针对MRI检测乳腺发现的MR导向US的收益率:我们可以多久避免MR活检?
Melissa Reichman1, Xiaoxuan Chen2, Annabel Lee2
1Weill Cornell Medicine at New York-Presbyterian Hospital, 525 East 68(th) Street, New York, NY 10065, United States of America.
Clinical imaging
|May 23, 2024
概括
与焦点或非质量增强相比,MR导向超声波在检测乳腺质量方面具有更高的产量. 这一发现对于优化乳腺成像诊断建议至关重要.
科学领域:
- 放射学 放射学是一门学科.
- 医疗成像医学成像
- 乳房成像 乳房成像
背景情况:
- 磁共振成像 (MR) 是检测乳腺异常的一个关键工具.
- BI-RADS 4类评估表明有可疑发现需要进一步调查.
- 导向MR的超声波旨在将MRI检测到的结果与超声波可视化相关联.
研究的目的:
- 为了评估MRI上发现的乳腺发现的MR导向超声波的诊断产量.
- 为了确定MR导向超声波在表征BI-RADS 4乳腺病变方面的有效性.
主要方法:
- 在2017年至2020年期间,对765名BI-RADS 4乳腺MRI发现的患者进行了回顾性分析.
- 对852个发现进行了MR导向超声波,以评估超声波相关性.
- 从成像指导活检和切除活检的病理学结果与成像发现相关.
主要成果:
- 在34%的病例中,MR导向的超声波检测发现了相关物 (291/852).
- 在那些有相关性的人中,49%是良性的,28%是恶性的,5%是高风险的.
- 与焦点相比,群体具有显著更高的超声相关性 (p < 0.0001) 的可能性.
结论:
- 与焦点和非质量增强相比,MR导向超声波在识别乳腺质量方面表现出更高的产量.
- 这些发现支持根据MRI检测到的病变的形态来定制MR导向超声波的建议.
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