| 論文種別 | 原著論文 |
| 言語種別 | 英語 |
| 表題 | Second-look US Using Real-time Virtual Sonography, a Coordinated Breast US and MRI System with Electromagnetic Tracking Technology: A Pilot Study. |
| 掲載誌名 | 正式名：Ultrasound in medicine & biology 略 称：Ultrasound Med Biol ISSNコード：1879291X/03015629 |
| 掲載区分 | 国外 |
| 巻・号・頁 | 43(10),pp.2362-2371 |
| 著者・共著者 | Watanabe Rie, Ando Takahito, Osawa Manami, Ido Mirai, Kousaka Junko, Mouri Yukako, Fujii Kimihito, Nakano Shogo, Kimura Junko, Ishiguchi Tsuneo, Yoshida Miwa, Imai Tsuneo, Fukutomi Takashi |
| 発行年月 | 2017/10 |
| 概要 | Our aim was to retrospectively evaluate the utility of second-look ultrasound (US) using real-time virtual sonography (RVS) for detection of conventional B-mode (cB-mode) occult magnetic resonance imaging (MRI)-detected breast lesions. Between July 2011 and May 2015, 53 consecutive patients who underwent second-look US to identify lesions detected by prone MRI were enrolled in this study. Second-look US using RVS was performed for cB-mode occult MRI-detected breast lesions after an additional supine MRI. In the 53 patients, 59 lesions were initially detected by prone MRI, followed by second-look US. Of the 59 lesions, 20 (34%) were identified by second-look US using cB-mode. Of the 39 (66%) cB-mode occult lesions, 38 (97%) were detected in supine MRI and 33 (85%) were detected by second-look US using RVS. MRI morphology types of the 33 lesions were as follows: mass, 16; non-mass enhancement, 5; and focus, 12. US-guided biopsy under RVS or excisional biopsy demonstrated that of the 33 lesions, 8 (24%) were malignant and the remaining 25 (76%) were benign. A total of 53 (90%) MRI-detected lesions were sonographically identified using both cB-mode and RVS (p < 0.001). All five remaining US-occult lesions could be followed up under RVS after the enhancing area was marked on the breast surface using RVS. Although further prospective studies are required, the findings of our pilot study suggest that second-look US using RVS with additional supine MRI may improve the sonographic and histopathologic detection rate of cB-mode occult MRI-detected breast lesions. |
| DOI | 10.1016/j.ultrasmedbio.2017.04.024 |
| PMID | 28666549 |