乳腺影像学诊断共34张课件

乳腺影像学诊断16、云无心以出岫，鸟倦飞而知还。17、童孺纵行歌，斑白欢游诣。18、福不虚至，祸不易来。19、久在樊笼里，复得返自然。20、羁鸟恋旧林，池鱼思故渊。乳腺影像学诊断乳腺影像学诊断16、云无心以出岫，鸟倦飞而知还。17、童孺纵行歌，斑白欢游诣。18、福不虚至，祸不易来。19、久在樊笼里，复得返自然。20、羁鸟恋旧林，池鱼思故渊。ImagingexaminationsofbreastsDepartmentofradiologyQuestionHowtochooseaproperexaminationforscreeninganddiagnosis??Whatexaminationswecoulduse乳腺影像学诊断16、云无心以出岫，鸟倦飞而知还。乳腺影像学诊1乳腺影像学诊断共34张课件2乳腺影像学诊断共34张课件3乳腺影像学诊断共34张课件4乳腺影像学诊断共34张课件5AnatomyTDLU：1－2mmDrainedbyaterminalductattachedtothemainductsystemMostbreastdiseasesariseinTDLUAnatomyTDLU：1－2mm6ImagingmethodsMammographyUltrasoundMRIImagingmethodsMammography7Projection：CCMLO

MammographyProjection：Mammography8MammographiccharactersCalcificationMassMammographiccharactersCalcifi9CalcificationPO43-CalciumphosphatCa++CalcificationPO43-Calciumphos10CalcificationThemainvalue:detectionnecrotictissuesForm:Castingtype,powderish,granulartypeDifferentiationbetweenmalignantandbenign:distribution,form,densityCalcificationThemainvalue:11CalcificationCalcification12CalcificationCalcification13CalcificationCalcification14CalcificationCalcification15Mass

ProliferationandinvasionStellatelesionwithspiculesandill-definedbordersDifferentiationbetweenmalignantandbenignisdifficultMassProliferationandinvasio16MassMass17MassMass18MassMass19MassMass20CharacteristicsofmammographySensitivetothemalignantcalcificationevenmicrocalcificationsDifferentiationbetweenbenignandmalignantmassisdifficultCharacteristicsofmammography21CharacteristicsofUltrasoundExamAllowssignificantfreedominobtainingimagesfromalmostanyorientationexcellentatimagingcystsandsolidmassyoungwomenathighriskofthedisease

GuidebiopsyCharacteristicsofUltrasound22乳腺影像学诊断共34张课件23乳腺影像学诊断共34张课件24LimitedofultrasoundThoughultrasoundhasexcellentcontrastresolution,itlacksthedetail(spatialresolution)OperatorandequipmentfactorsunabletoimagemicrocalcificationsLimitedofultrasoundThoughul25BenefitsofMRIExamAllowsbreastimagestobetakeninanyplaneandfromanyorientationhighlysensitivetosmallabnormalities,couldshowmulti-focaltumorDeterminingtheextentofbreastcancer,canhelpindicatetreatmentAnexcellentatimagingtheaugmentedbreastBenefitsofMRIExamAllowsbre26乳腺影像学诊断共34张课件27乳腺影像学诊断共34张课件28LimitedofMRIExamTooexpensiveCouldn’tfindthemicrocalcificationLimitedofMRIExamTooexpens29DuctalCarcinomainSituIntraductalcarcinoma:cancercellsareconfinedtoanintactbasementmembraneAppearances:microcalcification(85%)microcalcificationandmass(10%)massorarchitecturaldistortion(5%)DuctalCarcinomainSituIntrad30乳腺影像学诊断共34张课件31ScreeningphysicalexammammographyP+M+operationP+M-ultrasoundFollowupP-Ca+P-T+P-M-FollowupbiopsyScreeningphysicalexammammogra32ThanksThanks3366、节制使快乐增加并使享受加强。——德谟克利特

67、今天应做的事没有做，明天再早也是耽误了。——裴斯泰洛齐

68、决定一个人的一生，以及整个命运的，只是一瞬之间。——歌德

69、懒人无法享受休息之乐。——拉布克

70、浪费时间是一桩大罪过。——卢梭66、节制使快乐增加并使享受加强。——德谟克利特34乳腺影像学诊断16、云无心以出岫，鸟倦飞而知还。17、童孺纵行歌，斑白欢游诣。18、福不虚至，祸不易来。19、久在樊笼里，复得返自然。20、羁鸟恋旧林，池鱼思故渊。乳腺影像学诊断乳腺影像学诊断16、云无心以出岫，鸟倦飞而知还。17、童孺纵行歌，斑白欢游诣。18、福不虚至，祸不易来。19、久在樊笼里，复得返自然。20、羁鸟恋旧林，池鱼思故渊。ImagingexaminationsofbreastsDepartmentofradiologyQuestionHowtochooseaproperexaminationforscreeninganddiagnosis??Whatexaminationswecoulduse乳腺影像学诊断16、云无心以出岫，鸟倦飞而知还。乳腺影像学诊35乳腺影像学诊断共34张课件36乳腺影像学诊断共34张课件37乳腺影像学诊断共34张课件38乳腺影像学诊断共34张课件39AnatomyTDLU：1－2mmDrainedbyaterminalductattachedtothemainductsystemMostbreastdiseasesariseinTDLUAnatomyTDLU：1－2mm40ImagingmethodsMammographyUltrasoundMRIImagingmethodsMammography41Projection：CCMLO

MammographyProjection：Mammography42MammographiccharactersCalcificationMassMammographiccharactersCalcifi43CalcificationPO43-CalciumphosphatCa++CalcificationPO43-Calciumphos44CalcificationThemainvalue:detectionnecrotictissuesForm:Castingtype,powderish,granulartypeDifferentiationbetweenmalignantandbenign:distribution,form,densityCalcificationThemainvalue:45CalcificationCalcification46CalcificationCalcification47CalcificationCalcification48CalcificationCalcification49Mass

ProliferationandinvasionStellatelesionwithspiculesandill-definedbordersDifferentiationbetweenmalignantandbenignisdifficultMassProliferationandinvasio50MassMass51MassMass52MassMass53MassMass54CharacteristicsofmammographySensitivetothemalignantcalcificationevenmicrocalcificationsDifferentiationbetweenbenignandmalignantmassisdifficultCharacteristicsofmammography55CharacteristicsofUltrasoundExamAllowssignificantfreedominobtainingimagesfromalmostanyorientationexcellentatimagingcystsandsolidmassyoungwomenathighriskofthedisease

GuidebiopsyCharacteristicsofUltrasound56乳腺影像学诊断共34张课件57乳腺影像学诊断共34张课件58LimitedofultrasoundThoughultrasoundhasexcellentcontrastresolution,itlacksthedetail(spatialresolution)OperatorandequipmentfactorsunabletoimagemicrocalcificationsLimitedofultrasoundThoughul59BenefitsofMRIExamAllowsbreastimagestobetakeninanyplaneandfromanyorientationhighlysensitivetosmallabnormalities,couldshowmulti-focaltumorDeterminingtheextentofbreastcancer,canhelpindicatetreatmentAnexcellentatimagingtheaugmentedbreastBenefitsofMRIExamAllowsbre60乳腺影像学诊断共34张课件61乳腺影像学诊断共34张课件62LimitedofMRIExamTooexpensiveCouldn’tfindthemicrocalcificationLimitedofMRIExamTooexpens63DuctalCarcinomain