{"id":7248,"date":"2020-08-06T07:13:50","date_gmt":"2020-08-06T12:13:50","guid":{"rendered":"https:\/\/cornflowerblue-rail-980953.hostingersite.com\/?p=7248"},"modified":"2020-08-06T07:13:50","modified_gmt":"2020-08-06T12:13:50","slug":"whats-new-in-breast-imaging-turkish-august-2020","status":"publish","type":"post","link":"https:\/\/staging-hub.acoredu.com\/tr\/whats-new-in-breast-imaging-turkish-august-2020\/","title":{"rendered":"What&#8217;s new in Breast Imaging (Turkish) &#8211; August 2020"},"content":{"rendered":"<h5><span style=\"color: #3366ff;\"><strong>Meme MRG\u2019nin Terap\u00f6tik <\/strong><strong>Mastektomi<\/strong> <strong>Sonras\u0131<\/strong><strong> Asemptomatik N\u00fcksleri Saptamadaki Rol\u00fc<\/strong><\/span><\/h5>\n<p>Chapman, M. C., Hayward, J. H., Woodard, G. A., Joe, B. N., &amp; Lee, A. Y. (2020). The Role of Breast MRI in Detecting Asymptomatic Recurrence After Therapeutic Mastectomy. American Journal of Roentgenology,215(1), 254-261. doi:10.2214\/ajr.19.21640<\/p>\n<p><a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/32374666\/\">https:\/\/pubmed.ncbi.nlm.nih.gov\/32374666\/<\/a><\/p>\n<p>Bu retrospektif \u00e7al\u0131\u015fmada, ara\u015ft\u0131rmac\u0131lar daha \u00f6nce ter\u00f6patik tek tarafl\u0131 mastektomi ameliyat\u0131 ge\u00e7irmi\u015f hastalarda, meme MRG\u2019nin asemptomatik hastal\u0131k n\u00fcks\u00fcn\u00fc belirlemedeki rol\u00fcn\u00fc saptamaya \u00e7al\u0131\u015ft\u0131lar. \u0130ncelenen 402 meme MRG\u2019sinin 395\u2019inde (%98,3) mastektomi uygulanan tarafta iyi huylu bulgular saptand\u0131. 7 (%1,7) meme MRG\u2019sinde malignite i\u00e7in \u015f\u00fcpheli bulgular mevcutken (BI-RADS 4), d\u00f6rd\u00fcnde biyopsi ile kan\u0131tlanm\u0131\u015f malignite vard\u0131. Mastektomi uygulanan tarafta, malignite saptamada MRG\u2019nin duyarl\u0131l\u0131\u011f\u0131 %66,7 ve \u00f6zg\u00fcll\u00fc\u011f\u00fc %99,2 bulundu. Bu hasta alt grubu i\u00e7in kanser tespit oran\u0131 1000 muayene ba\u015f\u0131na 10 kanserdi. Yazarlar, mastektomi sonras\u0131 kanser n\u00fcks\u00fcn\u00fc de\u011ferlendirmek i\u00e7in asemptomatik mastektomi uygulanan taraf\u0131n kontralateral meme MRG\u2019lerine dahil edilmesi gerekti\u011fi sonucuna varm\u0131\u015flard\u0131r.<\/p>\n<p>&nbsp;<\/p>\n<h5><span style=\"color: #3366ff;\"><strong>Ulusal Mamografi Veritaban\u0131nda Tarama Mamografilerinin Analizi Sonras\u0131 BI-RADS Kategori 3 i\u00e7in Kanser Oran\u0131 ve Takip Modelleri<\/strong><\/span><\/h5>\n<p>Berg, W. A., Berg, J. M., Sickles, E. A., Burnside, E. S., Zuley, M. L., Rosenberg, R. D., &amp; Lee, C. S. (2020). Cancer Yield and Patterns of Follow-up for BI-RADS Category 3 after Screening Mammography Recall in the National Mammography Database. Radiology,296(1), 32-41. doi:10.1148\/radiol.2020192641.<\/p>\n<p><a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/32427557\/\">https:\/\/pubmed.ncbi.nlm.nih.gov\/32427557\/<\/a><\/p>\n<p>Bu retrospektif \u00e7al\u0131\u015fmada, ara\u015ft\u0131rmac\u0131lar beklenen malignite oran\u0131 %2\u2019den az olan BI-RADS 3 lezyonlar\u0131 6, 12 ve 24 ay s\u00fcreyle takip ettiler. Ulusal Mamografi Veritaban\u0131ndan (UMV), 25 ya\u015f\u0131n \u00fczerinde meme kanseri \u00f6yk\u00fcs\u00fc olmayan hastalar se\u00e7ildi. Se\u00e7ilen 45202 vakan\u0131n %3,5\u2019u ilk ba\u015fvuru s\u0131ras\u0131nda biyopsi ge\u00e7irdi ve %4,6\u2019s\u0131 k\u00f6t\u00fc huylu bulundu. 