Masroor Imrana, Afzal Shaista, Sufian Saira Naz
Department of Radiology, The Aga Khan University Hospital, Karachi.
J Coll Physicians Surg Pak. 2016 Jun;26(6):521-6.
Breast imaging is a developing field, with new and upcoming innovations, decreasing the morbidity and mortality related to breast pathologies with main emphasis on breast cancer. Breast imaging has an essential role in the detection and management of breast disease. It includes a multimodality approach, i.e. mammography, ultrasound, magnetic resonance imaging, nuclear medicine techniques and interventional procedures, done for the diagnosis and definitive management of breast abnormalities. The range of methods to perform biopsy of a suspicious breast lesion found on imaging has also increased markedly from the 1990s with hi-technological progress in surgical as well as percutaneous breast biopsy methods. The image guided percutaneous breast biopsy procedures cause minimal breast scarring, save time, and relieve the patient of the anxiety of going to the operation theatre. The aim of this review was to describe and discuss the different image guided breast biopsy techniques presently employed along with the indications, contraindication, merits and demerits of each method.
乳腺成像作为一个不断发展的领域,新的和即将出现的创新技术层出不穷,这些技术降低了与乳腺疾病(主要是乳腺癌)相关的发病率和死亡率。乳腺成像在乳腺疾病的检测和管理中起着至关重要的作用。它采用多模态方法,即乳腺X线摄影、超声、磁共振成像、核医学技术和介入程序,用于乳腺异常的诊断和最终管理。自20世纪90年代以来,随着外科手术以及经皮乳腺活检方法的高科技进展,对成像检查中发现的可疑乳腺病变进行活检的方法范围也显著增加。图像引导下的经皮乳腺活检程序造成的乳腺瘢痕最小,节省时间,并缓解了患者对进入手术室的焦虑。这篇综述的目的是描述和讨论目前使用的不同图像引导乳腺活检技术,以及每种方法的适应症、禁忌症、优缺点。