在怀孕期间进行ACR适当性标准®乳房成像
, Lonie R Salkowski1, Alana A Lewin2
1University of Wisconsin School of Medicine & Public Health, Madison, Wisconsin.
与怀孕相关的乳腺癌 (PABC) 正在增加. 乳房造影是安全的,并建议在怀孕期间进行查和诊断,而由于胎儿安全问题,不建议使用MRI.
科学领域:
- 放射学 放射学是一门学科.
- 在瘤学瘤学.
- 产科 产科 产科 产科 产科
背景情况:
- 怀孕期间乳房的生理和结构变化使临床检查和成像复杂化.
- 怀孕相关乳腺癌 (PABC) 是不常见的,但由于分娩延迟而增加.
- PABC的症状包括可触摸的块,疼痛,乳头泄漏或乳房扩大.
研究的目的:
- 为怀孕期间的乳腺成像提供基于证据的指导方针.
- 概述PABC诊断和分期的适当成像方法.
- 为了解决不同成像技术在孕妇患者的安全性和有效性.
主要方法:
- 对同行评审的医学文献进行系统分析.
- 应用基于证据的方法 (例如,GRADE).
- 使用RAND/UCLA适当性方法进行程序评估.
主要成果:
- 乳房摄影是安全的,并推用于怀孕期间的查和诊断目的.
- 超声波是评估PABC症状和病期的宝贵工具.
- 乳房MRI不建议使用,因为加多对胎儿的安全性尚不清楚.
结论:
- 对于高风险和正常风险的妇女,在怀孕期间应继续进行常规查性乳房扫描.
- 诊断性乳房影像和超声波是为PABC评估和分期而定制的.
- 当文献有限时,专家的共识和既定准则为推提供信息.
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