没有对比度的MRI和乳房切除术后的质乳房植入物破裂:预防假阳性诊断
Luca Mazzocconi1, Francesca De Lorenzi, Riccardo Carbonaro
1European Institute of Oncology, IRCCS, Via Ripamonti, Milan, Italy.
概括
乳房植入物MRI解释可能具有挑战性,导致潜在的误诊. 准确的评估需要详细的植入知识和仔细审查模两可的MRI标志,以避免不必要的手术.
科学领域:
- 放射学 放射学是一门学科.
- 整形外科 整形外科 整形外科
- 医疗成像医学成像
背景情况:
- 乳房植入物寿命有限,破裂经常需要修复性手术.
- 非对比的MRI是乳房植入物完整性的关键诊断工具.
- 对MRI结果的误解可能导致不准确的植入物破裂诊断.
研究的目的:
- 用MRI来确定乳腺植入物完整性评估中误导性结果的发生率.
- 将MRI发现与手术内外科观察结果进行比较.
- 识别和探索可能导致非单一的MRI解释的迹象.
主要方法:
- 在2019年3月至2022年10月期间进行了139次乳房MRI检查,以评估植入物完整性.
- 包括在研究所接受手术的被诊断为怀疑或确诊的植入物破裂的患者.
- 排除了没有手术或在外部设施进行手术的情况.
主要成果:
- 手术结果证实了65名患者中48名患者的MRI诊断.
- 17名患者表现出不一致:3个假阴性,11个假阳性,3个未确认的可能破裂.
- 详细的植入信息 (材料,光量,制造商,形状) 显著帮助准确的MRI解释.
结论:
- 在MRI前对植入物特征的了解对于准确的完整性评估至关重要.
- 精心评估模两可的MRI标志可以降低不必要的修改手术的风险.
- 准确的MRI解释可以帮助预防与植入物评估相关的医疗失误索赔.
更多相关视频
08:19Protocol for the Evaluation of MRI Artifacts Caused by Metal Implants to Assess the Suitability of Implants and the Vulnerability of Pulse Sequences
Published on: May 17, 2018
9.8K
13:44Detection of Architectural Distortion in Prior Mammograms via Analysis of Oriented Patterns
Published on: August 30, 2013
42.9K
相关概念视频
Imaging Studies I: CT and MRI
239
Introduction: MRI and CT scans are crucial advancements in medical imaging techniques, playing a vital role in diagnosing conditions related to the gastrointestinal (GI) system. Each scan serves distinct purposes, targets specific areas, and requires unique nursing duties.
Description of the Procedures
Computed Tomography (CT) scan:
Computed Tomography (CT) scans use X-ray technology to generate detailed images of bones, organs, and tissues. During the scan, the patient lies on a moving table...
Description of the Procedures
Computed Tomography (CT) scan:
Computed Tomography (CT) scans use X-ray technology to generate detailed images of bones, organs, and tissues. During the scan, the patient lies on a moving table...
239
Magnetic Resonance Imaging
5.1K
Magnetic resonance imaging (MRI) is a noninvasive medical imaging technique based on a phenomenon of nuclear physics discovered in the 1930s, in which matter exposed to magnetic fields and radio waves was found to emit radio signals. In 1970, a physician and researcher named Raymond Damadian noticed that malignant (cancerous) tissue gave off different signals than normal body tissue. He applied for a patent for the first MRI scanning device in clinical use by the early 1980s. The early MRI...
5.1K
Radiological Investigation I: X-ray and CT
236
Radiological investigations, including X-rays and computed tomography (CT) scans, are critical for diagnosing and evaluating various medical conditions. These imaging techniques provide valuable insights into the body's internal structures, aiding in the detection of abnormalities, assessment of disease progression, and development of treatment strategies. This article delves into two primary radiological investigations, chest X-rays and CT scans, outlining their purpose, procedures, and...
236
Radiological Investigation III: Pulmonary Angiogram and PET Scan
91
Radiological investigations are paramount in the diagnosis and management of various pulmonary diseases. Two essential investigations are the Pulmonary Angiogram and the Positron Emission Tomography (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...
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...
91
Radiological Investigation II: MRI and Ventilation Perfusion Scan
117
Description
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...
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...
117
