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词条 Scintimammography
释义

  1. Procedure

  2. Equipment

  3. See also

  4. References

  5. External links

{{Infobox diagnostic
| Name = Scintimammography
| Image = Mammography and scintimammography of carcinoma.jpg
| Alt =
| Synonyms = Nuclear medicine breast imaging
Breast specific gamma imaging
Breast scintigraphy
Molecular breast imaging
| Caption = Mammography (left) and DMSA scintimammography (right) images of 4.5cm breast carcinoma
| DiseasesDB =
| ICD10 = CH1
| ICD9 = {{ICD9proc|92.19}}
| ICDO =
| MedlinePlus =
| eMedicine =
| MeshID =
| LOINC =
| HCPCSlevel2 = {{HCPCSlevel2|S|8080}}
| Reference_range =
}}Scintimammography is a type of breast imaging test that is used to detect cancer cells in the breasts of some women who have had abnormal mammograms, or for those who have dense breast tissue, post-operative scar tissue or breast implants.[1]

Scintimammography is not used for screening or in place of a mammogram. Rather, it is used when the detection of breast abnormalities is not possible or not reliable on the basis of mammography and ultrasound.[2]

Procedure

In the scintimammography procedure, a woman receives an injection of a small amount of a radioactive substance which is taken up by cancer cells, and a gamma camera is used to take pictures of the breasts.

Technetium-99m sestamibi (99mTc-MIBI) is the most commonly used radiopharmaceutical.[3][4] When performed with MIBI the procedure may also be known as a Miraluma test.[5] The typical dose is 740–1,110 megabecquerels (MBq) with the patient lying prone on the bed for imaging approximately 10 minutes after injection.[6]99mTc-DMSA and 99mTc-MDP may also been used, but provide less sensitive results.[7]

Equipment

Breast-specific gamma cameras have been developed with a smaller field of view than conventional cameras, allowing higher resolution imagery and compression of the breast as in x-ray mammography (which improves detection of smaller lesions).[8][9]

See also

  • Technetium (99mTc) sestamibi
  • Nuclear medicine
  • Positron emission mammography

References

1. ^{{cite journal|last1=Liberman|first1=Moishe|last2=Sampalis|first2=Fotini|last3=Mulder|first3=David S.|last4=Sampalis|first4=John S.|title=Breast Cancer Diagnosis by Scintimammography: A Meta-analysis and Review of the Literature|journal=Breast Cancer Research and Treatment|volume=80|issue=1|year=2003|pages=115–126|issn=0167-6806|doi=10.1023/A:1024417331304}}
2. ^{{cite journal|last1=Taillefer|first1=Raymond|title=The role of 99mTc-sestamibi and other conventional radiopharmaceuticals in breast cancer diagnosis|journal=Seminars in Nuclear Medicine|date=January 1999|volume=29|issue=1|pages=16–40|doi=10.1016/S0001-2998(99)80027-0|pmid=9990681}}
3. ^{{cite journal|last1=Salvatore|first1=Marco|last2=Del Vecchio|first2=Silvana|title=Dynamic imaging: scintimammography|journal=European Journal of Radiology|date=May 1998|volume=27|pages=S259–S264|doi=10.1016/S0720-048X(98)00072-2}}
4. ^{{cite book|last1=Nass|first1=Sharyl J.|last2=Henderson|first2=I. Craig|last3=Cancer|first3=Institute of Medicine (U.S.). Committee on Technologies for the Early Detection of Breast|title=Mammography and beyond: developing technologies for the early detection of breast cancer|url=https://books.google.com/books?id=tSuU_d8-Sj8C&pg=PT106|accessdate=17 July 2011|year=2001|publisher=National Academies Press|isbn=978-0-309-07283-0|pages=106–}}
5. ^{{cite book|last1=Tartar|first1=Marie|last2=Comstock|first2=Christopher E.|last3=Kipper|first3=Michael S.|title=Breast cancer imaging: a multidisciplinary, multimodality approach|url=https://books.google.com/books?id=7VRF2Vvb4-UC&pg=PA88|accessdate=18 July 2011|year=2008|publisher=Elsevier Health Sciences|isbn=978-0-323-04677-0|pages=88–}}
6. ^{{cite journal|title=Procedure Guideline for Breast Scintigraphy|date=2004|url=http://snmmi.files.cms-plus.com/docs/Breast_v2.0.pdf|publisher=Society of Nuclear Medicine}}
7. ^{{cite book|last1=Piccart|first1=Martine|last2=Wood|first2=William C.|last3=Hung|first3=Chie-Mien|last4=Solin|first4=Lawrence J.|last5=Cardoso|first5=Fatima|title=Breast Cancer Management and Molecular Medicine|publisher=Springer Science & Business Media|isbn=9783540282655|page=36|url=https://books.google.co.uk/books?id=T3SnvbifUaYC&pg=PA36|language=en}}
8. ^{{cite journal|last1=Fass|first1=Leonard|title=Imaging and cancer: A review|journal=Molecular Oncology|date=August 2008|volume=2|issue=2|pages=115–152|doi=10.1016/j.molonc.2008.04.001|pmid=19383333|doi-access=free|pmc=5527766}}
9. ^{{cite journal|last1=Goldsmith|first1=S. J.|last2=Parsons|first2=W.|last3=Guiberteau|first3=M. J.|last4=Stern|first4=L. H.|last5=Lanzkowsky|first5=L.|last6=Weigert|first6=J.|last7=Heston|first7=T. F.|last8=Jones|first8=E.|last9=Buscombe|first9=J.|last10=Stabin|first10=M. G.|title=SNM Practice Guideline for Breast Scintigraphy with Breast-Specific γ-Cameras 1.0|journal=Journal of Nuclear Medicine Technology|date=5 November 2010|volume=38|issue=4|pages=219–224|doi=10.2967/jnmt.110.082271|pmid=21098792|doi-access=free}}

External links

  • Scintimammography entry in the public domain NCI Dictionary of Cancer Terms
{{NCI-cancer-dict}}{{Breast procedures}}{{Medical imaging}}{{Oncology-stub}}{{med-diagnostic-stub}}

3 : 2d nuclear medical imaging|Breast imaging|Cancer screening

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