超越针头:了解乳房MRI指导的乳房活检中的组织标记物迁移
Orit Golan1,2, Sapir Lazar1,2, Tehillah S Menes3
1Sackler School of Medicine, Tel Aviv University, Tel Aviv, Israel.
Journal of breast imaging
|September 8, 2024
概括
在MRI导向乳腺活检后的剪片迁移是不常见的,发生在11%的病例中. 当目标病变被显著的脂肪包围时,迁移更频繁,剪辑通常会远离活检部位.
科学领域:
- 放射学 放射学是一门学科.
- 乳房成像 乳房成像
- 干预程序 干预程序
背景情况:
- 剪贴标记器对于在活检后的乳房成像中定位病变至关重要.
- 了解影响片迁移的因素对于准确的后续评估至关重要.
研究的目的:
- 为了确定MRI引导的乳房活检后的剪贴迁移的发生率.
- 为了确定与片迁移相关的患者和程序因素.
主要方法:
- 在2013年至2020年期间进行的291次MRI导向乳腺活检的回顾性分析.
- 剪片迁移被定义为在随访MRI时,从目标病变移动≥10毫米.
- 统计分析以确定与移民相关的因素.
主要成果:
- 剪片迁移发生在11% (31/291) 的活检中.
- 迁移与周围>50%区域脂肪包围的病变显著相关 (15%与7%,P=.023).
- 全球脂肪乳房显示边界关联 (P=.06);病变特征和活检方法不是重要因素.
结论:
- 剪片迁移是MRI导向乳腺活检的一个罕见并发症.
- 周围大量脂肪的存在是剪片迁移的主要危险因素.
- 剪辑通常沿着活检通道迁移,远离进入点.
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