He aha ka Molecular Breast Imaging? Ke Kumu, ke Kaʻina Hana & Nā Hōʻikeʻike

ʻO ka molecular breast imaging (MBI) he scan lāʻau lapaʻau nukelea kūikawā e hiki ai ke ʻike i ka maʻi kanesa o ka umauma ma ka hōʻike ʻana i nā wahi kahi e ulu ikaika ana nā pūnaewele maʻi kanesa. Hoʻohana kēia ʻenehana kiʻi mālie i kahi mea liʻiliʻi o ka mea ʻike radioactive i huki ʻia i nā pūnaewele maʻi kanesa, e ʻike ʻia ai lākou ma nā kamera kūikawā e hiki ke ʻike i nā pilikia i hiki ke nalo i nā mammograms maʻamau.

E noʻonoʻo i ka MBI e like me ka hāʻawi ʻana i kāu kauka i kahi aniani ʻokoʻa e nānā ai. ʻOiai e hōʻike ana nā mammograms i ke ʻano o kou ʻiʻo umauma, hōʻike ka MBI i ka hana e hana nei i loko o kāu mau pūnaewele. He mea kōkua nui kēia no nā wahine me ka ʻiʻo umauma paʻa, kahi e hiki ai i nā maʻi kanesa ke hūnā ma hope o ka ʻiʻo maʻamau ma nā mammograms maʻamau.

He aha ka molecular breast imaging?

ʻO ka molecular breast imaging he hoʻokolohua lāʻau lapaʻau nukelea e hoʻohana ana i kahi mea ʻike radioactive e ʻimi i nā pūnaewele maʻi kanesa o ka umauma. ʻO ka mea ʻike, i kapa ʻia ʻo technetium-99m sestamibi, ua hoʻokomo ʻia i loko o kou lima a hele i loko o kou kahe koko i nā wahi kahi e mahele wikiwiki ana nā pūnaewele, kahi e hōʻike pinepine ai i ka maʻi kanesa.

Hana ka hoʻokolohua no ka mea e komo maʻamau nā pūnaewele maʻi kanesa i ka mea ʻike ma mua o ka ʻiʻo umauma maʻamau. A laila, hopu nā kamera gamma kūikawā i nā kiʻi o kēia hāʻawi ʻana i ka mea ʻike, e hana ana i nā kiʻi kikoʻī e hōʻike ana i kāu kauka i kahi e hana nei kekahi hana kānalua. ʻAʻole ʻeha loa kēia kaʻina hana a ʻaʻole pono e hoʻopaʻa i kou ʻiʻo umauma.

I kekahi manawa ua kapa ʻia ʻo MBI ʻo ka breast-specific gamma imaging (BSGI), ʻoiai ua like ka ʻenehana a me ke ala. ʻO nā huaʻōlelo ʻelua e pili ana i kēia ala mālie a maikaʻi hoʻi o ka nānā ʻana i ka maʻi kanesa o ka umauma e hoʻopili ana i kāu mammogram maʻamau.

No ke aha e hana ʻia ai ka molecular breast imaging?

Hiki i kāu kauka ke ʻōlelo aku iā MBI ke loaʻa iā ʻoe ka ʻiʻo umauma paʻa e paʻakikī ai nā mammograms ke heluhelu pololei. Hōʻike ke ʻiʻo paʻa i ke keʻokeʻo ma nā mammograms, a pēlā nō ka maʻi kanesa, ʻo ia hoʻi hiki ke hala kekahi mau ʻōpū liʻiliʻi i kēia mau hihia.

He mea waiwai nui ʻo MBI no nā wahine i loaʻa ka pilikia o ka maʻi kanesa o ka umauma akā ʻaʻole kūpono no ka nānā ʻana i ka MRI. Hiki i kēia ke komo i nā wahine me ka mōʻaukala ʻohana o ka maʻi kanesa o ka umauma, nā biopsies umauma mua e hōʻike ana i nā loli pilikia nui, a i ʻole nā ​​mea genetic e hoʻonui ai i ko lākou pilikia o ka maʻi kanesa.

