轴节评估和活检:基于超声波形态和检测方式的恶性瘤预测因素
Anubha Wadhwa1, Shadie S Majidi1, Shelly Reimer1
1Department of Radiology, Medical College of Wisconsin, 8701 W Watertown Plank Rd, Wauwatosa, WI 53226, United States of America.
Clinical imaging
|November 4, 2024
概括
超声波 (美国) 功能,如节点皮层加厚和缺席的部强烈预测关节恶性病. 影像检测方法显著影响关节恶性瘤检测率.
科学领域:
- 放射学 放射学是一门学科.
- 在瘤学瘤学.
- 病理学 病理学 病理学
背景情况:
- 轴心淋巴结状况对于乳腺癌的分期至关重要.
- 超声波 (US) 是评估下淋巴结的主要成像方式.
研究的目的:
- 评估关节声波形态特征对恶性瘤的预测价值.
- 根据成像检测方法来确定关节恶性瘤的发生率.
主要方法:
- 通过皮肤进行的美国指导的关节活检的回顾性审查 (1/1/2019-9/30/2021).
- 超声波特征,成像模式和原发性瘤大小与恶性瘤的相关性.
- 对恶性瘤的积极预测值 (PPV) 的分析.
主要成果:
- 在接受关节活检的594名患者中发现了224种恶性瘤.
- 节点皮质的加厚和缺少正常的部是恶性瘤的显著预测因素 (PPV 0.61 vs 0.23).
- 与诊断成像,触摸或CT/PET (48.4%-65.3%) 相比,查性乳房影像 (18.8%) 和MRI (15.8%) 的恶性PPV较低.
结论:
- 关节的超声波形态对于预测转移至关重要.
- 皮层厚度大于5毫米和/或缺少体显示出转移性疾病的最高PPV.
- 将临床病史与成像检测结果相结合,可以提高活检的准确性,特别是在查时偶然检测到的节点.
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