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磁共振成像引导下乳腺活检的挑战及一些建议策略:基于病例的综述

Challenges in MRI-Guided Breast Biopsy and Some Suggested Strategies: Case Based Review.

作者信息

Niketa Chotai, Pang Kathleen Ann, Lim Joon Wei

机构信息

Radlink Diagnostic Imaging Center, #08-08, 290 Orchard Road, Singapore 238851, Singapore.

Yong Loo Lin School of Medicine, National University of Singapore, Singapore 119228, Singapore.

出版信息

Diagnostics (Basel). 2022 Aug 16;12(8):1985. doi: 10.3390/diagnostics12081985.

DOI:10.3390/diagnostics12081985
PMID:36010334
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9407085/
Abstract

With the increasing use of MRI in clinical practice, the need for MRI-guided intervention is also increasing. Indeterminate lesions identified on MRI without mammographic or sonographic correlates will need to be approached under MRI guidance. MRI-guided biopsy is a skill that can be acquired with proper training and guidance. These procedures have their own set of challenges and issues; some of them are specific to the patient habitus in this region. Adequate knowledge and understanding of the challenges can help the radiologist to be better equipped to face these issues and solve them promptly during the procedure, thus increasing the overall success rate of the procedure. Not much local data from Asian countries is available on this front. This paper aims to share common challenges one may face while performing MRI-guided biopsy and share some tips and tricks to address these problems. Hopefully, this will help the readers achieve a higher success rate for MRI-guided interventions in their clinical practice.

摘要

随着磁共振成像(MRI)在临床实践中的使用日益增加,对MRI引导下干预的需求也在上升。在MRI上发现但无乳腺X线摄影或超声相关表现的不确定病变,需要在MRI引导下进行处理。MRI引导下活检是一项通过适当培训和指导就能掌握的技术。这些操作有其自身一系列的挑战和问题;其中一些问题特定于该区域患者的体型。对这些挑战有充分的认识和理解,有助于放射科医生更好地应对这些问题,并在操作过程中迅速解决,从而提高操作的总体成功率。在这方面,来自亚洲国家的本地数据不多。本文旨在分享在进行MRI引导下活检时可能面临的常见挑战,并分享一些解决这些问题的技巧和窍门。希望这将帮助读者在临床实践中提高MRI引导下干预的成功率。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c4d4/9407085/76cfda19b6a6/diagnostics-12-01985-g012.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c4d4/9407085/ea82efa371af/diagnostics-12-01985-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c4d4/9407085/4ed08beb5ee8/diagnostics-12-01985-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c4d4/9407085/be65dbd0c4e2/diagnostics-12-01985-g008.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c4d4/9407085/a13f9d8552df/diagnostics-12-01985-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c4d4/9407085/6a903ebc9570/diagnostics-12-01985-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c4d4/9407085/6d976146ff9d/diagnostics-12-01985-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c4d4/9407085/b7647f8b7b4f/diagnostics-12-01985-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c4d4/9407085/750a02cdbfdd/diagnostics-12-01985-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c4d4/9407085/f74f38e06151/diagnostics-12-01985-g009.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c4d4/9407085/28cdc70445db/diagnostics-12-01985-g010.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c4d4/9407085/1ae229c23502/diagnostics-12-01985-g011.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c4d4/9407085/76cfda19b6a6/diagnostics-12-01985-g012.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c4d4/9407085/ea82efa371af/diagnostics-12-01985-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c4d4/9407085/4ed08beb5ee8/diagnostics-12-01985-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c4d4/9407085/be65dbd0c4e2/diagnostics-12-01985-g008.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c4d4/9407085/a13f9d8552df/diagnostics-12-01985-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c4d4/9407085/6a903ebc9570/diagnostics-12-01985-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c4d4/9407085/6d976146ff9d/diagnostics-12-01985-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c4d4/9407085/b7647f8b7b4f/diagnostics-12-01985-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c4d4/9407085/750a02cdbfdd/diagnostics-12-01985-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c4d4/9407085/f74f38e06151/diagnostics-12-01985-g009.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c4d4/9407085/28cdc70445db/diagnostics-12-01985-g010.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c4d4/9407085/1ae229c23502/diagnostics-12-01985-g011.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c4d4/9407085/76cfda19b6a6/diagnostics-12-01985-g012.jpg

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