Lub Synergistic Kev Koom Tes Ntawm Cov Tswv Yim Qhia Txog Kev Sib Txawv Thiab Cov Kab Ntsig hauv Cov Txheej Txheem Kev Siv Tshuaj Mis

https://www.mayoclinic.org/tests-procedures/breast-biopsy/about/pac-20384812

Kev vam meej ntawmlub mis biopsyCov txheej txheem feem ntau yog nyob ntawm kev sib koom tes zoo tshaj plaws ntawm "qhov muag" thiab "tes"-" qhov muag" xa mus rau daim duab-cov txheej txheem qhia, thiab "tes" xa mus rau qhov tseeb ntawm kev siv rab koob. Hauv kev kuaj mob qog noj ntshav thiab kho mob niaj hnub no, ultrasound, mammography (X-}ray), thiab MRI yog peb lub ntsiab navigation systems, thiab cov qauv tsim thiab siv cov tswv yim ntawm rab koob sib txawv heev nyob ntawm txoj kev taw qhia.

Kev taw qhia Ultrasound: Ua haujlwm yooj yim raws li qhov tiag -Lub Sijhawm Dynamics

Kev kuaj ultrasound, nrog rau nws qhov zoo ntawm tsis muaj hluav taws xob, qhov tseeb- lub sijhawm ntsuas, thiab tus nqi qis, tau dhau los ua txoj kev qhia feem ntau siv hauv cov txheej txheem ntawm lub mis biopsy, suav txog ntau dua 70%. Nyob rau hauv hom no, 14G-16G tsis siv neeg biopsy rab koob los yog nqus-pab biopsy koob feem ntau yog siv.

* Koob Nta: Lub koob nto feem ntau muaj kev kawm tiav rau kev qhia yooj yim ntawm qhov tob tob hauv qab ultrasound; qee cov khoom siv siab- kawg siv cov txheej txheem tshwj xeeb kom txo qis kev cuam tshuam acoustic.

* Cov Ntsiab Lus Tseem Ceeb ntawm Kev Ua Haujlwm: Tus kws kho mob yuav tsum paub meej txog qhov koob ntawm txoj hauj lwm ntawm lub vijtsam thiab siv Doppler hom kom tsis txhob muaj cov hlab ntsha. Vim tias qhov kev sojntsuam ultrasound tuaj yeem siv lub siab, qee zaum nws tuaj yeem nqa qhov mob los ze rau ntawm lub cev; Hauv qhov no, ib rab koob luv me ntsis (piv txwv li, 7cm vs . 10cm) tuaj yeem xaiv.

* Qhov zoo: Muaj feem xyuam rau feem ntau palpable los yog tsis yog - palpable khoom loj, tshwj xeeb tshaj yog rau feem ntau cystic lesions, qhov twg ultrasound tuaj yeem paub meej tias tam sim ntawd lub aspiration ntawm cystic kua.

Stereotactic Mammography: Cov cuab yeej muaj zog rau kev kov yeej Microcalcifications

Thaum lub hom phiaj ntawm lub mis biopsy yog clustered microcalcifications kuaj pom los ntawm mammography, uas tsis pom los ntawm ultrasound, stereotactic biopsy system tuaj yeem ua ke. Hom kev biopsy no feem ntau ua rau ntawm lub tshuab stereotactic biopsy siab.

* Cov Yam Ntxim Saib Ntxim Ua: Yuav tsum siv rab koob tshwj xeeb stereotactic biopsy, feem ntau yog 14G lossis 11G nqus tsev vacuum-pab biopsy koob (xws li Mammotome lossis ATEC system). Lub cev koob yuav tsum muaj cov khoom siv hluav taws xob zoo (xws li barium labeling).

* Kev Sib Tw Ua Haujlwm: Tus neeg mob yuav tsum nyob rau hauv ib qho chaw zaum lossis sawv ntsug, lub mis yog compressed thiab ruaj, thiab kev ua pa ntawm lub ntsws yog txwv. Txoj kev puncture yuav tsum tau xam geometric meej.

* Kev xaiv koob ntev: Vim lub phaj compression txwv lub kaum sab xis, ib rab koob ntev (10cm-12cm) feem ntau yuav tsum tau ua kom nkag mus rau qhov tob tob.

MRI-Kev taw qhia: Qhov Kev Sib Tw Pinnacle ntawm Kev daws teeb meem ntawm daim tawv nqaij mos

MRI-kev coj noj coj ua ntawm lub mis sawv cev rau qib siab tshaj plaws ntawm cov thev naus laus zis tam sim no, feem ntau yog siv los kuaj pom cov kab mob tsis txaus ntseeg (xws li tsis yog- cov kab mob ua kom zoo dua qub) uas tsis zoo ntawm multiparametric MRI tab sis tsis yog nyob rau lwm qhov kev kuaj pom.

* ** Koob Tshwj Xeeb: ** Qhov no yog lub npe ntawm titanium alloy biopsy koob. Stainless hlau tsim cov khoom siv hlau nplaum hnyav, cuam tshuam nrog kev txhais cov duab thiab ua rau cov ntaub so ntswg kub hnyiab vim yog cua sov tsim. Yog li ntawd, MRI- siv tau cov koob tshuaj biopsy ua los ntawm titanium alloy lossis tag nrho - cov ntaub ntawv yas yuav tsum tau siv.

* ** Txheej Txheem: ** Kev khiav haujlwm hauv qhov chaw kaw ntawm MRI chaw nres nkoj yuav tsum tau koob nrog kev ua haujlwm zoo heev thiab khoov tsis kam. Feem ntau, 14G lossis 11G MRI- lub tshuab nqus tsev tshwj xeeb- siv cov tshuab biopsy.

* ** Kev txwv:** Cov khoom siv kim heev, lub sijhawm- siv, thiab cov neeg ua haujlwm txawj ntse; feem ntau tsuas yog ua nyob rau hauv cov chaw kho mob loj.

**Multimodal Fusion: Kev taw qhia yav tom ntej**

Ntxiv nrog rau ib qho - cov qauv qhia tau hais los saum toj no, cov thev naus laus zis "fusion imaging" (xws li ultrasound thiab mammography duab fusion) tau nce. Qhov no yuav tsum tau koob tshuaj biopsy nrog hla -platform compatibility. Piv txwv li, ib co tshiab biopsy koob integrate electromagnetic tracking sensors, uas muaj peev xwm tso saib lub koob tip trajectory nyob rau hauv lub sij hawm ntawm lub sij hawm nyob rau hauv ntau yam imaging hom, zoo heev txhim kho qhov kev vam meej ntawm complex mis biopsy cov txheej txheem.

Hauv luv luv, tsis muaj "ib-qhov loj me- haum-tag nrho" koob nyob rau hauv cov txheej txheem biopsy lub mis. Cov kws kho mob yuav tsum ua zoo li cov neeg txawj ua haujlwm, xaiv qhov zoo tshaj plaws "oar" (kab koob) raws li qhov sib txawv "hiav txwv tej yam kev mob" (ib puag ncig duab). Nrog rau kev taw qhia ntawm AI- pab navigation systems, yav tom ntej koob txoj kev npaj yuav ntse dua, ntxiv txo kev ua haujlwm nyuaj thiab txhim kho qhov raug thiab kev nyab xeeb ntawm biopsies.