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在乳腺癌患者手术前MRI指导括号后的结果

Shani Broitman¹, Orit Golan¹, Tehillah S Menes²

¹Tel Aviv University, Sackler School of Medicine, Department of Radiology, Sourasky Medical Center, Tel Aviv, Weizmann 6, Tel Aviv-Yafo 6423906, Israel.

Clinical imaging

|July 31, 2025

概括

在乳腺保护疗法 (BCT) 之前,磁共振成像引导括号 (MRI-B) 显示了可控的阳性边缘和复发率. 优化MRI-B患者选择是改善乳腺癌治疗手术结果的关键.

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:

乳腺保护疗法 (BCT) 是乳腺癌的标准治疗方法.
磁共振成像导向支架 (MRI-B) 是一种新兴的技术,用于提高BCT中的外科精度.
评估MRI-B的疗效和结果对于其临床采用至关重要.

研究的目的:

评估在BCT之前接受MRI-B的患者的外科结果.
为了确定与MRI-B后的积极外科边缘和成像过高估计相关的因素.
评估MRI-B和BCT后局部和远程复发的发生率.

主要方法:

在2016年1月至2022年12月期间连续接受BCT和MRI-B治疗的乳腺癌患者的回顾性分析.
使用MRI兼容的线或剪贴进行的MRI-B,具有乳房图局部化.
临床,放射学和病理学数据与手术边缘和成像过高估计的相关性.

主要成果:

18%的患者经历了积极的外科手术边缘;年轻的年龄和DCIS/ILC的存在是相关因素.
在27%符合条件的患者中,MRI高估了疾病的程度,特别是在孤立的IDC的情况下.
长期随访显示,局部复发率为4%,远程复发率为5%.

结论:

在BCT之前的MRI-B与临床上可管理的阳性边际和局部复发率有关.
图像过度估计,特别是与孤立的IDC,是一个值得关注的问题.
优化对MRI-B患者的选择对于提高手术结果和尽量减少不必要的手术至关重要.

关键词:

乳腺新生体的形成.这就是为什么MRI是MRI.电线局部淋巴切除术.

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