Hoʻohana ʻia ka hoʻāʻo ʻana i ka wā e pono ai nā kauka e kiʻi i kahi kiʻi maopopo o nā wahi kānalua i loaʻa ma nā mammograms a i ʻole nā ​​hoʻokolohua kino. I kekahi manawa hiki i ka MBI ke kōkua i ka hoʻoholo ʻana inā he maʻi kanesa maoli kahi wahi e pili ana a i ʻole he ʻiʻo paʻa wale nō, e mālama ana iā ʻoe mai nā biopsies pono ʻole.

Eia kekahi, hiki ke kōkua ʻo MBI no ka nānā ʻana i ka maikaʻi o ka hana ʻana o ka mālama ʻana i ka maʻi kanesa o ka umauma. Hiki i ka tracer uptake ke hōʻike inā e pane ana nā ʻōpū i ka chemotherapy a i ʻole nā ​​lāʻau lapaʻau ʻē aʻe, e hāʻawi ana i kāu hui lapaʻau i ka ʻike waiwai e pili ana i kāu holomua.

He aha ke kaʻina hana no ke kiʻi ʻana i ka umauma molecular?

Hoʻomaka ke kaʻina hana MBI me kahi injection liʻiliʻi o ka tracer radioactive i loko o kahi vein i kou lima. Ua like kēia injection me nā huki koko āu i loaʻa ai, me kahi ʻoki wikiwiki mai ka nila. He 5 a 10 mau minuke ka lōʻihi o ka tracer e hele ai i kou kino a hiki i kou ʻiʻo umauma.

Ke loaʻa ka manawa o ka tracer e puʻunaue ai, e hoʻonoho ʻia ʻoe me ka ʻoluʻolu i loko o kahi noho ma kahi kokoke i ka pahupaʻikiʻi gamma kūikawā. Ua like ke ʻano o ka pahupaʻikiʻi me kahi mīkini mammography, akā ua hoʻolālā ʻia e ʻoluʻolu loa mai ka mea ʻaʻole pono ka compression.

I ka wā o ke kiʻi ʻana, pono ʻoe e noho mālie i ka wā e kiʻi ai ka pahupaʻikiʻi i nā kiʻi mai nā kihi like ʻole. ʻO ke kaʻina hana kiʻi holoʻokoʻa e lawe ma kahi o 30 a 40 mau minuke, me kēlā me kēia hiʻohiʻona e mau ana ma kahi o 8 a 10 mau minuke. Hiki iā ʻoe ke hanu maʻamau i ke kaʻina hana.

E kiʻi nā kāmera i nā kiʻi o nā umauma ʻelua, ʻoiai inā hoʻokahi umauma wale nō e nānā ʻia nei. Kōkua kēia i kāu kauka e hoʻohālikelike i nā ʻaoʻao ʻelua a hōʻoia ʻaʻole i hala kekahi mea. ʻO ka manawa holoʻokoʻa, mai ka hoʻokomo ʻana a hiki i ka pau ʻana, ma kahi o hoʻokahi hola.

Pehea e hoʻomākaukau ai no kāu kiʻi umauma molekala?

He maʻalahi ka hoʻomākaukau ʻana no ka MBI a koi i nā loli liʻiliʻi i kāu hana maʻamau. Hiki iā ʻoe ke ʻai a inu maʻamau ma mua o ka hoʻokolohua, a ʻaʻole pono ʻoe e hooki i ka lawe ʻana i kekahi o kāu mau lāʻau lapaʻau maʻamau ke ʻole i kuhikuhi ʻia e kāu kauka.

Makemake ʻoe e ʻaʻahu i nā lole ʻoluʻolu, ʻelua ʻāpana no ka mea pono ʻoe e wehe i nā lole mai ka pūhaka i luna no ke kaʻina hana. ʻOi aku ka maʻalahi o ka loli ʻana o ka pālule pihi a i ʻole ka pālule ma mua o ka pullover. E hāʻawi ke kikowaena kiʻi iā ʻoe i ka ʻaʻahu haukapila e wehe ana ma mua.

He mea nui e haʻi i kāu hui mālama ola inā hāpai ʻoe a hānai paha, no ka mea, hiki i ka mea hoʻopaʻa radioactive ke hoʻopilikia i kāu pēpē. Inā hānai ʻoe, pono paha ʻoe e pauma a hoʻolei i ka waiū umauma no hoʻokahi a ʻelua paha lā ma hope o ke kaʻina hana.

