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MRI引导下乳腺病变的经皮活检:材料、技术、成功率及疑似影像病理不匹配患者的处理

MRI-Guided percutaneous biopsy of breast lesions: materials, techniques, success rates, and management in patients with suspected radiologic-pathologic mismatch.

作者信息

Floery Daniel, Helbich Thomas H

机构信息

Department of Radiology, Medical University of Vienna-AKH WIEN, Waehringer Guertel 18-20, 1090 Vienna, Austria.

出版信息

Magn Reson Imaging Clin N Am. 2006 Aug;14(3):411-25, viii. doi: 10.1016/j.mric.2006.10.002.

DOI:10.1016/j.mric.2006.10.002
PMID:17098182
Abstract

MR imaging of the breast allows the detection of suspicious breast lesions that are occult at mammography and ultrasound. For the histologic verification of such lesions, percutaneous MR imaging-guided biopsy techniques can now be offered as an alternative to open breast biopsy. This review focuses on the currently available devices and techniques for MR imaging-guided percutaneous breast biopsy and reports their achievable diagnostic accuracy. Technical success rates and strategies for patient management are also outlined. In addition, new developments in MR imaging-guided minimally invasive therapeutic interventions are discussed, as well as the potential for research opportunities and directions.

摘要

乳腺磁共振成像(MR成像)能够检测出在乳腺X线摄影和超声检查中隐匿的可疑乳腺病变。对于此类病变的组织学验证,目前可采用经皮MR成像引导活检技术作为开放性乳腺活检的替代方法。本综述重点关注目前可用于MR成像引导经皮乳腺活检的设备和技术,并报告其可达到的诊断准确性。还概述了技术成功率和患者管理策略。此外讨论了MR成像引导下微创治疗干预的新进展以及研究机会和方向的潜力。

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