He maimoatanga haumaru, he mea tika hoki te kimi i ngā pona lymph axillary mā te whakamahi i ngā tohu tautuhi auau-reo irirangi (RFID) mō te mate pukupuku o te ū, e ai ki tā tētahi tohunga o Peretānia i roto i tētahi tuhinga i whakaputaina ki te Clinical Radiology.
Kua kitea e ngā kairangahau i arahina e Tākuta Simon Lowes o te Hōhipera o Kuini Irihāpeti i Gateshead (te raki-mā-rāwhiti o Ingarangi)Ngā tohu RFID"ka taea te whakamahi hei kimi ahokore i ngā kōpuku lymph axillary i roto i ngā tūroro e whiwhi ana i te ultrasound o te ū me ngā mammogram tirohanga-rua." i tuhi te tīma rangahau. "Ka āwhina te huinga raraunga o nāianei ki te tautoko i te tono haumaru me te whai hua o ngā tohu RFID mō te kimi i ngā kōpuku lymph axillary."
I ngā tau tata nei, kua piki haere te hiahia ki te whakamahi i te hangarau tauwāhi ahokore hei kimi tika i ngā kōpū lymph i roto i te mate pukupuku o te ū. I whakapae ngā kairangahau ka taea e ngā momo ahokore pēnei i ngā tohu RFID te whakaiti i ngā raruraru pea mō ngā tohunga radiology me ngā taote pokanga i roto i te maimoatanga mate pukupuku o te ū, ā, ka taea hoki e te tauwāhi pai ake o ngā kōpū lymph te āwhina i ngā tūroro mate pukupuku o te ū ki te whakawhanake i ngā rautaki maimoatanga pai ake me te karo i te maimoatanga nui rawa. E kī ana a Lowes mā, kāore he raraunga mō te tauwāhi ahokore o ngā kōpū lymph axillary, tae atu ki te whakamahinga o ngā tohu RFID kua whakatōkia ki ngā wāhi whakamātautau ū. Hei tāpiri atu ki ngā tuhinga o nāianei, i tirotirohia e rātou te haumaru me te whaihua o te whakamahi i ngā tohu RFID hei kimi i ngā kōpū lymph axillary. I whakamahia e rāua he tohu RFID kore mahi 11 mm x 2 mm kua utaina ki runga i te pūnaha ngira 12-gauge (LOCazer, Hologic) e whakamahi ana i te whakatinanatanga percutaneous e arahina ana e te whakaahua. Kātahi ka whakaūhia te whakatakotoranga tapanga mā te ultrasound me te mammography tirohanga-rua. He tau tautuhi mati-rima ahurei kei ia tohu, ka tukuna mā te kaipānui ringaringa. Ka whakaatuhia hoki e te kaipānui te tawhiti wā-tūturu i waenga i te pūoko me ia tohu, he tika ki te taumata mirimita.
I whakaurua hoki ki te rangahau ngā raraunga mai i ngā whakaurunga tuatahi o ngā pūnga RFID-arotahi 75 i waenganui i te tau 2019 me te tau 2022; i roto i tēnei wā, i whakamahia katoatia he 1,296 ngā tohu ū me ngā tohu ū ki roto i te 1,120 tūroro (te mate pukupuku ū e whiwhi ana i te chemotherapy neoadjuvant. Ka whakauruhia e te tūroro te tohu RFID i muri i te otinga o te maimoatanga). I whakauruhia ngā tohu mō te toharite o te 11 ngā rā i mua i te pokanga. O ngā tohu 75 i raro i te ringa, 70 i whakaatu i te mate pukupuku ū tuatahi, ā, 5 kāore i whakaatu i te mate pukupuku. O ngā waitohu 70 e tohu ana i te mate pukupuku ū, 20 i tohu i te hiahia mō te chemotherapy neoadjuvant. E ai ki te whakahaere he 100 ōrau te angitu o ngā whakaurunga tohu RFID. I taua wā anō, i kitea anō hoki e te tīma kua tangohia angitu ngā tohu katoa me ō rātou pūnga lymph axillary me te kore he raruraru nui. "E whā ngā take o te nekehanga tapanga i te wā e tangohia ana, engari i te nuinga, kāore tēnei i pā ki te tapanga, ki te whakaora rānei i ngā pūnga lymph," te tuhituhi a Lowes mā.
E kī ana ngā kaituhi o te rangahau, i runga i ā rātou kitenga, me ngā raraunga mai i ngā rangahau o mua, me mahi tahi ngā tīma tohunga haumanu e rongoā ana i ngā wāhine he mate pukupuku ū ki te whakatau ko tēhea hangarau tauwāhi ahokore me whakamahi. I tohuhia hoki ahakoa he painga me he huakore ngā taputapu ahokore katoa, ina tae ki ngā whara o te ū, he pai te mahi a ēnei taputapu ki te kimi i ngā kōpū lymph axillary.
Wā tuku: Pipiri-30-2023
