I-Elastography nokuthi Insiza kanjani Ukuhlola I-Cancer Yasebele

Kuyini i-elastography futhi iyiphi indima engayidlala ngayo ekuhloleni komdlavuza webele?

Ngaphambi kokuba uphathe umdlavuza webele , kufanele uwuthole. Ukubona amabelevuza asebele kusenesikhathi kungasindisa izimpilo futhi kunciphise ukukhubazeka nokugula okuvame ukuhambisana nokuphathwa.

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Kuyini i-Elastography?

Ngakho, amashumi eminyaka, abacwaningi baye bazama ukuthola izindlela ezingcono zokuthola umdlavuza webele. Ngo-1980, cishe abesifazane abane kwabayisithupha ababenomdlavuza webele bawuthola isilonda sodwa. Nakuba ukuhlolwa kwebele kusabalulekile, iningi lamakhondomu ezincelisayo namuhla atholakala lapho owesifazane ene- mammogram , i- ultrasound noma i-MRI (imaging resonance magnetic).

I-Breast Biopsy ne-Benign Lumps

Kodwa ngisho nalapho ukuvivinywa kwembula isilonda esolisayo, indlela kuphela eyamukelwe namuhla ukuthola ukuthi ngabe unomdlavuza ukwenza i-biopsy yebele . Ukucabangela kwe-Ultrasound kanye ne-MRI kungathola ukuthi amancani amancane kwabanye besifazane angcono kune-mammogram, kodwa futhi abonisa ubuhlungu kanye nezilonda ezinonya.

Lesi sizathu esisodwa ukuthi cishe ama-biopsies amathumba amahlanu kunamahlanu akhombisa ukuthi indawo esolungile yayinobungozi . Ngamanye amazwi, ama-80% we-biopsies ayadingeka kuphela ukulawula umdlavuza.

Ukuhlinzekwa okubandakanyeka nge-biopsies kuyindleko futhi kuhilela izingozi zayo. Ngakho-ke, iminyaka eminingi, abesifazane nabodokotela babo bebethemba ukuhlolwa kokuhlola okuzobona izindawo ezingasolisayo ngaphakathi kwebele bese utshela ukuthi ngabe unomdlavuza noma cha, ngaphandle kokuhlinzwa okungahambi kahle. Ngemva kokucwaninga kwamashumi angamashumi amabili, uhlelo olusha oluthembisa ukuthi i-elastography lungase lukulungele ukufeza lelo themba.

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I-Elastography - Isebenza Kanjani?

I-Elastography ihlanganisa okwakamuva kwezobuchwepheshe be-imaging ultrasonic ngefomu elidala kunazo zonke lomdlavuza webele: uthinte . Uma owesifazane noma udokotela wakhe ecindezela izicubu zesifuba ukuze azizwe ngezibilini ezingavamile, uthinta isifuba ngenani elincane lamandla. Leli gunya lenza isakhiwo sebele sithuthe ngendlela yendlela. Ithimba lobuchwepheshe lendlela indlela eqinile ephendula ngayo amandla kuthiwa i-elasticity. Uma wake wazizwa isifuba ngesifo somdlavuza ngaphezu kwesayizi ethile, uyazi ukuthi lesi sifo ngokuvamile sinomuzwa wokuthi unzima, ongenalutho, okufana nedwala noma umgodi we-peach. Ososayensi bathi izicubu zomdlavuza zinezinga eliphansi kakhulu - aziguquli ukuma kalula uma zicindezelwa. Yile ndawo eyenza i-elastography isebenze.

Ukubonakaliswa Kwezesayensi Yekhishi - I-Elastography Isebenza Kanjani?

Ukuze sichaze ukuthi i-elastography isebenza kanjani, sangena ekhishini futhi senza isikhunta se-Jell-O ® esinezinhlaka ezine, i-orange, i-lime, i-lemon, ne-flavour flavour, yonke enemibala ehlukene. Sifaka i-alimondi emkhatsini we-lemon ne-strawberry izendlalelo ukumela into enzima njenge-tumor.

Hlola isilayidi esilandelayo ukubona ukuthi kwenzekani.

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Elastography - Ukutshela i-Apart Benign ne-Tumign Tumors

I-Elastography Ukubonakaliswa Kuqhubekile

Lapho sithatha i-gelatin esikhunjini bese siyibeka epulangwe, izendlalelo zenza imigqa emihle eqondile:

I-alimondi ayishintshi ukuma (uma kubonakala sengathi iyakwenza, kungenxa yokuphazamiseka kwe-optical ngokusebenzisa i-gelatin). Kodwa-ke ukuguquguquka (ukusibekela) i-gelatin igoqa ngaphansi kwengcindezi ngoba ikhululekile kune-almond.

I-Elastogram Yenza Kanjani?

