对MRI检测的乳腺病变进行对比增强乳房扫描指导的活检:一项前性研究
Yuying Cao1, Amy H Lu2, Ryan Cecil3
1School of Medicine, University of Pittsburgh, Pittsburgh, PA, USA.
Journal of breast imaging
|February 9, 2026
概括
与对比度增强的乳腺样本检查 (CEM-Bx) 成功地针对MRI可疑的乳腺病变,缺乏其他成像相关物质. 病变大小和放射科医生的经验等因素影响CEM-Bx成功率.
科学领域:
- 放射学 放射学是一门学科.
- 乳房成像 乳房成像
- 干预性放射学 干预性放射学
背景情况:
- 磁力共振成像对于检测乳腺病变至关重要,但对于没有超声波或断层合成相关性的病变,活检指导可能具有挑战性.
- 增强对比度的乳腺造影活检 (CEM-Bx) 为这些难以进行活检的病变提供了潜在的替代方案.
研究的目的:
- 为了评估CEM-Bx对MRI检测到的乳腺病变的成功率,而没有图莫合成或超声波相关性.
- 在这个患者队列中确定与成功的CEM-Bx相关的因素.
主要方法:
- 一项前性研究包括接受CEM-Bx的BI-RADS≥4AMRI病变的女性.
- 进行了CEM,如果可视化了相关的,则立即进行CEM-Bx.
- 通过可视化增强相关和准确的病变采样来定义成功;失败者进行了MRI引导的活检.
主要成果:
- 在152名女性中,CEM-Bx在184个病变中的57.6%成功.
- 在成功活检的22.6%和失败的17.9%中发现了恶性病变.
- 与CEM-Bx成功相关的因素包括较大的病变大小,放射科医生的CEM经验增加以及较低的背景辅酶增强 (BPE).
结论:
- 对于特定的MRI检测到的乳腺病变,CEM-Bx是MRI导向活检的可行的替代方案.
- 在CEM-Bx不成功的情况下,MRI引导的活检仍然是必不可少的.
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