切换至 "中华医学电子期刊资源库"

中华乳腺病杂志(电子版) ›› 2018, Vol. 12 ›› Issue (02) : 110 -112. doi: 10.3877/cma.j.issn.1674-0807.2018.02.009

所属专题: 文献

综述

磁共振成像引导下乳腺病灶定位与活组织检查
鲁伦博1, 孔德兴2, 谢叻3, 李康安1,()   
  1. 1. 201600 上海交通大学附属第一人民医院放射科
    2. 310027 杭州,浙江大学数学科学学院
    3. 200030 上海交通大学国家数字化制造技术中心
  • 收稿日期:2017-09-19 出版日期:2018-04-01
  • 通信作者: 李康安

Magnetic resonance imaging guided breast lesion location and biopsy

Lunbo Lu1, Dexing Kong2, Le Xie3   

  • Received:2017-09-19 Published:2018-04-01
引用本文:

鲁伦博, 孔德兴, 谢叻, 李康安. 磁共振成像引导下乳腺病灶定位与活组织检查[J/OL]. 中华乳腺病杂志(电子版), 2018, 12(02): 110-112.

Lunbo Lu, Dexing Kong, Le Xie. Magnetic resonance imaging guided breast lesion location and biopsy[J/OL]. Chinese Journal of Breast Disease(Electronic Edition), 2018, 12(02): 110-112.

MRI引导下的乳腺病灶定位与活组织检查技术自19世纪90年代开始并应用至今,现已发展成为继X线导向和超声引导下乳腺病灶定位与活组织检查技术的又一重要补充。定位设备由体表标志物定向发展到计算机辅助的立体定向,活组织检查技术由空芯针活组织检查发展到真空抽吸活组织检查,定位的精确性和样本的质量在技术的更迭过程中不断提高。尤其是真空抽吸活组织检查技术,众多研究均表明其准确性可媲美外科手术活组织检查。目前,在国外,MRI引导下乳腺病灶定位与活组织检查已发展成为具有乳腺MRI检查能力的医疗机构所必须具备的技术之一,而该技术在国内的开展仍处于试验阶段,缺乏基本的操作共识。另外,由于受磁环境和检查方式的限制以及较高成本的费用问题,该技术并不作为图像引导乳腺穿刺活组织检查的首选。目前的适应证主要是X线和超声不能定位的可疑病灶,且强调是在对照MRI图像复查超声时仍然不能定位的可疑病灶。笔者从MRI引导定向装置、活组织检查技术等方面综述MRI引导下乳腺病灶活组织检查与定位技术的发展。

