rentradВестник рентгенологии и радиологииJournal of radiology and nuclear medicine0042-46762619-0478Limited Liability Company "LUCHEVAYA DIAGNOSTIKA", Russian Association of Radiologists10.20862/0042-4676-2015-0-5-32-41rentrad-79Research ArticleСтатьиВозможности сонотомографии (автоматического объемного сканирования молочных желез) в оценке железистого типа строения молочных желез как фактора риска возникновения рака молочной железыCapabilities of breast sonotomography (automated breast volume sonography) in the evaluation of the glandular structure of the breast in the context of its cancer riskГажоноваВ. Е.GazhonovaV. E.

д. м. н., профессор кафедры лучевой диагностики, заведующая кабинетом ультразвуковой ангиографии

MD, PhD, DSc, Professor of Radiology Chair, Head of Cabinet of Ultrasound Angiography

ЕфремоваМ. П.EfremovaM. P.

врач ультразвуковой диагностики, хирург, аспирант

Doctor of Ultrasonic Diagnostics, Surgeon, Postgraduate

БачуринаЕ. М.BachurinaE. M.

заведующая отделением рентгеновской лучевой диагностики

Head of Department of X-ray Radiation Diagnosis

ХлюстинаЕ. М.KhlyustinaE. M.

к. м. н., заведующая хирургическим отделением

MD, PhD, Head of Surgical Department

ПоткинС. Б.PotkinS. B.

ст. лаборант

Senior Laboratory Assistant

ФГБУ «Объединенная больница с поликлиникой» Управления делами Президента РФ,ФГБУ ДПО «Центральная государственная медицинская академия» Управления делами Президента РФРоссияUnited Hospital and Policlinic, Management Department of the President of Russian Federation,Central State Medical Academy, Management Department of the President of Russian FederationRussian FederationФГБУ «Объединенная больница с поликлиникой» Управления делами Президента РФРоссияUnited Hospital and Policlinic, Management Department of the President of Russian FederationRussian FederationФГБУ ДПО «Центральная государственная медицинская академия» Управления делами Президента РФРоссияCentral State Medical Academy, Management Department of the President of Russian FederationRussian Federation20150903201605510Copyright © Гажонова В.Е., Ефремова М.П., Бачурина Е.М., Хлюстина Е.М., Поткин С.Б., 20162016Гажонова В.Е., Ефремова М.П., Бачурина Е.М., Хлюстина Е.М., Поткин С.Б.Gazhonova V.E., Efremova M.P., Bachurina E.M., Khlyustina E.M., Potkin S.B.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.russianradiology.ru/jour/article/view/79

Цель исследования – изучить возможности методики сонотомографии (СТГ) в сопоставлении с рентгеновской маммографией (РМГ) у пациенток разных возрастных групп с различными рентгенологическими типами строения молочных желез (МЖ). Оценить диагностические возможности методик СТГ и РМГ в выявлении рака у пациенток с рентгенологически плотным железистым фоном.

Материал и методы

Материал и методы. В исследование были включены 143 пациентки в возрасте от 38 до 77 лет, которым была проведена СТГ после первично выполненной РМГ. Особое внимание уделялось методологическому подходу для оптимизации выполнения СТГ у пациенток разных возрастных групп с различным рентгенологическим типом строения молочных желез, в различные физиологические периоды. Для стандартизации выявленных образований молочных желез использовалась международная шкала BIRADS.

Результаты

Результаты. Из 143 пациенток у 102 были выявлены объемные образования, из них у 16 верифицирован рак МЖ. На этапе компьютерной обработки 3D-сканов на рабочей станции было подтверждено полное поквадрантное совпадение железистого типа строения молочных желез при СТГ и РМГ. Выявлена более высокая частота патологических образований молочных желез по мере возрастания процентного соотношения железистой ткани в МЖ. Показана роль СТГ как метода дообследования пациенток всех возрастных групп с рентгенологически плотным типом МЖ для выявления рака в связи с более высокой чувствительностью (100%) и специфичностью (96%).

Заключение

Заключение. Методика СТГ показала высокий процент сопоставимости заключений о типе строения молочных желез у пациенток в сравнении с РМГ. В связи с возможностью сопоставления снимков, полученных при СТГ, со стандартными проекциями при маммографии методика СТГ должна занять прочные позиции в алгоритме обследования МЖ у женщин с рентгенологически плотным типом их строения.

 

 

Objective

Objective: to study the capabilities of a procedure for sonotomography (STG) versus that of X-ray mammography (MG) in patients from different age groups who have different radiological types of the breast structure and to estimate the diagnostic   possibilities of the STG and X-ray MG procedures in detecting cancer in patients its the X-ray dense background.

Materail and methods

Materail and methods. The investigation enrolled 143 patients aged 38 to 77 years who had undergone STG after primary X-ray MG. Particular emphasis was placed on a methodological approach to optimizing STG in patients from different age groups with a varying radiological type of the breast structure in different physiological periods. The international breast imaging and reporting data system was used to standardize detected breast masses.

Results

Results. Out of the 143 patients, 102 persons, including 16 patients with verified breast cancer (BC), were found to have space-occupying lesions. During the  performed investigation, computed processing of 3D scans at the working station confirmed the entire quadrant-by-quadrant consentaneity of the glandular structure of the breast at STG and X-ray MG. There were a higher proportion of abnormal breast masses with the increased percentage ratio of glandular tissue in the breast. Emphasis was laid on the role of STG as an additional examination technique in patients from all age groups with the radiologically dense breast in order to detect cancer due to a high sensitivity of 100% and a specificity of 96%.

Conclusion

Conclusion. The procedure of STG versus that of X-ray MS showed a high degree of compatibility of opinions as to the type of the breast structure in the patients. Due to the fact that standardprojection STG scans can be compared, during mammography the procedure of STG must hold a firm place in the examination algorithm of the breast in women with its X-ray dense structure.

 

 

 

 

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The authors declare that there are no conflicts of interest present.