在实验室进行乳腺标本放射摄影可减少组织块的使用，并缩短病理检查的周转时间。
In-laboratory breast specimen radiography reduces tissue block utilization and improves turnaround time of pathologic examination.
机构信息
Department of Pathology and Immunology, Washington University School of Medicine, 425 S. Euclid Ave., Campus Box 8118, St. Louis, MO, 63110, USA.
出版信息
BMC Med Imaging. 2021 Mar 23;21(1):59. doi: 10.1186/s12880-021-00589-1.
BACKGROUND
This study was performed to determine whether in-laboratory specimen radiography reduces turnaround time or block utilization in surgical pathology.
METHODS
Specimens processed during a 48-day trial of an in-lab cabinet radiography device (Faxitron) were compared to a control group of specimens imaged in the mammography suite during a prior 1-year period, and to a second group of specimens not undergoing imaging of any type.
RESULTS
Cases imaged in the mammography suite had longer turnaround time than cases not requiring imaging (by 1.15 days for core biopsies, and 1.73 days for mastectomies; p < 0.0001). In contrast, cases imaged in-lab had turnaround time that was no longer than unimaged cases (p > 0.05 for core biopsies, lumpectomies and mastectomies). Mastectomies imaged in-lab required submission of fewer blocks than controls not undergoing any imaging (mean reduction of 10.6 blocks).
CONCLUSIONS
Availability of in-lab radiography resulted in clinically meaningful improvements in turnaround time and economically meaningful reductions in block utilization.
背景
本研究旨在确定实验室标本放射照相术是否能缩短手术病理的周转时间或减少组织块的使用。
方法
在使用实验室柜式放射照相设备（Faxitron）的 48 天试验中处理的标本与前一年在乳腺摄影室进行成像的对照组标本进行比较，并且与未进行任何类型成像的第二组标本进行比较。
结果
在乳腺摄影室进行成像的病例比不需要成像的病例的周转时间更长（核心活检延长 1.15 天，乳房切除术延长 1.73 天；p<0.0001）。相比之下，在实验室进行成像的病例的周转时间并不长于未成像的病例（核心活检、乳房肿瘤切除术和乳房切除术 p>0.05）。在实验室进行乳房切除术成像的病例比未进行任何成像的对照组需要提交的组织块更少（平均减少 10.6 块）。
结论
实验室放射照相术的可用性可显著缩短周转时间，并在经济上显著减少组织块的使用。
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