Wehe i nā mea nani, ʻo nā lei a me nā apo pepeiao, ma mua o ka hoʻokolohua no ka mea hiki i ka metala ke hoʻopilikia i ke kiʻi. Makemake paha ʻoe e pale i ka hoʻohana ʻana i ka deodorant, ka pauka, a i ʻole ka lotion ma kou wahi umauma i ka lā o ka hoʻokolohua, no ka mea, hiki i kēia mau huahana ke hōʻike i nā kiʻi.

Pehea e heluhelu ai i kāu mau hopena kiʻi umauma molekala?

E hōʻike ana kāu mau hopena MBI inā ua hōʻiliʻili ka mea hoʻopaʻa radioactive i kekahi wahi o kāu ʻiʻo umauma. ʻO nā hopena maʻamau ke ʻano o ka mea hoʻopaʻa i hāʻawi like ʻia ma waena o kāu ʻiʻo umauma me ka ʻole o nā wahi e pili ana i ka lawe ʻana.

Inā he mau wahi kahi i ʻoi aku ka nui o ka mea hoʻopaʻa, e ʻike ʻia kēia mau mea he

E nānā pono kāu kauka lapaʻau i kēia mau kiʻi me kāu mammogram a me nā kiʻi ʻē aʻe āu i loaʻa ai. E nānā lākou i ka nui, ke ʻano, a me ka ikaika o nā wahi maʻamau e hoʻoholo ai inā pono ka noiʻi hou.

Loaʻa nā hopena i loko o kekahi mau lā, a e kūkākūkā kāu kauka iā lākou me ʻoe e pili ana i kou olakino umauma holoʻokoʻa. Inā pono e loiloi hou i kekahi mau wahi, e wehewehe kāu kauka i nā hana aʻe, e like me ke kiʻi hou ʻana a i ʻole ka biopsy.

He aha ka mea e pili ai i ka pololei o ke kiʻi umauma molecular?

Nui nā mea e hiki ke hoʻopili i ka maikaʻi o ka MBI i ka ʻike ʻana i ka maʻi maʻi umauma i kāu hihia. ʻO ka ʻiʻo umauma paʻa e hana maoli ai ka MBI i ʻoi aku ka maikaʻi ma mua o nā mammograms, no ka mea, ʻaʻole i kāohi ʻia ka ʻenehana lāʻau lapaʻau nuklea e ka paʻa ʻana o ka ʻiʻo e like me nā X-ray.

He mea nui ka nui o nā maʻi maʻi e hiki ke ʻike. He mea maikaʻi loa ka MBI i ka loaʻa ʻana o nā maʻi maʻi he 1 kenimika a ʻoi aku paha, akā hiki nō ke hala nā maʻi maʻi liʻiliʻi loa. ʻO ia ke kumu e hana maikaʻi ai ka MBI ma ke ʻano he ʻāpana o kahi ala screening piha ma mua o ka hoʻāʻo kū hoʻokahi.

Hiki i kekahi mau lāʻau lapaʻau ke hoʻopilikia i ka lawe ʻana i ka tracer. Inā ʻoe e lawe ana i nā lāʻau lapaʻau puʻuwai, ʻo ia hoʻi nā mea i loko o ka ʻohana calcium channel blocker, e haʻi i kāu kauka no ka mea e hiki ke hoʻopilikia i ke ʻano o ka hāʻawi ʻana o ka tracer i kou kino.

Hiki i kāu mōʻaukala olakino hou ke hoʻopilikia i nā hopena. Inā ua loaʻa iā ʻoe kahi biopsy umauma, ke ʻoki ʻana, a i ʻole ka radiation therapy i nā mahina i hala iho nei, hiki i kēia mau kaʻina hana ke hoʻoulu i ka mumū e hiki ke hoʻopilikia i ka lawe ʻana i ka tracer a hiki ke alakaʻi i nā hopena maikaʻi ʻole.

He aha nā pilikia o ke kiʻi umauma molecular?

Hoʻohālikelike ʻia ka ʻike ʻana i ka radiation mai ka MBI i ka mea āu e loaʻa ai mai kahi CT scan o kou umauma. ʻOiai ʻoi aku ka nui o kēia radiation ma mua o ka mammogram, ua manaʻo ʻia he haʻahaʻa haʻahaʻa a palekana no ka hapa nui o nā wahine ke hoʻohana pono ʻia.

