看看还是不看看? 轴心成像:少可能是更多
Victoria L Mango1, Melissa Pilewskie2, Maxine S Jochelson1
1Memorial Sloan Kettering Cancer Center, Department of Radiology, New York, NY, USA.
Journal of breast imaging
|March 1, 2024
概括
放射科医生应谨慎地在乳腺癌患者中进行下超声波和活检. 这确保了适当的护理,特别是对于符合Z0011标准或接受新辅助化疗的人来说,优化了治疗决策.
科学领域:
- 在瘤学瘤学.
- 放射学 放射学是一门学科.
- 手术瘤学手术瘤学
背景情况:
- 轴心淋巴结状况对于乳腺癌的预后和治疗计划至关重要.
- 图像检查,包括超声波 (美国),有助于股评估,但需要仔细的临床考虑.
- 跨学科的沟通对于适当的轴心成像决策至关重要.
研究的目的:
- 审查乳腺癌患者的下成像策略.
- 识别可能不适用于下US和/或图像导向活检的临床情景.
- 专注于符合Z0011标准的新诊断患者和接受新辅助化疗的患者.
主要方法:
- 审查临床指南和相关文献.
- 在特定的乳腺癌患者群体中分析下图像的决策过程.
- 专注于股超声波和活检的指示和禁忌.
主要成果:
- 部US和活检并不总是必要的,特别是在满足特定标准的早期乳腺癌中 (例如,Z0011).
- 在接受新辅助化疗的患者中,下图像的作用和时间需要仔细评估.
- 临床适当性和多学科投入至关重要.
结论:
- 在乳腺癌中明智地使用下图像是必不可少的.
- 避免不必要的带US和活检可以简化患者的护理.
- 根据临床背景和患者特征量身定制成像决策是关键.
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