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乳腺磁共振成像的放射学与病理学相关性:高危病变的恰当处理措施是什么?

Radiologic-pathologic correlation at breast MR imaging: what is the appropriate management for high-risk lesions?

作者信息

Heller Samantha L, Hernandez Ozvaldo, Moy Linda

机构信息

Department of Radiology, St. George's Healthcare NHS Trust, London, UK.

出版信息

Magn Reson Imaging Clin N Am. 2013 Aug;21(3):583-99. doi: 10.1016/j.mric.2013.03.001. Epub 2013 May 16.

DOI:10.1016/j.mric.2013.03.001
PMID:23928247
Abstract

Breast magnetic resonance (MR) imaging is increasingly performed for a variety of indications, most commonly with the goal of detecting breast cancer. Percutaneous biopsy (usually under MR guidance or ultrasound if there is a correlating finding) is commonly used to evaluate suspicious imaging findings detected on MR imaging with the goal of identifying malignancy. It is important to be familiar with the characteristics and management of high-risk lesions detected or biopsied under MR guidance. This review focuses on the appearance of a variety of breast lesions detected on MR imaging that require excision with focus on pathologic correlation.

摘要

乳腺磁共振(MR)成像因各种适应证而越来越多地被应用,最常见的目的是检测乳腺癌。经皮活检(通常在MR引导下进行;如果有相关发现,则在超声引导下进行)常用于评估MR成像上检测到的可疑影像学表现,目的是识别恶性肿瘤。熟悉在MR引导下检测或活检的高危病变的特征及处理方法很重要。本综述重点关注MR成像上检测到的各种需要切除的乳腺病变的表现,并着重于病理相关性。

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Apparent diffusion coefficient values may help predict which MRI-detected high-risk breast lesions will upgrade at surgical excision.表观扩散系数值可能有助于预测哪些 MRI 检测到的高风险乳腺病变在手术切除时会升级。
J Magn Reson Imaging. 2017 Oct;46(4):1028-1036. doi: 10.1002/jmri.25656. Epub 2017 Feb 9.
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Lobular neoplasia detected in MRI-guided core biopsy carries a high risk for upgrade: a study of 63 cases from four different institutions.
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