针对性肺部健康检查:与乳房相关的偶然发现-成像外观和经验教训
Suzanne Matthews1,2, Moe Kyi2,3, Abdul Nasimudeen2,3
1Main Radiology Department, Northern General Hospital, Sheffield Teaching Hospitals NHS Foundation Trust, Sheffield, S5 7AU, United Kingdom.
在有针对性的肺部健康检查 (TLHC) 期间,偶然的乳腺结节很常见. 光滑,明确的结节通常是良性的,但低剂量的CT在评估方面存在局限性,需要明确的转诊途径.
科学领域:
- 在瘤学瘤学.
- 放射学 放射学是一门学科.
- 公共卫生 公共卫生
背景情况:
- 针对肺癌查的有针对性的肺健康检查 (TLHC) 正在确定偶然的乳腺发现.
- 对这些偶然发现的有效管理策略至关重要.
研究的目的:
- 为了追溯分析从TLHC中偶然检测到的乳腺病变,转介给乳腺癌临床医生.
- 评估这些偶然发现的乳腺特征和结果.
主要方法:
- 在TLHC的第一年内,对患有偶发乳腺结节的参与者进行审查,并将其转介给乳腺癌团队.
- 评估乳腺结节,不对称/密集的乳房和疑似转移性乳腺疾病.
主要成果:
- 52名参与者因43种乳腺结节,8种不对称性和2种转移性疾病而被转诊.
- 在调查的42个结节中,5个是乳腺癌,10个是正常组织,27个是良性的.
- 光滑,明确的结节是良性的;在不对称/密集组织的情况下没有恶性病变. 两种转移性乳腺癌确诊.
结论:
- 偶然的乳腺结节是TLHC扫描中经常发现的发现.
- 低剂量的CT在准确评估乳腺结节方面存在局限性,尽管光滑,明确的乳腺结节可能是良性的.
- 预先建立的乳腺转诊途径和获得先前的乳房造影可以优化患者管理并减少不必要的转诊.
更多相关视频
07:53Author Spotlight: Advancing 3D Modeling for Enhanced Diagnosis and Treatment of Pulmonary Nodules in Early-Stage Lung Cancer
Published on: October 13, 2023
11:31Using Micro-computed Tomography for the Assessment of Tumor Development and Follow-up of Response to Treatment in a Mouse Model of Lung Cancer
Published on: May 20, 2016
相关概念视频
Radiological Investigation III: Pulmonary Angiogram and PET Scan
Pulmonary Angiogram
A Pulmonary Angiogram is an invasive procedure involving injecting a contrast medium through a catheter threaded into the pulmonary artery or the right side of the heart to visualize the pulmonary vasculature. Computed Tomography (CT) scans have mainly replaced this...
Radiological Investigation II: MRI and Ventilation Perfusion Scan
Magnetic Resonance Imaging (MRI) and Ventilation Perfusion Scans are two radiological investigations that offer detailed diagnostic images of the body, particularly lung structures.
MRI
MRI uses magnetic fields and radiofrequency signals to distinguish between normal and abnormal tissues. This technology provides a more detailed diagnostic image than CT scans, enabling it to characterize pulmonary nodules, stage bronchogenic carcinoma, and evaluate inflammatory activity in...
Radiological Investigation I: X-ray and CT
Imaging Studies for Cardiovascular System III: X-Ray
Definition and Purpose
An X-ray, or radiograph, is a non-invasive method that uses ionizing radiation to take images of internal structures. It is mainly used in cardiac imaging to examine the heart, lungs, and major blood vessels, aiming to identify abnormalities in the heart's size, shape, and position, such as heart failure, congenital defects, and vascular...
Endoscopic Studies I: Bronchoscopy and Thoracoscopy
Bronchoscopy
Description
Bronchoscopy is a procedure that involves direct visualization of the larynx, trachea, and bronchi for diagnostic and therapeutic purposes. A flexible fiber optic or rigid bronchoscope is used to carry out the procedure. The fiber-optic bronchoscope is more frequently used due...