He pōkole loa ka hapalua o ke ola o ka mea ʻike radioactive i hoʻohana ʻia ma MBI, ʻo ia hoʻi, e wāwahi koke ia i loko o kou kino. E hala ka hapa nui o ka radioactivity i loko o 24 mau hola, a e hoʻopau ʻoe i ka mea ʻike ma o kāu hana maʻamau o ka puʻupaʻa.

He mea kakaikahi loa nā hopena maʻi i ka mea ʻike, akā hiki nō. Hiki i ka wahi i hoʻokomo ʻia ke ʻike i ka ʻeha liʻiliʻi a i ʻole ka ʻeha, e like me ka mea āu e manaʻo ai ma hope o ka huki ʻana i ke koko a i ʻole ka injection. ʻAʻole i lohe ʻia nā pilikia koʻikoʻi mai ke kaʻina hana.

Hopohopo kekahi mau wahine e pili ana ka mea ʻike radioactive i ko lākou ʻohana, akā he liʻiliʻi loa ka nui o ka radiation ʻaʻole pono nā hana kūikawā a puni ka ʻohana, nā holoholona, ​​a i ʻole nā ​​hoa hana ma hope o ka hoʻāʻo.

I ka manawa hea e noʻonoʻo ai au i ke kiʻi umauma molecular?

He moho maikaʻi paha ʻoe no MBI inā he ʻiʻo umauma paʻa kou a me ka pilikia nui o ka maʻi maʻi umauma. Aia kēia i nā wahine me ka moʻolelo ʻohana ikaika o ka maʻi maʻi umauma a i ʻole ka maʻi ovarian, ʻoiai inā ua hōʻike ka hoʻāʻo genetic ua lawe ʻoe i nā mutations i nā genes e like me BRCA1 a i ʻole BRCA2.

ʻO nā wahine i loaʻa i nā biopsies umauma mua e hōʻike ana i nā loli pilikia nui, e like me ka atypical ductal hyperplasia a i ʻole lobular carcinoma in situ, hiki nō ke pōmaikaʻi mai ka MBI screening. Hiki i kāu kauka ke ʻōlelo iā ia inā he nui nā mea pilikia e hoʻokau i kou pilikia maʻi maʻi umauma ma luna o ka awelika.

Inā loaʻa iā ʻoe nā ʻike e pili ana i ka mammogram e pono ai ka loiloi hou, hiki i ka MBI ke hāʻawi i ka ʻike hou e kōkua i kāu kauka e hoʻoholo inā pono ka biopsy. Hiki ke kōkua nui kēia i ka pale ʻana i nā kaʻina hana pono ʻole i ka hōʻoia ʻana ʻaʻole i hala kekahi mea nui.

Eia naʻe, ʻaʻole ʻōlelo ʻia ʻo MBI no ka screening maʻamau i nā wahine maʻamau. ʻO ka radiation hou a me ke kumukūʻai e kūpono loa ia no nā wahine i loaʻa nā mea pilikia kikoʻī a i ʻole nā ​​kūlana lapaʻau e pono ai nā hiki ke ʻike.

Pehea e hoʻohālikelike ai ka molecular breast imaging i nā hoʻokolohua ʻē aʻe?

I ka hoʻohālikelike ʻana me ka mammography, ʻoi aku ka maikaʻi o ka MBI i ka ʻike ʻana i ka maʻi maʻi i loko o ka ʻiʻo umauma paʻa. ʻOiai hiki i nā mammograms ke nalo i ka 50% o nā maʻi maʻi i loko o ka ʻiʻo paʻa loa, mālama ʻo MBI i kona pololei me ka nānā ʻole i ka paʻa o ka umauma.

Manaʻo pinepine ʻia ʻo MRI ke kūlana gula no ka nānā ʻana i ka maʻi maʻi umauma kiʻekiʻe, akā hāʻawi ʻo MBI i nā mea maikaʻi he nui. ʻOi aku ka ʻoluʻolu no nā wahine he nui no ka mea ʻaʻole pono e moe mālie i kahi wahi paʻa no 30-45 mau minuke, a ʻoi aku ka liʻiliʻi o ke kumukūʻai ma mua o ka MRI umauma.

