Elastography le kamoo e thusang ho hlahloba kankere ea matsoele

Elastography ke eng, mme e ka phetha karolo efe ho hlahloba kankere ea matsoele?

Pele u ka tšoara kankere ea matsoele , u tlameha ho e fumana. Ho lemoha lik'hemik'hale tsa matsoele kapele ho ka pholosa bophelo le ho fokotsa ho fokotsa matla le ho kula ho atisang ho tsamaea le phekolo.

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Elastography ke Eng?
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Kahoo, ka lilemo tse mashome, bafuputsi ba lekile ho fumana litsela tse molemo tsa ho lemoha kankere ea matsoele. Ka 1980, basali ba ka bang bane ho ba bahlano ba neng ba tšoeroe ke kankere ea matsoele ba ile ba fumana lesapo ka bobona. Le hoja tlhahlobo ea matsoele e ntse e le ea bohlokoa, boholo ba kankere ea matsoele bo fumanoa ha mosali a e-na le mammogram , ultrasound kapa MRI (imaging ea resonance ea magnetic).

Sefuba sa Letlalo le Litho tsa Benign

Empa esita le ha tlhahlobo e senola leqeba le belaelang, tsela e le 'ngoe e amohelehang kajeno ho fumana hore na e na le kankere ke ho etsa sefuba . Litšoantšo tsa Ultrasound le tsa MRI li ka lemoha kankere e menyenyane ho basali ba bang ho feta mammogram, empa li boetse li bontša lisosa tse kotsi le tse kotsi.

Lena ke le leng la mabaka a etsang karolo e 'ngoe le e' ngoe ho tse hlano ea matsoele e bontšang hore sebaka seo ho belaelloang ho sona se ne se le bobebe . Ka mantsoe a mang, 80% ea biopsies e hloka feela ho laola lefu la kankere.

Ho buuoa ho amanang le li-biopsies ho theko e boima ebile ho ama likotsi tsa eona. Kahoo, ka lilemo tse ngata, basali le lingaka ba lebeletse teko ea ho hlahloba e tla lemoha libaka tse belaetsang ka har'a sefuba 'me e bolele hore na ke kankere, ntle le ho buuoa ka tšohanyetso. Ka mor'a lipatlisiso tse fetang tse mashome a mabeli, mokhoa o mocha o tšepisang o bitsoang elastography o ka 'na oa itokisetsa ho phethahatsa tšepo eo.

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Elastography - E Sebetsa Joang?
Hona joale, shebella se etsahalang ha re hatella ka hodimo ka khaba ea polasetiki (sheba leqephe le latelang). Pam Stephan

Elastography e kopanya morao-rao thekenoloji ea litšoantšo tsa ultrasonic imaging ka mofuta o moholo ka ho fetisisa oa ho lemoha kankere ea matsoele: tšoara . Ha mosali kapa ngaka ea hae e ntse e tsoela pele ho etsa liphatsa tsa matsoele hore li ikutloe ka mefuta e sa tloaelehang, e ama sefuba ka matla a seng makae. Matla ana a etsa hore sebopeho sa matsoele se tsamaee ka tsela e ts'oanang. Mantsoe a theknoloji bakeng sa mokhoa o tiileng o arabelang lebotho o bitsoa elasticity. Haeba u kile ua utloa sefuba ka kankere ea kankere ho feta tekanyo e itseng, ua tseba hore sehlahala seo hangata se ikutloa eka se le thata, se sesebelang, se batlang se tšoana le lejoe kapa sekoting sa perekisi. Bo-rasaense ba re li-tumor tse nang le kankere li na le tlaase haholo-ha li fetole sebopeho habonolo ha li hatelloa. Ke setša sena se nolofalletsang elastography ho sebetsa.

Kitchen Sesebelisoa - Elastography E Sebetsa Joang?

Ho hlalosa kamoo elastography e sebetsang kateng, re ile ra kena ka kichineng 'me ra etsa hlobo ea Jell-O ® e entsoeng ka lehlabula, lalaka, lalaka, le monate, le mebala e fapaneng. Re kenya almond pakeng tsa lemon le likhahla tsa fragola ho emela ntho e thata e kang hlahala.

Sheba setšoantšo se latelang ho bona se etsahalang.

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Elastography - Ho Bolella Apart Benign le Li-Tumor Tumor
Lisebelisoa tsa Jello li bontša lisebelisoa tse bonolo le tse thata ka mor'a ho hatelloa ha leseli. Pam Stephan

Elastography Pontšo e tsoela pele

Ha re ntša gelatin ka hlobo ebe re e beha terateng, lihlopha li ne li etsa mela e metle e otlolohileng:

Sefate sa almonde ha se fetohe sebopeho (haeba se shebahala eka se etsa joalo, ke ka lebaka la ho sotha optical ka gelatin). Empa ha ho fetoha habonolo (ho khalla) gelatin e khumamela tlas'a khatello hobane e tlama ho feta almond.

Elastogram e Etsoa Joang?

