Weifang Medical University, Weifang, Shandong, China.
Department of Ultrasonography, Peking University Shenzhen Hospital, Shenzhen, Guangdong, China.
J Clin Ultrasound. 2022 Mar;50(3):415-421. doi: 10.1002/jcu.23151. Epub 2022 Jan 29.
Sentinel lymph node biopsy has been regarded as the standard procedure for early staging breast cancer. One of the key steps is to locate the sentinel lymph node (SLN). The recommended method is the joint use of blue dye and radioisotope. However, due to radionuclide radiation and high cost, it is urgent to develop more convenient and sensitive imaging methods to accurately locate SLN. This article discusses the advancement of accurately locating SLN by isotope tracer imaging, magnetic tracer method, computed tomographic lymphography, and trans-lymphatic contrast-enhanced ultrasound, as well as proposing new propose for clinical diagnosis.
前哨淋巴结活检已被视为早期乳腺癌分期的标准程序。其中一个关键步骤是定位前哨淋巴结 (SLN)。推荐的方法是联合使用蓝染剂和放射性同位素。然而,由于放射性核素辐射和高成本,迫切需要开发更方便和敏感的成像方法来准确定位 SLN。本文讨论了通过同位素示踪剂成像、磁性示踪剂法、计算机断层淋巴造影和经淋巴管对比增强超声来准确定位 SLN 的进展,并为临床诊断提出了新的建议。