乳腺影像学课件.pptVIP

Breast Imaging Basic Course For Medical College Student Introduction“Breast cancer is one of the best studied human tumors, but it remains poorly understood” “ As in all medical endeavors, the practitioner should, whenever possible, use the results of scientific studies to guide clinical decision” And the imaging modalities implemented in clinical practice for breast care must be served as the tools for detection and characterization of breast lesions. As we expect, they are very important for diagnosis and treatment. Imaging Modalities 1.5T MRI GE signa gemsow0.5T MRI GE signa Sys#MRSShanghai 2nd Medical UniversityRui Jin Hospital X-ray Examination MammograpyX-ray radiography (molybdenum X rays, rhodium X rays):MLO,CC,etc.Galactography --demonstrates the ducts and ductule or their abnormalities. galactography USGUltrasonography (ultrasound)B-mode USDoppler US CTComputed tomographyplain scan,enhanced scan (iodine) MRIMagnetic Resonance Imaginghigh resolution for soft tissuedifferent tissue, different signalenhanced scan The othersInfrared thermal imagingComputer diaphanography imaging,etc. Imaging-Guided Percutaneous Biopsy supply specimens for pathologic examination Fine needle aspiration biopsy (FNAB) Needle core biopsy (NCB) Interventional TherapyLaserRadiofrequencyEmbolizationand so on Accessory Breast TissueThe most common site is axilla Basic Imaging Signs of Breast LesionMass/LumpCalcificationThickening and retraction of regional skinRetraction of nippleEnlargement or abnormality of blood vesselsLymph nodesEnhanced manifestations Mass/Lumpshape: round, oval, regular/irregularmargin: clear or ambiguous, spiculation or smoothdensity or signal intensity: high/low/intermediate with or without calcificationsite: upper-outer quadrant breast, upper-inner quadrant breast, lower outer quadrant breast, lower-inner quadrant breast, nipple, central portion breast, axillary tail breast.Number: solitary or multiple CalcificationSize: large or micro