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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]. 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]. 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。

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