在乳腺活检时SCOUT®雷达定位
Brittany Z Dashevsky1, Mohamed S Muneer1, Meng Hao1
1Department of Radiology, Stanford University School of Medicine, Palo Alto, CA, USA.
Journal of breast imaging
|May 22, 2024
概括
乳腺活检后的SCOUT反射器放置经常用于手术,特别是没有先前乳腺癌或可疑淋巴结的患者的较小病变. 这种技术有助于指导淋巴切除术和切除活检.
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:
- 最少侵入性乳腺活检技术对于准确的诊断和有针对性的治疗至关重要.
- SCOUT反射器为乳腺病变提供一种非放射性局部化方法.
研究的目的:
- 为了评估在乳腺活检期间放置的SCOUT反射器的外科利用模式.
- 确定影响SCOUT反射器用于后续外科手术的决定的因素.
主要方法:
- 在2021年1月至2022年6月期间,对SCOUT反射器放置的乳腺活检病例的回顾性分析.
- 纳入标准:SCOUT反射器放置在活检,在活检中未知病变病理.
- 对影响SCOUT利用的6个变量的多变量回归分析.
主要成果:
- 在112名患者中,有121个病变符合纳入标准;98%的病变是恶性,高风险或良性-异调性病理.
- 在64%的病例中,SCOUT反射器被用于手术 (58%的隆瘤切除,56%的切除活检).
- 病变<3.5厘米 (52%),没有先前乳腺癌的患者 (33%) 和没有可疑淋巴结的患者 (19%) 的利用率更高.
结论:
- SCOUT反射器放置是一个有价值的工具,在大多数活检后的外科病例中使用.
- 支持SCOUT使用的关键因素包括较小的病变大小,没有可疑的淋巴结,没有经过治疗的乳腺癌史.
- 该研究强调了SCOUT反射器在指导乳腺损伤手术干预中的作用.
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