90 g\u00fcn sonra, 922 hasta tekrar g\u00f6r\u00fcld\u00fc ve 78 lezyona biyopsi uyguland\u0131, bunlar\u0131n da %15\u2019i k\u00f6t\u00fc huylu bulundu. Sonraki 6, 12 ve 24 ayl\u0131k izlemlerde biyopsi ile kan\u0131tlanm\u0131\u015f kanser oranlar\u0131 s\u0131ras\u0131yla %1,5, %1,2 ve %1,86 olarak saptand\u0131. 2 y\u0131l\u0131 a\u015fk\u0131n bir s\u00fcrede k\u00fcm\u00fclatif kanser oran\u0131 %1,86 saptand\u0131\u011f\u0131 i\u00e7in ara\u015ft\u0131rmac\u0131lar UMV\u2019de BI-RADS 3 kategorisinin kullan\u0131m\u0131n\u0131 uygun buldu. Ayr\u0131ca malignitelerin %57,8\u2019inin 6 ay veya \u00f6ncesinde te\u015fhis edildi\u011fi belirtilerek, BI-RADS 3 lezyonlar\u0131n k\u0131sa zamanl\u0131 izleminin \u00f6nemi vurguland\u0131.<\/p>\n<p>&nbsp;<\/p>\n<h5><span style=\"color: #3366ff;\"><strong>Mamografi Bazl\u0131 Radiomics Normogram\u0131: Meme Kanserinde Aksiller Lenf Nodu Metastaz\u0131n\u0131 \u00d6ng\u00f6rmede Potansiyel Biyomarker<\/strong><\/span><\/h5>\n<p>Tan, H., Wu, Y., Bao, F., Zhou, J., Wan, J., Tian, J., . . . Wang, M. (2020). Mammography-based radiomics nomogram: A potential biomarker to predict axillary lymph node metastasis in breast cancer. The British Journal of Radiology,93(1111), 20191019 doi:10.1259\/bjr.20191019.<\/p>\n<p><a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/32401540\/\">https:\/\/pubmed.ncbi.nlm.nih.gov\/32401540\/<\/a><\/p>\n<p>Bu \u00e7al\u0131\u015fmada, ara\u015ft\u0131rmac\u0131lar meme kanseri hastalar\u0131nda ameliyat \u00f6ncesi dijital mamografi (MG) ve klinik risk fakt\u00f6rlerini i\u00e7eren bir radiomics normogram\u0131 kullanarak aksiller lenf nodu (ALN) metastaz\u0131n\u0131 \u00f6ng\u00f6rmeye \u00e7al\u0131\u015ft\u0131lar. Patolojisi kan\u0131tlanm\u0131\u015f meme kanseri olan toplam 216 hasta primer ve validasyon gruplar\u0131na ayr\u0131ld\u0131. Radiomics analizi mamografi lerin kraniokaudal g\u00f6r\u00fcnt\u00fclerinden elde edildi. 216 hastan\u0131n 95\u2019inde patolojisi kan\u0131tlanm\u0131\u015f ALN metastaz\u0131 vard\u0131. Progesteron resept\u00f6r durumu ve molek\u00fcler alt t\u00fcr\u00fc gibi \u00f6zellikleri de i\u00e7eren radiomics normogram\u0131na ait ROC analizinde e\u011fri alt\u0131nda kalan alan, iki \u00e7al\u0131\u015fma grubu i\u00e7in de 0.883 ve 0.863 olarak bulundu. Sonu\u00e7 olarak mamografi bazl\u0131 radiomics normogramlar\u0131, ameliyat \u00f6ncesi hasta y\u00f6netiminde klinisyenlere yard\u0131mc\u0131 olabilecek, ALN metastaz\u0131 tespiti i\u00e7in kullan\u0131\u015fl\u0131 bir non-invaziv y\u00f6ntemdir.