Breast-Specific γ-Imaging: Molecular Imaging of the Breast Using 99mTc-Sestamibi and a Small-Field-of-View γ-Camera*

Breast-Specific γ-Imaging: Molecular Imaging of the Breast Using 99mTc-Sestamibi and a Small-Field-of-View γ-Camera*
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乳房特异性 γ 成像:使用 99mTc-Sestamibi 和小视场 γ 相机对乳房进行分子成像*

DOI:
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发表时间:
2009
影响因子:
1.3
通讯作者:
A. Miley
A. Miley
中科院分区:
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文献类型:
--
作者:
E. Jones;Trinh D. Phan;D. Blanchard;A. Miley

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乳腺特异性γ成像(BSGI),也称为分子乳腺成像,是使用小视场γ相机和99 mTc-sestamibi的乳腺造影术。有许多不同类型的乳腺癌,其中许多具有使其难以通过乳房X光检查和超声检测的特征。BSGI是一种具有成本效益、高度敏感和特异性的技术,可补充目前用于识别乳腺恶性病变的其他成像方式。使用当前核医学学会乳腺X线摄影指南,Legacy Good Samaritan医院开始使用乳腺优化γ相机进行BSGI乳腺X线摄影。根据我们的经验,最佳成像已在乳腺中心进行的核医学技术专家。此外,乳腺放射科医生阅读BSGI图像与乳房X光片,超声和其他成像研究进行相关。通过修改核医学协会的现行协议,使其适应这些新系统的乳腺X线摄影实践,并通过与其他乳腺成像研究一起提供图像解释,我们中心发现BSGI是诊断乳腺癌的一种有价值的辅助程序。为优化乳腺成像而设计的小视场γ照相机的开发提高了检测能力,特别是对于小于1 cm的病变。我们的经验,这一程序已被证明有助于临床工作了我们的许多乳房病人。阅读本文后,读者应了解乳腺X线摄影的历史、所用药物、患者准备和定位、成像方案指南、临床适应症以及乳腺X线摄影在乳腺癌诊断中的作用。
Breast-specific γ-imaging (BSGI), also known as molecular breast imaging, is breast scintigraphy using a small-field-of-view γ-camera and 99mTc-sestamibi. There are many different types of breast cancer, and many have characteristics making them challenging to detect by mammography and ultrasound. BSGI is a cost-effective, highly sensitive and specific technique that complements other imaging modalities currently being used to identify malignant lesions in the breast. Using the current Society of Nuclear Medicine guidelines for breast scintigraphy, Legacy Good Samaritan Hospital began conducting BSGI, breast scintigraphy with a breast-optimized γ-camera. In our experience, optimal imaging has been conducted in the Breast Center by a nuclear medicine technologist. In addition, the breast radiologists read the BSGI images in correlation with the mammograms, ultrasounds, and other imaging studies performed. By modifying the current Society of Nuclear Medicine protocol to adapt it to the practice of breast scintigraphy with these new systems and by providing image interpretation in conjunction with the other breast imaging studies, our center has found BSGI to be a valuable adjunctive procedure in the diagnosis of breast cancer. The development of a small-field-of-view γ-camera, designed to optimize breast imaging, has resulted in improved detection capabilities, particularly for lesions less than 1 cm. Our experience with this procedure has proven to aid in the clinical work-up of many of our breast patients. After reading this article, the reader should understand the history of breast scintigraphy, the pharmaceutical used, patient preparation and positioning, imaging protocol guidelines, clinical indications, and the role of breast scintigraphy in breast cancer diagnosis.
DOI: 10.1148/radiology.209.2.9807581
发表时间: 1998-11-01
期刊: RADIOLOGY
影响因子: 19.7
作者:
Rosenberg, RD;Hunt, WC;Linver, MN
通讯作者: Linver, MN