| MRI导引下真空辅助乳腺病灶旋切活检技术的临床应用 |
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| 引用本文： | 鲁伦博,张承中,卓瑶瑶,李婷,谢叻,孔德兴,李康安. MRI导引下真空辅助乳腺病灶旋切活检技术的临床应用[J]. 中国医学影像技术, 2017, 33(5): 657-661 |
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| 作者姓名： | 鲁伦博 张承中 卓瑶瑶 李婷 谢叻 孔德兴 李康安 |
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| 作者单位： | 上海交通大学附属第一人民医院放射科, 上海 201620,上海交通大学附属第一人民医院放射科, 上海 201620,上海交通大学附属第一人民医院放射科, 上海 201620,上海交通大学附属第一人民医院放射科, 上海 201620,上海交通大学国家数字化制造技术中心, 上海 200030,浙江大学数学科学学院, 浙江 杭州 310027,上海交通大学附属第一人民医院放射科, 上海 201620 |
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| 摘 要： | 目的 探讨MRI导引下真空辅助旋切乳腺病灶活检技术的可行性。方法 对45例患者共45个乳腺可疑病灶行MRI导引下真空辅助旋切活检。观察其技术成功率和术后并发症情况，并进行随访。结果 在45个乳腺可疑病灶中，经MRI导引下真空辅助旋切活检43个（43/45，95.56%）病灶成功取样并获取病理学诊断，2个（2/45，4.44%）病灶未获取病理学诊断。穿刺操作用时（45.87±8.41）min。5个（5/45，11.11%）活检病理为恶性的病灶，均与术后病理结果相符；38个（38/45，84.44%）活检病理为良性的病灶，6个月后MRI随访均未见恶性表现。根据活检病理结果指导14例（14/45，31.11%）患者调整了治疗方案，其中5例（5/45，11.11%）恶性肿瘤患者得以早期确诊，9例（9/45，20.00%）疑似恶性的良性肿瘤患者避免了外科手术。45例患者活检术后均无感染及血肿等并发症发生。结论 MRI导引下真空辅助旋切乳腺病灶活检安全、有效地完成乳腺可疑病灶取样，对乳腺可疑病灶患者的临床治疗方案具有指导作用。
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| 关 键 词： | 乳腺疾病 磁共振成像 真空辅助 活组织检查,针吸 |
| 收稿时间： | 2016-10-29 |
| 修稿时间： | 2017-04-09 |
Application of MRI-guided vacuum-assisted breast biopsy: Initial clinical experience |
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| LU Lunbo,ZHANG Chengzhong,ZHUO Yaoyao,LI Ting,XIE Le,KONG Dexing and LI Kang''an. Application of MRI-guided vacuum-assisted breast biopsy: Initial clinical experience[J]. Chinese Journal of Medical Imaging Technology, 2017, 33(5): 657-661 |
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| Authors: | LU Lunbo ZHANG Chengzhong ZHUO Yaoyao LI Ting XIE Le KONG Dexing LI Kang''an |
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| Affiliation: | Department of Radiology, Shanghai General Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai 201620, China,Department of Radiology, Shanghai General Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai 201620, China,Department of Radiology, Shanghai General Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai 201620, China,Department of Radiology, Shanghai General Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai 201620, China,National Digital Manufacturing Technology Center, Shanghai Jiao Tong University, Shanghai 200030, China,School of Mathematical Sciences, Zhejiang University, Hangzhou 310027, China and Department of Radiology, Shanghai General Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai 201620, China |
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| Abstract: | Objective To evaluate the feasibility of MRI-guided vacuum-assisted breast biopsy in domestic clinical practice. Methods A total of 45 patients with 45 suspicious breast lesions were examined with MRI-guided vacuum-assisted biopsy. The complications were observed. And the followed-up was performed. Results In 45 suspected breast lesions, 43 lesions (43/45, 95.56%) were successfully sampled under MRI-guided vacuum-assisted biopsy and the pathologic diagnosis was obtained. For another 2 lesions (2/45, 4.44%), the pathology diagnosis were not obtained. The time to perform MRI-guided biopsy was (45.87±8.41)min for one lesion. The 5 malignant lesions (5/45, 11.11%) confirmed by biopsy pathology were consistent with postoperative pathological results. For the 38 benign lesions (38/45, 84.44%) confirmed by biopsy pathology, there was no malignant performance found in MRI follow-up for 6 months. Because of successful MR imaging-guided core biopsy findings, the clinic treatments were changed in 14 patients (14/45, 31.11%). Five cases (5/45, 11.11%) with malignant tumors were diagnosed early. The surgical biopsy was avoided in 9 benign cases (9/45, 20.00%) who suspected as malignant. In all 45 patients, no complications occurred, such as hematoma and infection. Conclusion MRI-Guided vacuum-assisted breast biopsy is sufficient and safe for obtaining histologic proof of lesions, and plays an important role in guiding clinic treatment of some lesions visible only by MRI. |
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| Keywords: | Breast diseases Magnetic resonance imaging Vacuum-assisted Biopsy, needle |
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