最新乳腺影像学诊断(Imaging examinations of breasts).PPT课件.ppt

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1、乳腺影像学诊断(Imagingexaminationsofbreasts).QuestionHowtochooseaproperexaminationforscreeninganddiagnosisWhatexaminationswecoulduseBreastcancerHigherincidentrateofbreastcancerforrecentyearsRiskfactors:procreation,familyhistory,environment,hormone……Clinicfindings：mass，skinchangesThesurvivalrat

2、ebasedonthestageofbreastcancerScreening：ductalcarcinomainsituProjection：CCMLOMammographyMammographiccharactersCalcificationMassCalcificationPO43-CalciumphosphatCa++CalcificationThemainvalue:detectionnecrotictissuesForm:Castingtype,powderish,granulartypeDifferentiationbetweenmalignantand

3、benign:distribution,form,densityCalcificationCalcificationCalcificationCalcificationMassProliferationandinvasionStellatelesionwithspiculesandill-definedbordersDifferentiationbetweenmalignantandbenignisdifficultMassMassMassMassCharacteristicsofmammographySensitivetothemalignantcalcificat

4、ionevenmicrocalcificationsDifferentiationbetweenbenignandmalignantmassisdifficultCharacteristicsofUltrasoundExamAllowssignificantfreedominobtainingimagesfromalmostanyorientationexcellentatimagingcystsandsolidmassyoungwomenathighriskofthediseaseGuidebiopsyLimitedofultrasoundThoughultraso

5、undhasexcellentcontrastresolution,itlacksthedetail(spatialresolution)OperatorandequipmentfactorsunabletoimagemicrocalcificationsBenefitsofMRIExamAllowsbreastimagestobetakeninanyplaneandfromanyorientationhighlysensitivetosmallabnormalities,couldshowmulti-focaltumorDeterminingtheextentofb

6、reastcancer,canhelpindicatetreatmentAnexcellentatimagingtheaugmentedbreastLimitedofMRIExamTooexpensiveCouldn’tfindthemicrocalcificationDuctalCarcinomainSituIntraductalcarcinoma:cancercellsareconfinedtoanintactbasementmembraneAppearances:microcalcification(85%)microcalcificationandmass(1

7、0%)massorarchitecturaldistortion(5%)ScreeningphysicalexammammographyP+M+operationP+M-ultrasoundFollowupP-Ca+P-T+P-M-FollowupbiopsyThanksPDCA循环--在提高输血申请单合格率管理中的应用武汉市普仁江岸医院检验科罗义输血治疗是临床救治患者的重要措施，临床输血申请单的填写是输血治疗的一个重要环节。输血申请单是具有法律效应的医疗文书，是保证输血安全的第一步。据实认真的填写临床输血申请单、落实临床用血申请审核制度和履行用血审