Ukuze uthathe "i-elastogram" yesifuba, okokuqala imishini yomshini we-ultrasound eyinkimbinkimbi isifuba . Izicubu zesifuba ezivamile zinezici ezincane ezibonisa izithombe ze-ultrasound, futhi lezi zici zisebenza njengamakaki wokuma okulandelayo. Uma kukhona izibani, lezi zizoboniswa futhi, kodwa kuze kube manje isithombe se-ultrasound asitsheli udokotela ngalutho ngaphezu kokuthi kukhona izimbungulu ezisolisayo, okuyizinto ezizenzayo.

Isinyathelo esibucayi silandela. Isilinganiso esincane sokucindezela okulawulwa sisetshenziswa esifubeni, nje ngokwanele ukuhambisa kancane. (Lokhu kucindezela cishe kuncane kakhulu kunalokho owamukelayo uma amabele akho acindezelwa ukuze athathe umthamo wendawo evamile.) Ngenkinga esebenzayo (cabanga "isipuni phezulu kwe-gelatin"), isistimu ithatha esinye isithombe se-ultrasound. Khona-ke, uhlelo lwekhompiyutha luqhathanisa lezi zithombe ezimbili futhi luveza ibalazwe elibonisa ukuthi izikhungo ezihlukahlukene ziyanwebeka kanjani. Le mephu, ebizwa ngokuthi i-elastogram, iphumelela kakhulu ekudaluleni izimpande ezinzima, ezingapheliyo, okuhlala njalo zidlavuza. Izimpande ezishintshashintshayo zivame ukuziphatha kahle.

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I-Elastography - Imiphumela kanye nekusasa le-Cancer Diagnosis

Abacwaningi ezindaweni eziningana eYurophu nase-United States baye bahlakulela amasu elastography yomdlavuza webele kanye nezinye izinhloso kusukela ekuqaleni kwawo-1990. Izindlela ezimbili zokuqala ezibizwa ngokuthi i-compression based based elastography (noma isandla sokukhululeka) ne-shear wave elastography.

Ezifundweni eziningana, lezi zindlela ziye zakwazi ukutshela ukuthi isisu singaba yisiphi isimo esibucayi ku-90% wesikhathi. Kube khona ama-positi ambalwa amanga (uma isisu esibuhlungu sibonakala singathandeki) kanye nemikhuba yamanga (uma isisu sibonakala singenangqondo futhi empeleni sinomdlavuza). Kunesifo esithile sokuthi amatholeki "amancane" asho ukuthi i-mucinous carcinoma ingabangela ukungalungi kwamanga, futhi izicubu ezincelisayo "ezinzima" ezinjengezintambo ezinamafutha ezimbangela zingabangela amaphutha amanga, futhi le miqondo isacatshangelwa.

Ngokubanzi, ukucwaninga kuze kube yimanje kubonakala kuthembise kakhulu, ngokubuyekezwa kwamuva kwezincwadi eziphetha ngokuthi ukusetshenziswa kwe-elastography kungasiza ekuqondiseni inqubo yokuhlukanisa izimbilini zesifuba ezinobuthi nezimbi esikhathini esizayo.

_Imithombo:

_{Au, F. et al. Ukuhlola ukuhlolwa kwe-shear wave elastography ekuhloleni izixuku eziqinile zesifuba: ukuzimisela kwepharamitha elibandlulula kakhulu. I-AJR American Journal of Roentgenology . 2014. 203 (3): W328-36.
Balleyguier, C. et al. Ukwehluka kwesisu: izimiso, izindlela, imiphumela: isibuyekezo kanye nokubuka kabanzi kwesofthiwe etholakalayo. Journal European of Radiology . 2013. 82 (3): 427-34.
Balleyguier, C. et al. I-Breast elastography: inqubo yobuchwepheshe kanye nezicelo zayo. Ukuzihlola nokuziphendulela kwangaphakathi . 2013. 94 (5): 503-13.
I-Barr, R. Sonographic ye-breast elastography: i-primer. I-Journal ye-Ultrasound ku-Medicine . 2012. 31 (5): 773-83.
Johns Hopkins Medicine. Isikhungo sebele. Isisu se-Breast. Ifinyelele ngo-01/13/16. http://www.hopkinsmedicine.org/breast_center/treatments_services/breast_cancer_diagnosis/breast_biopsy.html
Liu, B. et al. I-Elastography yi-acoustic emisebeni yomswakama wezobuchwepheshe obuthakathaka bokuhlukanisa izibeletho ezinobuthi ezinonya: ukuhlaziywa kwe-meta. Journal of Medical Ultrasonics . 2016. 43 (1): 47-55.
Ricci, P. et al. Ukusetshenziswa kwemitholampilo ye-elastography yebele: isimo sobuciko. Journal European of Radiology . 2014. 83 (3): 429-37.}