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断层合成引导活检：故障排除指南。

Tomosynthesis-Guided Biopsy: A Troubleshooting Guide.

作者信息

Chahine Reve, Hijazi Madiha, Radwan Najwa, Berjawi Ghina, Nassar Lara

机构信息

Department of Diagnostic Radiology, University of Michigan, Ann Arbor, MI 48109, USA.

Department of Diagnostic Radiology, American University of Beirut Medical Center, Beirut 1107, Lebanon.

出版信息

Diagnostics (Basel). 2025 Jan 27;15(3):295. doi: 10.3390/diagnostics15030295.

DOI:10.3390/diagnostics15030295
PMID:39941226
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11816910/
Abstract

Since its introduction, digital breast tomosynthesis (DBT) has been widely incorporated in screening for breast cancer due to its lesser recall and higher cancer detection rates. Some screen-detected lesions may be visible only by DBT, requiring biopsy using DBT guidance. This review article dissects the different steps of tomosynthesis-guided biopsy and discusses the different obstacles that might be encountered during each step while providing the appropriate solutions, hence allowing physicians to perform a successful biopsy with the least patient discomfort.

摘要

自引入以来，数字乳腺断层合成（DBT）因其召回率较低和癌症检出率较高，已广泛应用于乳腺癌筛查。一些筛查发现的病变可能仅在DBT下可见，这就需要在DBT引导下进行活检。这篇综述文章剖析了断层合成引导活检的不同步骤，讨论了每个步骤可能遇到的不同障碍，并提供了相应的解决方案，从而使医生能够在让患者不适最小的情况下成功进行活检。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/af76/11816910/36cab188ee6f/diagnostics-15-00295-g017.jpg
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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/af76/11816910/dc99b78c4492/diagnostics-15-00295-g001.jpg
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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/af76/11816910/fc635f5a5209/diagnostics-15-00295-g011.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/af76/11816910/98616689a7a2/diagnostics-15-00295-g012.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/af76/11816910/840dd52952f9/diagnostics-15-00295-g013.jpg
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本文引用的文献

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BMC Med Imaging. 2023 Jan 5;23(1):2. doi: 10.1186/s12880-022-00896-1.
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Upright Tomosynthesis-guided Breast Biopsy: Tips, Tricks, and Troubleshooting.直立式断层合成乳腺活检：技巧、窍门和故障排除。
Radiographics. 2021 Sep-Oct;41(5):1265-1282. doi: 10.1148/rg.2021210017. Epub 2021 Aug 6.
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Diagnostic accuracy of tomosynthesis-guided vacuum assisted breast biopsy of ultrasound occult lesions.
超声隐匿性病灶中立体定位活检的诊断准确性。
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Immediate Migration of Biopsy Clip Markers After Upright Digital Breast Tomosynthesis-Guided Vacuum-Assisted Core Biopsy.直立数字化乳腺断层摄影引导下真空辅助乳腺微创旋切活检术后活检夹标记物的即刻迁移。
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Overstated Harms of Breast Cancer Screening? A Large Outcomes Analysis of Complications Associated With 9-Gauge Stereotactic Vacuum-Assisted Breast Biopsy.乳腺癌筛查的危害被夸大了吗？9 号针立体定向真空辅助乳腺活检相关并发症的大型结局分析。
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Comparison of Upright Digital Breast Tomosynthesis-guided versus Prone Stereotactic Vacuum-assisted Breast Biopsy.直立式数字化乳腺断层摄影引导与俯卧式立体定位真空辅助乳腺活检的比较。
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Initial Experience of Tomosynthesis-Guided Vacuum-Assisted Biopsies of Tomosynthesis-Detected (2D Mammography and Ultrasound Occult) Architectural Distortions.基于断层合成摄影术引导真空辅助活检对断层合成摄影术检出的（二维乳房 X 线摄影和超声隐匿性）结构扭曲的初步经验。
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