[1]
Kuhl CK, Mielcareck P, Klaschik S, et al. Dynamic breast MR imaging: are signal intensity time course data useful for differential diagnosis of enhancing lesions?[J]. Radiology, 1999, 211(1): 101-110.
[2]
Helbich TH. Contrast-enhanced magnetic resonance imaging of the breast[J]. Eur J Radiology, 2000, 34(3): 208-219.
[3]
Bone B, Aspelin P, Bronge L, et al. Sensitivity and specificity of MR mammography with histopathological correlation in 250 breasts[J]. Acta Radiol, 1996, 37(2): 208-213.
[4]
Meeuwis C, Peters NH, Mali WP, et al. Targeting difficult accessible breast lesions: MRI-guided needle localization using a freehand technique in a 3.0 T closed bore magnet[J]. Eur J Radiol, 2007, 62(2): 283-288.
[5]
Brenner RJ, Rothman BJ. Detection of primary breast cancer in women with known adenocarcinoma metastatic to the axilla: use of MRI after negative clinical and mammographic examination[J].J Magn Reson Imaging, 1997, 7(6): 1153-1158.
[6]
Steunebrink M, Schnater JM, Storm RK, et al. Bilateral axillary metastases of occult breast carcinoma: report of a case with a review of the literature[J]. Breast, 2005, 14(2): 165-168.
[7]
Daniel BL, Birdwell RL, Ikeda DM, et al. Breast lesion localization: a freehand, interactive MR imaging-guided technique[J]. Radiology, 1998, 207(2): 455-463.
[8]
Helbich TH. Localization and biopsy of breast lesions by magnetic resonance imaging guidance[J].J Magn Reson Imaging, 2001, 13(6): 903-911.
[9]
Gossmann A, Bangard C, Warm M, et al. Real-time MR-guided wire localization of breast lesions by using an open 1.0-T imager: initial experience[J]. Radiology, 2008, 247(2): 535-542.
[10]
Fischbach F, Eggemann H, Bunke J, et al. MR-guided freehand biopsy of breast lesions in a 1.0-T open MR imager with a near-real-time interactive platform: preliminary experience[J]. Radiology, 2012, 265(2): 359-370.
[11]
Heywang-Köbrunner SH, Huynh AT, Viehweg P, et al. Prototype breast coil for MR-guided needle localization[J].J Comput Assist Tomogr, 1994, 18(6): 876-881.
[12]
Heywang-Köbrunner SH, Heinig A, Schauml ffel U, et al. MR-guided percutaneous excisional and incisional biopsy of breast lesions[J].Eur Radiol, 1999, 9(8): 1656-1665.
[13]
Mussurakis S, Gibbs P, Buckley DL, et al. Localization of MR-detected breast cancer using a prototype stereotactic guidance MR system[J]. Breast, 1997, 6(2): 65-68.
[14]
Liney GP, Tozer DJ, van Hulten HB, et al. Bilateral open breast coil and compatible intervention device[J].J Magn Reson Imaging, 2000, 12(6): 984-990.
[15]
Fischer U, Kopka L, Grabbe E. Magnetic resonance guided localization and biopsy of suspicious breast lesions[J]. Top Magn Reson Imaging, 1998, 9(1): 44-59.
[16]
Kuhl CK, Elevelt A, Leutner CC, et al. Interventional breast MR imaging: clinical use of a stereotactic localization and biopsy device[J]. Radiology, 1997, 204(3): 667-675.
[17]
Sittek H, Perlet C, Herrmann K, et al. MR mammography. Preoperative marking of non-palpable breast lesions with the Magnetom open at 0.2 T[J]. Radiologe, 1997, 37(9): 685-691.
[18]
Kuhl CK, Morakkabati N, Leutner CC, et al. MR imaging--guided large-core (14-gauge) needle biopsy of small lesions visible at breast MR imaging alone[J]. Radiology, 2001, 220(1): 31-39.
[19]
Jackman RJ, Marzoni FA Jr, Rosenberg J. False-negative diagnoses at stereotactic vacuum-assisted needle breast biopsy: long-term follow-up of 1, 280 lesions and review of the literature[J]. AJR Am J Roentgenol, 2009, 192(2): 341-351.
[20]
