乳腺病变的图像引导活检-何时使用什么活检技术
Wendelien B G Sanderink1, Julia Camps-Herrero2, Alexandra Athanasiou3
1Department of Medical Imaging, Radboud University Medical Center, Nijmegen, The Netherlands. Wendelien.Sanderink@radboudumc.nl.
Insights into imaging
|September 25, 2025
概括
这项研究建立了关于乳腺活检技术的共识,建议真空辅助活检 (VAB) 用于乳房影像/MRI可见病变和核心针活检 (CNB) 用于更大的美国可见质量. 专家指导确保了全世界的准确诊断.
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:
- 最少侵入性乳腺病变诊断已经进步,但最佳的活检技术和成像组合缺乏共识.
- 现有的文献对首选的活检方法提供了稀少的证据,需要专家驱动的指南.
研究的目的:
- 建立国际专家共识,选择适当的图像导向乳腺活检技术.
- 为准确的乳腺病变诊断提供针选择和活检方法的实际建议.
主要方法:
- 适应的兰德-UCLA适当性方法.
- 达成共识的发展涉及八个全球乳腺活检专家.
- 对生物检查技术选择的证据和专家意见的审查.
主要成果:
- 建议真空辅助活检 (VAB) 用于乳房影像/MRI可见的病变.
- 对于美国可见质量>5mm的细胞,最好采用芯针活检 (CNB).
- 对于较小的质量,复杂的囊/固体病变,导管内质量,建筑扭曲和美国的化,VAB是最受欢迎的.
- 扩展VAB (EVAB) 和真空辅助切除术 (VAE) 建议用于再活检.
- 建议对DCIS和某些类型瘤进行外科切除.
结论:
- 一个国际专家小组制定了基于证据的建议,用于图像引导的乳腺活检.
- 这些指导方针旨在标准化诊断方法,并在全球范围内提高准确性.
- 该共识涉及基于病变特征和采样需求的不同活检指示.
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