乳腺纤维囊性变化:MRI的放射病学相关性
Angela I Choe1, Claudia Kasales1, Julie Mack1
1Penn State Health Milton S. Hershey Medical Center, Department of Radiology, Hershey, PA, USA.
Journal of breast imaging
|February 29, 2024
概括
了解乳房MRI中的纤维囊变化 (FCC) 是至关重要的. 在MRI导向活检后识别良性病理有助于管理发现,往往导致常规后续检查.
科学领域:
- 放射学 放射学是一门学科.
- 病理学 病理学 病理学
- 在瘤学瘤学.
背景情况:
- 乳腺MRI具有高灵敏度,但癌症检测的积极预测价值有限.
- 大约75%的MRI导向活检产生良性结果,通常被描述为纤维囊变化 (FCC).
- FCC是一个口语术语,涵盖了各种良性乳腺实体,可以在MRI上增强.
研究的目的:
- 为了将良性乳腺病理,通常称为FCC,与MRI上的外观相关联.
- 在良性MRI导向活检结果后指导管理决策.
- 为了改善放射病学相关性,增强乳腺病变.
主要方法:
- 对通常与FCC相关的良性乳腺实体的审查.
- 对这些良性病变的MRI特征 (增强模式,动力学) 的分析.
- 图像检测结果与组织病理学诊断的相关性.
主要成果:
- 包括FCC在内的良性实体,包括增殖性 (例如,管道增生,腺) 和非增殖性 (例如,囊,转化,纤维化) 病变,可以表现出不同的MRI增强模式.
- 扩散FCC通常呈现为具有持久动力学的非质量增强 (NME).
- 焦点FCC可能呈现为具有可变增强的质量或焦点,包括冲洗动力学.
结论:
- 在FCC中识别良性实体的MRI特征对于MRI导向活检的准确解释至关重要.
- 对于FCC实体来说,良性,一致的活检结果可能需要12个月后进行随访MRI.
- 有效的放射病学相关性依赖于将MRI特征与组织学发现整合起来.
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