以DBT为指导的VABB的实际挑战:从文献到临床经验的危害和益处
Daniele Ugo Tari1, Davide Raffaele De Lucia1, Marika Santarsiere1
1Department of Breast Imaging, Caserta Local Health Authority, District 12 "Palazzo della Salute", 81100 Caserta, Italy.
Cancers
|December 23, 2023
概括
虚空辅助乳腺活检 (VABB) 是一种安全有效的方法来诊断可疑的乳腺病变. 这种微创的技术显示出高精度,特别是在超声波上看不见的非触觉性病变.
科学领域:
- 放射学 放射学是一门学科.
- 在瘤学瘤学.
- 病理学 病理学 病理学
背景情况:
- 数字乳腺图解合成 (DBT) 增强了超声波中看不到的乳腺病变的可视化.
- 真空辅助乳腺活检 (VABB) 对于细微或非触摸性病变的组织学诊断至关重要.
- 以DBT为指导的VABB为准确的乳腺病变特征提供了一种最少的侵入性方法.
研究的目的:
- 评估DBT指导的VABB用于诊断可疑乳腺病变的疗效和安全性.
- 为了评估DBT引导的VABB和外科切除之间的组织病理学一致性.
- 根据部门经验,为DBT引导的VABB提供临床实践指南.
主要方法:
- 在2019年至2022年期间,对85个DBT指导的VABB进行了回顾性分析.
- 描述性统计学,皮尔森相关性和千二测试被用于数据分析.
- 卡帕统计评估了VABB组织学和外科诊断之间的一致性.
主要成果:
- 确定了37种乳腺癌 (BC),其中67.5%的女性乳腺密度高.
- 在VABB和手术发现之间发现了很高的一致性 (k=0.92).
- 该程序显示了88.2%的剪贴放置精度和14.1%的血瘤率,没有感染或出血.
结论:
- 以DBT为指导的VABB是一种安全的,最少的侵入性技术,具有很高的基因病理一致性.
- 它对于诊断非触摸性病变或仅在DBT上可见的病变特别有价值.
- 这项研究支持DBT引导的VABB用于准确诊断乳腺病变的临床实用性.
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