乳腺影像与容积导航技术初步应用的临床分析

Clinical Analysis of the Preliminary Application of Breast Imaging and Volume Navigation Technology

目的研究乳腺影像与容积导航技术初步临床应用效果。方法回顾分析2020年5月-2021年3月在我院诊治的20例乳腺疾病患者临床资料,所有病例均经临床手术切除,并由病理证实。所有患者均进行超声、X线以及MRI检查,观察各检查方法检出结果、超声融合MRI容积导航下定位病灶后穿刺活检或手术切除病理类型分布结果。结果20例患者中,恶性病变13例(65.00%),良性病变7例(35.00%),病变直径8~47 mm,平均直径16 mm;8例患者进行X线检查,超声检查结果显示18例异常,2例超声未见明显异常;20例患者MRI检查均发现异常强化,进行MRI图像与超声图像融合技术可所有病变在MRI图像与超声图像位移范围为1~18 mm,平均位移为(6±3)mm。结论应用MRI-超声影像融合及实时容积导航技术定位MRI检查中异常强化病变,图像配比性良好,可促进超声隐匿性乳腺病变的检出。

Objective To study the clinical effect of breast imaging and volume navigation technique.Methods The clinical data of 20 patients with breast diseases diagnosed and treated in our hospital from May 2020 to March 2021 were retrospectively analyzed.All cases were surgically removed and confirmed by pathology.All patients were examined by ultrasound,X-ray and MRI.The results of each examination method,the distribution of pathological types after puncture biopsy or surgical resection under volume navigation of ultrasound fusion MRI were observed.Results Of the 20 patients,13 patients(65.00%)were malignant,7 patients(35.00%)were benign,the diameter ranged from 8-47 mm,the average diameter was 16 mm.X-ray examination was performed in 8 patients.The results of ultrasonography showed 18 cases were abnormal,and 2 cases had no obvious abnormalities.Abnormal enhancement was found in the MRI examination of 20 patients,the fusion technology of MRI image and ultrasonic image could make the displacement range of all lesions in MRI image and ultrasonic image 1-18 mm,and the average displacement was(6±3)mm.Conclusion The application of MRI-ultrasound image fusion and real-time volume navigation technology to locate the abnormal enhancement lesions in MRI examination has good image matching,which can promote the detection of ultrasonic occult breast lesions.