Ho nka "elastogram" ea sefuba, pele setšoantšo se rarahaneng sa ultrasound se hlahisa sefuba . Litlolo tse tloaelehileng tsa matsoele li na le likarolo tse nyenyane tse hlahang litšoantšong tsa ultrasound, 'me likarolo tsena li sebetsa e le likhetho tsa boemo ba se latelang. Haeba ho na le likhahla leha e le life, tsena li tla boela li bontše, empa ho fihlela joale setšoantšo sa ultrasound ha se bolele ngaka leha e le efe ho feta feela hore ho na le matšoao a belaellang, ao mammoprams a etsang le 'ona.

Mohato o boima o tla o latelang. Ho na le khatello e nyenyane ea taolo e sebelisetsoang lebese, e lekaneng ho e tsamaisa hanyenyane feela. (Mohlomong khatello ena e tlase ho feta kamoo u e fumanang ha matsoele a hao a hatelloa ho nka mammogram e tloaelehileng.) Ka khatello e sebelisitsoeng (nahana "khaba ka holim'a gelatin"), tsamaiso ena e nka setšoantšo se seng sa ultrasound. Joale, lenaneo la k'homphieutha le bapisa litšoantšo tse peli 'me le hlahisa' mapa o bontšang kamoo libaka tse fapaneng li leng tlaase kateng. 'Mapa ona, o bitsoang elastogram, o atleha haholo ho senola maqhubu a thata, a se nang botsitso, ao hangata e leng kankere. Hangata matheba a feto-fetohang a tloaelehile.

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Elastography - Liphello le Bokamoso ba Tlhahlobo ea Kankere ea Lebese
Elastrography e ka khona ho fokotsa li-biopsies bakeng sa matšoafo a se nang matsoele nakong e tlang. Istockphoto.com/Stock Photo © Stephanie Zieber

Bafuputsi ba mekhatlo e 'maloa Europe le United States ba thehile mekhoa ea elastography ea kankere ea matsoele le merero e meng ho tloha mathoasong a lilemo tsa bo-1990. Mekhoa ea 2 e ka sehloohong e bitsoa elastography e thehiloeng compress (kapa letsoho la mahala) le wave wave ea shear elastography.

Lipatlisisong tse 'maloa, mekhoa ena e khonne ho elelloa ha hlahala e tla be e e-na le bothata bo botle ho pota 90% ea nako eo. Ho 'nile ha e-ba le lipelaelo tse fokolang tsa bohata (ha ho hlajoa ke sethoathoa se nang le bobebe) le mekhoa e fosahetseng (ha sehlahala se bonahala eka se na le kankere ebile e le kankere). Ho na le ho ameha ho itseng hore "malinyane a bonolo" a kankere a kang "mucinous carcinoma" a ka etsa hore ho be le mekhoa e fosahetseng, 'me maqeba a "thata" a hlabang a kang fibrous adenomas a ka baka maikutlo a fosahetseng,' me mehopolo ena e ntse e nkoa.

Ka kakaretso, lipatlisiso ho isa letsatsing li bonahala eka li tšepisa haholo, ka tlhahlobo ea morao tjena ea lingoliloeng tse phethang hore tšebeliso ea elastography e ka thusa ho tataisa ts'ebetso ea ho khetholla litho tse bohloko le tse bohloko tsa matsoele nakong e tlang.

Lisebelisoa:

Au, F. le al. Tlhahlobo ea lisebelisoa tsa mahlaseli a linotši elastography ha ho hlahlojoa masapo a tiileng a matsoele: ho etsa qeto ea boemo bo khethollang ka ho fetisisa. AJR American Journal ea Roentgenology . 2014. 203 (3): W328-36.
Balleyguier, C. le al. Elasticity ea lesea: melao-motheo, mokhoa, liphello: tlhahlobo le kakaretso ea software e fumanehang khoebong. Europe Journal of Radiology . 2013. 82 (3): 427-34.
Balleyguier, C. le al. Lebese elastography: mokhoa oa theknoloji le mekhoa ea eona. Litšoantšo tsa ho hlahloba le tsa ho kena . 2013. 94 (5): 503-13.
Barr, R. Sonographic breast elastography: sekhetho. Journal of Ultrasound In Medicine . 2012. 31 (5): 773-83.
Johns Hopkins Medicine. Setsi sa Mabese. Sefuba sa Letlalo. E fihlile ka 01/13/16. http://www.hopkinsmedicine.org/breast_center/treatments_services/breast_cancer_diagnosis/breast_biopsy.html
Liu, B. et al. Elastography ke matla a mahlaseli a mahlaseli a mahlaseli a mahlaseli a mahlaseli a kotsi bakeng sa ho khetholla liphatsa tsa lefutso tse kotsi le tse kotsi: litlhaloso tsa meta. Journal ea Bongaka Ultrasonics . 2016. 43 (1): 47-55.
Ricci, P. le al. Tšebelisano ea meriana ea lefu la ebola: boemo ba bonono. Europe Journal of Radiology . 2014. 83 (3): 429-37.