162112143164216273304345
calculated40002248013156105126174230251299330381441
by44702248013162108
using4607224801316098118175234
the4864224801314199151
largest5038224801313078108166218257291
diameters3203239801316079125211262293341370409
in3633239801311772
three3721239801313490119168219
perpendicular39562398013160112141199250306363382428483503549578
axes4550239801314995144181
in4753239801311772
the4841239801313489140
„width49972398013132106126182214269
x52822398013147
height32032548013158107126181235264
x34812548013146
length3548254801311766120176206260
x38232548013146
0.523”3883254801315368118164213241
formula.4144254801312276104190243262307323
PSAdensitywas44822548013154100158232281335371389419467559605641
then5138254801313388137191
calculated3203269801314997117163218238284314363421
as3644269801315087
total3753269801313286116163183
PSA/prostate39562698013155103163203257287341379412459489538
volume45132698013150105126181267318
in4853269801312176
millilitres.49492698013190110129149168188207238268317355372
Results:33532846013361118163225252290336359
A37382848013175
total38382848013144102137188212
of4075284801316999
58242002848013164118171
were44052848013182136169223
evaluated.46542848013163114166190249300334387450471
The51502848013162124179
mean32032998013192146195254
age34822998013159120174
was36892998013181131172
62.8638862998013163114133189244
years41552998013157110159192233
(31–91),4413299801313890138188242291312328
average47662998013159108161193244305359
PSA51502998013164115179
was32033148013179129169
8.703396314801315473125174
ng/ml35953148013159118157243266
(0.53–75.00).388531480131298098151201256304353370423478505520
The33533298013153113166
mean35513298013192146194252
difference3826329801317091120150202233285343392443
between42923298013171125158240293347405
TRUS47203298013161118186234
and49773298013160118178
MR51863298013188143
measurement32033448013189139183220273301349435485539568
was37863448013178124161
+8.41ml.39623448013164114131179221325344360
The43373448013150107156
differencewas4508344801315978104134182211259313359406499546582
+3.6651053448013165108123173224
ml32033598013190110
for3335359801312277107
the3458359801313389140
examiner3614359801315398145231251306357386
with4016359801317999130186
twenty42173598013134113163219248297
years4530359801314898143172211
of4757359801315884
experience,4857359801315398156208237257307363409457472
+11.19ml32033748013165106144153197239344364
for3588374801312377106
the3710374801313489139
examiner3865374801315397144230249304354383
with4263374801317999130185
seven4464374801314091137186241
years4720374801314897143171209
of4945374801315884
experi‑5044374801315398155207235255285
ence32033898013153109155204
and34323898013149105162
+8.1236193898013165116133177219
ml38633898013190110
for3995389801313186116
the4133389801313692143
examiner4301389801315398146232252307358387
with47133898013179100131187
two49213898013137116172
years51143898013151101147176215
of3203404801315985
experience.3307404801315499157209238259309365411460475
The33534198013151109161
average3534419801314995146177226284336
difference3889419801315980109138189220270327374424
in4337419801311875
PSA44314198013154103164
density46154198013159111167206226259309
between49434198013160113146226277329386
TRUS32034348013151107175223
and34484348013150107167
MR36374348013185140
was37994348013179129169
-0.0253992434801313087105158208261
ng/ml/ml.42744348013159119158244266305391414432
Using47284348013169107128186245
the4997434801313290143
PSA51624348013155105167
density32034498013159111168207228260311
cut-off35334498013149105138166226255284
value3837449801314998120176228
of4084449801315886
0.154189449801315471116160
ng/ml/ml43694498013158116155240262300385406
and47954498013149106165
0.204979449801315471125175
ng/51744498013158117155
ml/ml32034648013190112151237259
to3487464801313591
indicate3602464801312582142164212262294345
prostate3973464801316092149189223273305356
biopsy,4355464801316183141201241290304
846844648013154
%47644648013181
or4870464801315991
649874648013153
%50664648013181
less5171464801312578118158
patients32034798013161111143165217275307349
would35844798013179136194217276
have38844798013167115163215
undergone41234798013166124183236268325384442495
prostate46424798013169101157197232281314365
biopsy5031479801316891148209249298
when32034948013179138191249
using3476494801315898119177236
TRUS37364948013151107175223
than3983494801313492141199
with42064948013179102135193
MR44234948013186141
respectively.4588494801313284124183237287323345394446468516530
Conclusion:33535096013365125188239265326370396458521543
In3922509801313291
this40385098013144103126166
cohort,42305098013158116176236270308328
transrectal4583509801314376128187228260313364402453476
ultra‑5084509801316992126159211245
sonography32035248013141100158217278309359419478524
yielded3752524801315679132155214268328
larger4104524801313281112170224255
prostate43835248013169102158199233283316367
volume47745248013158115139196285339
esti‑51375248013162102137159192
mates32035398013190139171222262
than3489539801313997146204
magnetic37225398013190139198256309342364413
resonance4159539801313789129187246294352401451
imaging;46355398013128116165224246304363380
subse‑50395398013146103162202255290
quently32035548013160117170228259282330
635545548013154
%36305548013181
or3732554801315991
838445548013154
%39195548013181
less4024554801312174114154
biopsies4200554801316083140201241262315355
would45765548013180137195217276
have48745548013159108155207
been51035548013160114168226
performed32035698013162117149181240272364418480
when37165698013180140194253
using39945698013167107129188248
PSA42675698013164115178
density44705698013169123182222244278330
as48255698013159100
the49495698013143102156
only51305698013168127150199
criterion3203584801314980103136187219241299358
for3585584801312986118
prostate3727584801316193149189224273305356
biopsy.4107584801316184141202242291304
KEY32046134014770134206
WORDS343761340147105189260345408
Prostate3203629801315483138177210258289339
size,3560629801314061103153169
transrectal3752629801312959108164202231281329364412433
ultrasonography,4204629801315778110141189228284341397456486534592649694706
magnetic49286298013189136194250301333354401
resonance3203644801313284124182241290347396447
of3674644801315987
the3785644801313492145
prostate,3954644801316193149189224274306357374
PSA43526448013155105167
density.45436448013160113171210231265316329
………320367340147120240360
ÚVOD32057158018197183286388
Velikost33537498013155106130153200258299335
prostaty3712749801316093151192228279313365
donedávna41017498013159119178233294344393453503
hrála4628749801315891142166216
roli4869749801313188113136
zejmé‑5031749801314294118207262298
na32037648013159110
při3339764801316195119
diagnostice3484764801316084134196256317359395420470523
benigní40337648013161117177201262322346
hyperplazie44057648013159107171227260323348399446471526
prostaty4957764801316094153195232284318372