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数字乳腺断层合成真空辅助活检用于断层合成检测到的超声隐匿性病变

Digital breast Tomosynthesis vacuum assisted biopsy for Tomosynthesis-detected Sonographically occult lesions.

作者信息

Ariaratnam Nikki S, Little Sherrill T, Whitley Markus A, Ferguson Kristy

机构信息

South Jersey Radiology Associates, 1307 White Horse Road, Suite A102, Voorhees, NJ 08043, USA.

South Jersey Radiology Associates, 1307 White Horse Road, Suite A102, Voorhees, NJ 08043, USA.

出版信息

Clin Imaging. 2018 Jan-Feb;47:4-8. doi: 10.1016/j.clinimag.2017.08.002. Epub 2017 Aug 5.

DOI:10.1016/j.clinimag.2017.08.002
PMID:28806573
Abstract

PURPOSE

To assess the utility and pathological results from DBT VAB for lesions occult on 2D mammography and breast ultrasound (US).

MATERIALS AND METHODS

A retrospective review of 1116 consecutive stereotactic biopsies was performed over 27months. DBT VAB was performed for 38 non-calcified lesions which were solely detected using DBT. Imaging findings and pathology results were reviewed.

RESULTS

Pathologic findings were malignant in 8 of 38 lesions [masses (5) and distortion (3)]. High-risk findings found in 14 lesions.

CONCLUSION

DBT VAB is easily performed and the majority of cases yield actionable pathologies. Therefore, perform DBT VAB primarily when available.

摘要

目的

评估数字乳腺断层合成真空辅助活检(DBT VAB)对于二维乳腺X线摄影和乳腺超声(US)检查隐匿性病变的效用及病理结果。

材料与方法

对27个月内连续进行的1116例立体定向活检进行回顾性分析。对38例仅通过DBT检测到的非钙化病变进行DBT VAB。回顾影像学表现和病理结果。

结果

38例病变中有8例病理结果为恶性[肿块(5例)和结构扭曲(3例)]。14例病变发现高危特征。

结论

DBT VAB操作简便,大多数病例可得出有指导意义的病理结果。因此,如有条件应首选DBT VAB。

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