在淋巴结活检时SCOUT定位
Meng Hao1, Steven P Poplack1, Jean Bao2
1Department of Radiology, Stanford University, Stanford, CA, USA.
Journal of breast imaging
|February 10, 2026
概括
在下淋巴结活检期间,SCOUT雷达定位的放置有助于识别被活检的节点. 这种技术对接受新辅助治疗的患者和50岁以下的女性特别有益.
科学领域:
- 在瘤学瘤学.
- 手术瘤学手术瘤学
- 放射学 放射学是一门学科.
背景情况:
- 轴心淋巴结活检对于诊断乳腺癌的阶段至关重要.
- 精确地定位活检淋巴结对于有效治疗至关重要.
- 新辅助治疗可以改变淋巴结的特征,使局部化复杂化.
研究的目的:
- 为了评估SCOUT雷达定位放置在下淋巴结核针活检期间的有效性.
- 确定SCOUT在指导手术中的利用率和影响.
主要方法:
- 在下淋巴结核心针活检期间进行SCOUT安置的127名患者的回顾性分析 (2018年1月 - 2023年9月).
- SCOUT利用定义的检测和移除在关剖析期间.
- 使用费舍尔的精确测试和威尔科克森的等级和和测试进行统计分析.
主要成果:
- 在127名患者身上进行了SCOUT;70%的患者在随后的下手术中被使用.
- 在28%的恶性病例中,SCOUT局部化的节点没有通过蓝色染料或放射追踪剂识别出来,特别是在新辅助治疗后.
- 在50岁以下的患者中,利用率显著更高 (87%).
结论:
- SCOUT安置有助于精确检测活检淋巴结.
- 这项技术在接受新辅助治疗的患者中尤其有益.
- 在较年轻的女性 (<50岁) 中,SCOUT 显示出改善淋巴结局部化的前景.
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