ʻAʻole like me ka MRI, ʻaʻole pono ka MBI i kahi injection contrast IV i hiki ʻole i kekahi poʻe ke ʻae ma muli o nā pilikia o ka puʻupaʻa a i ʻole nā maʻi maʻi. ʻO ka mea radioactive tracer i hoʻohana ʻia i ka MBI e hōʻeha wale i nā hopena maʻi maʻi a ua hana ʻia e kou kino ma ke ʻano ʻokoʻa ma mua o ka MRI contrast.

ʻO ka ultrasound kekahi mea hana i hoʻohana ʻia e loiloi i ka ʻiʻo umauma, akā hoʻohana pinepine ʻia ia e noiʻi i nā wahi kikoʻī ma mua o ka nānā ʻana. Hāʻawi ʻo MBI i kahi ʻike piha o nā umauma ʻelua a hiki ke ʻike i nā maʻi maʻi i ʻike ʻole ʻia ma ka ultrasound.

Nā nīnau i nīnau pinepine ʻia e pili ana i ka molecular breast imaging

Q1: He ʻeha anei ka molecular breast imaging?

ʻAʻole, ʻaʻole ʻeha ka MBI. ʻO ka ʻoluʻolu wale nō āu e ʻike ai he ʻuʻuku pōkole mai ka nila ke hoʻokomo ʻia ka tracer, e like me ka huki ʻana i ke koko. ʻAʻole like me nā mammograms, ʻaʻohe compression o kou ʻiʻo umauma i ka wā o ke kaʻina hana kiʻi.

Q2: Ehia mau manawa e loaʻa ai iaʻu ka molecular breast imaging?

Aia ke alapine i kāu mau mea pilikia pilikino a me nā ʻōlelo aʻoaʻo a kāu kauka. ʻO ka hapa nui o nā wahine e pōmaikaʻi ana mai ka MBI e hana ʻia i kēlā me kēia makahiki, e like me ka nānā ʻana i ka mammogram. Eia naʻe, e hoʻoholo kāu kauka i ka manawa kūpono e pili ana i kāu kūlana kikoʻī a me ka pilikia.

Q3: Hiki iaʻu ke hoʻokele iaʻu iho i ka home ma hope o ka molecular breast imaging?

ʻAe, hiki iā ʻoe ke kalaiwa iā ʻoe iho i ka home ma hope o ka MBI. ʻAʻole pili ka hana i ka sedation a i ʻole nā lāʻau lapaʻau e hoʻopilikia i kou hiki ke kalaiwa. Pono ʻoe e manaʻo maʻamau loa ma hope koke o ka pau ʻana o ka hoʻāʻo.

Q4: E uhi anei ka ʻinikua i ke kiʻi umauma molekala?

He ʻokoʻa ka uhi ʻinikua no ka MBI ma muli o kāu hoʻolālā kikoʻī a me nā kūlana olakino. Nui nā mea ʻinikua e uhi i ka hoʻāʻo ʻana i ka wā e pono ai ke olakino no nā maʻi pilikia nui a i ʻole e loiloi i nā mea i loaʻa. E nānā me kāu mea hāʻawi ʻinikua a me ka hui mālama ola e pili ana i ka uhi ʻana ma mua o ka hoʻonohonoho ʻana.

Q5: He aha ka mea e hana ai inā hōʻike kaʻu kiʻi umauma molekala i kahi wahi ʻano ʻē?

Inā hōʻike ka MBI i kahi wahi e hopohopo ai, e ʻōlelo maʻamau kāu kauka i nā hoʻāʻo hou e hoʻoholo ai inā he maʻi ʻaʻai a i ʻole kahi maʻi maikaʻi. Hiki i kēia ke komo i kahi ultrasound i manaʻo ʻia, MRI, a i ʻole ka biopsy ʻiʻo. E hoʻomanaʻo i ka nui o nā mea i loaʻa ʻano ʻē ma ka MBI e hōʻike ana he maikaʻi, no laila e hoʻāʻo ʻaʻole e hopohopo i ka wā e kali ana i nā hopena e hiki mai ana.