Sigal-Zafrani B, Muller K, El Khoury C, et al. Vacuum-assisted large-core needle biopsy (VLNB) improves the management of patients with breast microcalcifications-analysis of 1009 cases[J]. Eur J Surg Oncol, 2008, 34(4): 377-381.
[21]
Brennan SB. Breast magnetic resonance imaging for the interventionalist: magnetic resonance imaging-guided vacuum-assisted breast biopsy[J]. Tech Vasc Interv Radiol, 2014, 17(1): 40-48.
[22]
Imschweiler T, Haueisen H, Kampmann G, et al. MRI-guided vacuum-assisted breast biopsy: comparison with stereotactically guided and ultrasound-guided techniques[J]. Eur Radiol, 2014, 24(1): 128-135.
[23]
Langen HJ, Walter C, Ernst S, et al. MR-compatible and conventional marker wires in breast diagnosis--experimental studies on their dislocatability and artifact size in MRT[J]. Rofo, 1999, 170(3): 310-315.
[24]
Lewin JS, Duerk JL, Jain VR, et al. Needle localization in MR-guided biopsy and aspiration: effects of field strength, sequence design and magnetic field orientation[J]. AJR Am J Roentgenol, 1996, 166(6): 1337-1345.
[25]
Schneider E, Rohling KW, Schnall MD, et al. An apparatus for MR-guided breast lesion localization and core biopsy: design and preliminary results[J]. J Magn Reson Imaging, 2001, 14(3): 243-253.
[26]
Heywang-Köbrunner SH, Heinig A, Pickuth D, et al. Interventional MRI of the breast: lesion localisation and biopsy[J]. Eur Radiol, 2000, 10(1): 36-45.
[27]
Mann RM, Kuhl CK, Kinkel K, et al. Breast MRI: guidelines from the European Society of Breast Imaging[J]. Eur Radiol, 2008, 18(7): 1307-1318.
[28]
鲁伦博,张承中,卓瑶瑶,等. 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.
[29]
McGrath AL, Price ER, Eby PR, et al. MRI-guided breast interventions[J]. J Magn Reson Imaging, 2017, 46(3): 631-645.
[30]
Aribal E, Tureli D, Kucukkaya F, et al. Volume navigation technique for ultrasound-guided biopsy of breast lesions detected only at MRI[J]. AJR Am J Roentgenol, 2017, 208(6): 1400-1409.
[31]
程流泉,王建东,刘梅,等. MRI引导乳腺活组织穿刺检查的初步研究[J]. 中国医学影像学杂志,2011,19(2):129-133.
[1] 项文静, 徐燕, 茹彤, 郑明明, 顾燕, 戴晨燕, 朱湘玉, 严陈晨. 神经学超声检查在产前诊断胼胝体异常中的应用价值[J/OL]. 中华医学超声杂志(电子版), 2024, 21(05): 470-476.
[2] 刘晨鹭, 刘洁, 张帆, 严彩英, 陈倩, 陈双庆. 增强MRI 影像组学特征生境分析在预测乳腺癌HER-2 表达状态中的应用[J/OL]. 中华乳腺病杂志(电子版), 2024, 18(06): 339-345.
[3] 张国锋, 屈欣荣, 李艳, 张春, 刘蕾. 基于空芯针穿刺活组织检查的乳腺纤维上皮性肿瘤患者治疗策略[J/OL]. 中华乳腺病杂志(电子版), 2024, 18(05): 264-268.
[4] 庄若语, 杭明辉, 李文华, 张霆, 侯炜. 膝骨关节炎半定量磁共振评分研究进展[J/OL]. 中华关节外科杂志(电子版), 2024, 18(04): 545-552.
[5] 吴少敏, 张世豪, 刘炳光, 李婵, 尹嘉敏, 郑昌业, 黄素然. 胎儿巨大蛛网膜囊肿并文献复习[J/OL]. 中华妇幼临床医学杂志(电子版), 2024, 20(04): 390-397.
[6] 王莉, 曹蕾, 王亚丹, 张伟. Krabbe病1例临床分析并文献复习[J/OL]. 中华妇幼临床医学杂志(电子版), 2024, 20(03): 339-345.
[7] 陈海香, 王元银, 蒋盼. 冠突过长患者的临床表现及磁共振影像学分析[J/OL]. 中华口腔医学研究杂志(电子版), 2024, 18(03): 169-174.
[8] 谢丽春, 欧庆芬, 张秋萍, 叶升. 简化和标准肝脏MRI方案在结直肠癌肝转移患者随访中的临床应用[J/OL]. 中华普外科手术学杂志(电子版), 2024, 18(04): 434-437.
[9] 金从稳, 陈霖霖, 刘浩, 余有声, 陈本鑫. 超声联合细针穿刺定位在乳腺微小病灶切除中的应用研究[J/OL]. 中华普外科手术学杂志(电子版), 2024, 18(04): 423-426.
[10] 刘明辉, 葛方明. MRI 对腹股沟疝修补术后患者早期并发症的评估价值研究[J/OL]. 中华疝和腹壁外科杂志(电子版), 2024, 18(05): 579-583.
[11] 臧书芹, 陈巧玲, 江思源, 朱晓明, 沈浮, 王颢, 张卫, 邵成伟. 基于直肠高分辨MRI的直肠侧系膜分析及其临床价值的研究[J/OL]. 中华结直肠疾病电子杂志, 2024, 13(04): 312-320.
[12] 张立俊, 孙存杰, 胡春峰, 孟冲, 张辉. MSCT、DCE-MRI 评估术前胃癌TNM 分期的准确性研究[J/OL]. 中华消化病与影像杂志(电子版), 2024, 14(06): 519-523.
[13] 姜超, 夏旭东, 王功夏, 何向宇, 王海彬, 李媛. 磁共振DWI及其ADC对乳腺导管原位癌伴微浸润腋窝淋巴结转移的诊断价值[J/OL]. 中华介入放射学电子杂志, 2024, 12(03): 234-243.
[14] 欧阳川, 朱巧珍, 欧阳林. 腰椎间盘退变的生物代谢特征及评价技术研究进展[J/OL]. 中华诊断学电子杂志, 2024, 12(03): 206-211.
[15] 金安松, 邹玉松, 刘玖涛, 薛凤麟, 庞爱兰. 孤立性颅内浆细胞瘤一例及相关文献复习[J/OL]. 中华脑血管病杂志(电子版), 2024, 18(05): 495-500.
阅读次数
全文


摘要