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超声引导下对无相关肿块的乳腺微钙化灶进行真空辅助活检的性能

Performance of ultrasound guidance for vacuum-assisted biopsy of breast microcalcifications without associated mass.

作者信息

Le Cam S, Badachi Y, Ayadi S, Lucidarme O

机构信息

Paris University, APHP, Bicêtre hospital, 94270 Le Kremlin-Bicêtre, France.

Department of General Radiology, GH La Pitié-Salpêtrière Charles-Foix, Paris, France.

出版信息

Res Diagn Interv Imaging. 2022 Aug 12;3:100012. doi: 10.1016/j.redii.2022.100012. eCollection 2022 Sep.

DOI:10.1016/j.redii.2022.100012
PMID:39077379
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11265181/
Abstract

•The accuracy of ultrasound (US)-guided biopsies of suspicious microcalcifications without mass is similar, or even better than results published in literature with stereotactic-guided biopsies.•When the microcalcifications are visible on ultrasound, there is no loss of chance in performing the biopsy under ultrasound guidance rather than under stereotactic guidance.•US guidance allows access to difficult areas for stereotactic, increases the comfort of the patient, avoids compression and irradiation.

摘要

•超声(US)引导下对无肿块的可疑微钙化灶进行活检的准确性与文献中报道的立体定向引导活检相似,甚至更好。

•当微钙化灶在超声下可见时,在超声引导下而非立体定向引导下进行活检不会错过机会。

•超声引导能够进入立体定向难以到达的区域,增加患者的舒适度,避免压迫和辐射。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b5e4/11265181/1ba0b3a1391e/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b5e4/11265181/6360737a4e6e/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b5e4/11265181/1ba0b3a1391e/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b5e4/11265181/6360737a4e6e/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b5e4/11265181/1ba0b3a1391e/gr2.jpg

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本文引用的文献

1
Image-guided marking techniques in interventional radiology: A review of current evidence.介入放射学中的图像引导标记技术:当前证据的综述。
Diagn Interv Imaging. 2021 Dec;102(12):699-707. doi: 10.1016/j.diii.2021.07.002. Epub 2021 Aug 18.
2
Advances in Ultrasound-Guided Vacuum-Assisted Biopsy of Breast Microcalcifications.超声引导下真空辅助活检乳腺微钙化的进展。
Ultrasound Med Biol. 2021 May;47(5):1172-1181. doi: 10.1016/j.ultrasmedbio.2021.01.008. Epub 2021 Feb 4.
3
Heritability of Mammographic Breast Density, Density Change, Microcalcifications, and Masses.
乳腺 X 线摄影密度、密度变化、微钙化和肿块的遗传性。
Cancer Res. 2020 Apr 1;80(7):1590-1600. doi: 10.1158/0008-5472.CAN-19-2455.
4
Digital Mammography Stereotactic Biopsy versus Digital Breast Tomosynthesis-guided Biopsy: Differences in Biopsy Targets, Pathologic Results, and Discordance Rates.数字乳腺立体定向活检与数字乳腺断层合成引导活检:活检目标、病理结果和不相符率的差异。
Radiology. 2020 Mar;294(3):518-527. doi: 10.1148/radiol.2019191525. Epub 2020 Jan 21.
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Ultrasound-guided vacuum-assisted biopsy of microcalcifications detected at screening mammography.超声引导下对乳腺钼靶筛查中检测到的微钙化灶进行真空辅助活检。
Acta Radiol. 2009 Jul;50(6):602-9. doi: 10.1080/02841850902933107.
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Efficacy and safety of direct and frontal macrobiopsies in breast cancer.直接和正面粗针活检在乳腺癌中的疗效和安全性。
Eur J Cancer Prev. 2009 Aug;18(4):280-4. doi: 10.1097/CEJ.0b013e328329d885.
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False-negative diagnoses at stereotactic vacuum-assisted needle breast biopsy: long-term follow-up of 1,280 lesions and review of the literature.立体定向真空辅助乳腺穿刺活检的假阴性诊断:1280例病变的长期随访及文献复习
AJR Am J Roentgenol. 2009 Feb;192(2):341-51. doi: 10.2214/AJR.08.1127.
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[Surgical management of breast microclacifications].[乳腺微钙化的外科治疗]
J Gynecol Obstet Biol Reprod (Paris). 2007 Sep;36(5):468-72. doi: 10.1016/j.jgyn.2007.04.012. Epub 2007 Jun 6.
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Guidelines from the European Society of Breast Imaging for diagnostic interventional breast procedures.欧洲乳腺影像学会关于乳腺诊断性介入操作的指南。
Eur Radiol. 2007 Feb;17(2):581-8. doi: 10.1007/s00330-006-0408-x.
10
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AJR Am J Roentgenol. 2003 Apr;180(4):941-8. doi: 10.2214/ajr.180.4.1800941.