Smjernice za radiološko dijagnosticiranje i praćenje lezija dojke

master's thesis

• Title (english): Guidelines for radiological diagnosis and monitoring of breast lesions
• Author: Erin Kos
• Mentor: Gordana Ivanac (mentor)
• Committee member: Boris Brkljačić (predsjednik povjerenstva)
• Committee member: Milan Radoš (član povjerenstva)
• Committee member: Gordana Ivanac (član povjerenstva)
• Granter: University of Zagreb; School of Medicine; (Department of Radiology); Zagreb
• Defense date and country: 2024-07-12, Croatia
• Scientific / art field, discipline and subdiscipline: BIOMEDICINE AND HEALTHCARE; Clinical Medical Sciences; Radiology

Abstract

Radiološke slikovne metode imaju ključnu ulogu u dijagnostici i praćenju promjena u dojkama. Smjernice za dijagnostiku i praćenje lezija dojke naglašavaju važnost kombinacije različitih radioloških metoda kako bi se postigla što veća točnost dijagnoze i učinkovitost praćenja.
Radiološke metode kao što su mamografija, ultrazvuk, magnetska rezonancija (MR), igraju ključnu ulogu u razlikovanju benignih i malignih lezija. Mamografija je osnovna metoda za probir asimptomatskih žena zbog svoje visoke osjetljivosti za otkrivanje mikrokalcifikata, dok ultrazvuk pruža dodatne informacije kod žena s gustim dojkama te je koristan u vođenju biopsija. MR pruža visoku osjetljivost za detekciju lezija s pojačanom vaskularizacijom, dok su sonoelastografija i digitalna tomosinteza nove tehnologije koje poboljšavaju točnost dijagnostike.
U radu se također razmatraju preporuke i smjernice za primjenu ovih metoda u različitim kliničkim situacijama, uključujući probir kod nisko i visokorizičnih žena, dijagnostiku simptomatskih pacijentica te praćenje nakon liječenja raka dojke. Smjernice su ključne za standardizaciju pristupa, poboljšanje kvalitete skrbi i osiguranje dosljednih rezultata u dijagnostici i liječenju bolesti dojke. Redovito ažuriranje smjernica u skladu s najnovijim znanstvenim saznanjima i tehnološkim napretkom od presudne je važnosti za osiguranje optimalne skrbi za pacijentice.
Ovaj rad pruža sveobuhvatan pregled trenutnih smjernica i preporuka te ističe važnost kontinuirane edukacije i prilagodbe prakse najnovijim dostignućima u radiološkoj dijagnostici dojki.

Abstract (english)

Radiological imaging methods play a key role in diagnosing and monitoring breast changes. The guidelines for diagnosing and monitoring breast lesions emphasize the importance of combining different radiological methods to achieve the highest possible accuracy of diagnosis and effectiveness of monitoring.
Radiological methods such as mammography, ultrasound and magnetic resonance imaging are key in distinguishing between benign and malignant lesions. Mammography is the basic method for screening asymptomatic women due to its high sensitivity to detect microcalcifications. At the same time, ultrasound provides additional information in women with dense breasts and is useful in conducting biopsies. Magnetic resonance imaging offers high sensitivity for lesion detection with enhanced vascularization, while sonoelastography and digital tomosynthesis are new technologies that improve diagnostic accuracy.
The paper also considers recommendations and guidelines for the application of these methods in various clinical situations, including screening in low and high-risk women, diagnosis of symptomatic patients, and monitoring after breast cancer treatment. The guidelines are essential to standardize access, improve the quality of care and ensure consistent results in diagnosing and treating breast disease. Regular updating of the guidelines in line with the latest scientific knowledge and technological advances is of crucial importance for ensuring optimal care for female patients.
This paper provides a comprehensive overview of current guidelines and recommendations and highlights the importance of continuing education and adapting practice to the latest developments in radiological breast diagnosis.

• Keywords: magnetska rezonancija; mamografija; radiološke slikovne metode; smjernice za dijagnostiku; ultrazvuk dojke
• Keywords (english): magnetic resonance imaging; mammography; radiological imaging methods; diagnostic guidelines; breast ultrasound
• Language: croatian
• URN:NBN: urn:nbn:hr:105:498528
• Study programme: Title: Medicine; Study programme type: university; Study level: integrated undergraduate and graduate; Academic / professional title: doktor/doktorica medicine (doktor/doktorica medicine)
• Type of resource: Text
• File origin: Born digital
• Access conditions: Open access
• Created on: 2024-06-27 15:23:08