<\/p>\n<p>&nbsp;<\/p>\n<h5><span style=\"color: #3366ff;\"><strong>Meme kanserinde neoadjuvan kemoterapi sonras\u0131 mamografik mikrokalsifikasyonlar\u0131n preoperatif de\u011ferlendirilmesi<\/strong><\/span><\/h5>\n<p>Kim, E., Do, S., Yun, J., Park, Y., Park, C., Moon, J et all (2020). Preoperative evaluation of mammographic microcalcifications after neoadjuvant chemotherapy for breast cancer. Clinical Radiology,75(8). doi:10.1016\/j.crad.2020.03.024i<\/p>\n<p><a href=\"https:\/\/www.researchgate.net\/publication\/340589820_Preoperative_evaluation_of_mammographic_microcalcifications_after_neoadjuvant_chemotherapy_for_breast_cancer\">https:\/\/www.researchgate.net\/publication\/340589820_Preoperative_evaluation_of_mammographic_microcalcifications_after_neoadjuvant_chemotherapy_for_breast_cancer<\/a><\/p>\n<p>Bu retrospektif \u00e7al\u0131\u015fmada, yazarlar neoadjuvan kemoterapi (NAK) sonras\u0131 rezid\u00fcel t\u00fcm\u00f6r\u00fc g\u00f6sterebilecek preoperatif mamografik mikrokalsifikasyonlar\u0131n prediktif de\u011ferini saptamaya \u00e7al\u0131\u015ft\u0131. NAK tamamland\u0131ktan sonra mamografisinde mikrokalsifikasyonlar bulunan hastalara meme MRG ve imm\u00fcnohistokimyasal analiz yap\u0131ld\u0131. 96 hasta \u00e7al\u0131\u015fmaya dahil edildi. On hastada patolojik tam yan\u0131t geli\u015fti ve rezid\u00fcel mamografik mikrokalsifikasyonlar iyi huylu bulundu. Kalan hastalarda, rezid\u00fcel mikrokalsifikasyonlar\u0131n %28,1\u2019i iyi huylu, %61,5\u2019u in situ ya da invaziv karsinom olarak kaydedildi . Rezid\u00fcel mamografik mikrokalsifikasyonlarla kar\u015f\u0131la\u015ft\u0131r\u0131ld\u0131\u011f\u0131nda, MRG t\u00fcm meme kanseri alt tiplerinde rezid\u00fcel t\u00fcm\u00f6r\u00fc \u00f6ng\u00f6rmede daha iyiydi. Yazarlar \u00e7al\u0131\u015fma kohortlar\u0131n\u0131n yakla\u015f\u0131k \u00fc\u00e7te birinde mamografik mikrokalsifikasyonlar\u0131n rezid\u00fcel t\u00fcm\u00f6rle ili\u015fkili olmad\u0131\u011f\u0131 sonucuna vard\u0131. Bununla birlikte meme MRG ve molek\u00fcler alt t\u00fcrler, NAK sonras\u0131 mamografik mikrokalsifikasyon boyutuna bak\u0131lmaks\u0131z\u0131n rezid\u00fcel t\u00fcm\u00f6r i\u00e7in iyi predikt\u00f6rlerdir.<\/p>\n","protected":false},"excerpt":{"rendered":"Meme MRG\u2019nin Terap\u00f6tik Mastektomi Sonras\u0131 Asemptomatik N\u00fcksleri Saptamadaki Rol\u00fc Chapman, M. C., Hayward, J. H., [&hellip;]","protected":false},"author":3,"featured_media":3020,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_bbp_topic_count":0,"_bbp_reply_count":0,"_bbp_total_topic_count":0,"_bbp_total_reply_count":0,"_bbp_voice_count":0,"_bbp_anonymous_reply_count":0,"_bbp_topic_count_hidden":0,"_bbp_reply_count_hidden":0,"_bbp_forum_subforum_count":0,"footnotes":""},"categories":[209],"tags":[],"class_list":["post-7248","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-uncategorized-tr"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v25.1 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>What&#039;s new in Breast Imaging (Turkish) - August 2020 - ACORE<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/staging-hub.acoredu.com\/whats-new-in-breast-imaging-august-2020\/\" \/>\n<meta property=\"og:locale\" content=\"tr_TR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"What&#039;s new in Breast Imaging (Turkish) - August 2020 - ACORE\" \/>\n<meta property=\"og:description\" content=\"Meme MRG\u2019nin Terap\u00f6tik Mastektomi Sonras\u0131 Asemptomatik N\u00fcksleri Saptamadaki Rol\u00fc Chapman, M. 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