断层合成检测到的建筑扭曲:成像特征和组织病理结果之间的相关性
Giovanna Romanucci1, Francesca Fornasa2, Andrea Caneva3
1UOSD Breast Unit ULSS9, Ospedale di Marzana, Piazzale Lambranzi, 1, 37142 Verona, Italy.
Journal of imaging
|May 26, 2023
概括
数字乳腺图解合成 (DBT) 结构扭曲 (ADs) 对恶性瘤有30.1%的积极预测值 (PPV). 超声相关的病变具有更高的恶性病变PPV,这证明了放射科医生的怀疑增加.
科学领域:
- 放射学 放射学是一门学科.
- 医疗成像医学成像
- 乳房成像 乳房成像
背景情况:
- 建筑扭曲 (ADs) 是乳房镜中的一个常见发现.
- 数字乳腺图解合成 (DBT) 已经改善了ADS的检测.
- 需要进一步评估DBT检测到的ADs的积极预测值 (PPV).
研究的目的:
- 为了确定DBT检测到恶性瘤的ADS的PPV.
- 评估AD成像特征与基因病学的结果之间的相关性.
主要方法:
- 在2019-2021年期间,对AD进行的123次活检进行了回顾性审查.
- 在DBT,合成2D (synt2D) 和超声波 (美国) 上对ADs的放射学解释.
- 在DBT-真空辅助活检 (DBT-VAB) 和核心针活检 (CNB) 后,病理结果与成像发现的比较.
主要成果:
- 恶性瘤的整体PPV为30.1% (37/123).
- 根据成像方式的PPV有所不同:仅DBT (19.2%),DBT + synt2D (28.2%) 和与美国相关的ADS (66.7%).
- 在这些组中观察到PPV的统计学上显著差异 (p=0.01).
结论:
- 只有DBT的ADs在恶性瘤中具有较低的PPV,而不是在synt2D乳房镜上可见的PPV.
- 美国相关的存在与恶性瘤有关,应该增加放射科医生的怀疑.
- DBT检测到可能仍然需要活检的AD,即使在初始CNB上有良性病理.
关键词:
B3 病变的病变 B3 病变的病变乳腺癌查计划 乳腺癌查计划在DBT-真空辅助活检中使用DBT-真空辅助活检.这是一种建筑扭曲.乳腺癌 乳腺癌 乳腺癌乳房成像检查 乳房成像检查合成的2D是什么意思图莫合成 (tomosynthesis) 是一种体内合成的方法.更多相关视频
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