在良性一致性MRI导向乳腺活检后遵守短期随访MRI
Shruthi Ram1,2, Helaina Regen-Tuero2, Grayson L Baird1,2
1Rhode Island Hospital, Department of Diagnostic Imaging, Providence, RI.
Journal of breast imaging
|March 1, 2024
概括
在良性乳腺活检后,对短期随访MRI的遵守率为66.0%. 改善的沟通可能会增加坚持,但低的假阴性率表明常规后续MRI可能是不必要的.
科学领域:
- 放射学 放射学是一门学科.
- 在瘤学瘤学.
- 乳房成像 乳房成像
背景情况:
- 用MRI指导的乳房活检对于诊断乳房病变至关重要.
- 良性一致的结果需要谨慎管理,以避免错过恶性瘤.
研究的目的:
- 评估在良性一致性MRI导向乳腺活检后遵守短间隔随访MRI建议.
- 确定影响合规性和假负率的因素.
主要方法:
- 对107个良性一致的核磁共振导向活检 (2010-2018) 的回顾性审查.
- 收集的数据包括病变特征,随访建议,沟通和成像结果.
- 合规性定义为9个月内进行后续MRI.
主要成果:
- 54.9%的患者被推进行短间隔的随访MRI.
- 只有66.0%的推后续MRI进行.
- 假阴性率很低,只有0.9% (1/107).
结论:
- 在良性一致活检后遵守短间隔随访MRI建议是不理想的 (66.0%).
- 对建议的沟通不良可能导致遵守程度低.
- 低错误阴性率质疑在这些情况下需要常规的短间隔随访MRI.
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