Title Radiološka dijagnostika bolesti dojke
Title (english) RADIOLOGY DIAGNOSTIC IMAGING OF BREAST DISEASE
Author Dora Poljičak
Mentor Maja Marinović Guić (mentor)
Committee member Maja Marinović Guić (član povjerenstva)
Committee member Ana Čarić (član povjerenstva)
Committee member Tatjana Matijaš (predsjednik povjerenstva)
Granter University of Split (University Department of Health Studies) Split
Defense date and country 2018-07-06, Croatia
Scientific / art field, discipline and subdiscipline BIOMEDICINE AND HEALTHCARE Clinical Medical Sciences
Abstract Dojka je simetrični parni organ, smješten na prednjoj strani prsnog koša. Postoji mnogo različitih patoloških procesa koji se pojavljuju u dojci. Neki od najučestalijih stanja su fibrocistična bolest dojke, karcinom dojke i kalcifikati. Radiološke tehnike, metoda probira, imaju veoma važnu ulogu u pronalasku i dijagnosticiranju patoloških stanja u dojci. Najkorištenija radiološka pretraga dojki je mamografija. Ona je danas uglavnom digitalizirana, ali i konvencionalna je još u upotrebi. Kod snimanja mamografije koristi se rendgensko zračenje za dobivanje slike. Postoje dva standardna namještaja kod snimanja mamografije, kraniokaudalni (CC) i mediolateralni kosi (MLO). Uz mamografiju, česta pretraga je i ultrazvuk dojki. Slika na ultrazvuku se dobiva zahvaljujući piezoelektričnim kristalima u sondi. Proizvodi neionizirajuće zračenje zbog čega se najčešće koristi kod osoba u reproduktivnoj dobi. Pretraga je brza i jeftina, ali zahtjeva određenu razinu znanja, vještine i iskustva. Pretrage koje se nešto rjeđe koriste u dijagnosticiranju stanja u dojci su kompjuterizirana tomografija (CT) i magnetska rezonancija (MR). CT proizvodi ionizirajuće zračenje dok MR proizvodi neionizirajuće zračenje, te osim morfološkog, omogućava i funkcionalni prikaz tkiva. Obe tehnike su digitalne, s odličnim kontrastom između tkiva dojke, pružaju mogućnost naknadne obrade slike te pružaju uvid u transverzalne, sagitalne i koronarne presjeke tijela. MR se, zbog dugog trajanja pretrage, za dijagnosticiranje bolesti dojke koristi kod težih slučajeva, najčešće u kombinaciji s nekom drugom pretragom. CT se, zbog svoje visoke cijene i doze zračenja, koristi za procjenu invazije karcinoma dojke i metastaza. Novija radiološka metoda koja se koristi za provjeru patoloških procesa u dojci je tomosinteza. To je trodimenzionalna radiološka tehnika koja radi na principu tomografije. Ekspozicije se događaju pulsno dok se rendgenska cijev kreće u luku iznad receptora. Pretraga omogućava slojevni prikaz tkiva, bez sumacije. Svaka navedena radiološka metoda slikovnog prikaza ima svoje prednosti i nedostatke pri dijagnosticiranju različitih patoloških stanja u dojci. Ne postoji jedna idealna radiološka metoda za prikaz svih promjena u dojci, nego odabir odgovarajuće metode za pacijenta ovisi o više čimbenika.
Abstract (english) The breast is a paired symmetrical organ, located on the anterior thoracic wall. There are many different pathological processes that appear in the breast. Some of the most common conditions include fibrocystic breast disease, breast cancer and calcifications. Radiological techniques, screening methods, play a very important role in finding and diagnosing pathological conditions in the breast. The most widely used radiological examination of the breast is mammography. It's mostly digitized today, but the conventional one is still in use. Mammography device produces X-rays to obtain the image. There are two standard projections in mammography, craniocaudal (CC) and mediolateral oblique (MLO). With mammography, second frequent examination is breast ultrasound. The ultrasound image is obtained with piezoelectric crystals in the probe. It produces nonionizing radiation, which is why it is most commonly used in patients in their reproductive age. It's fast and inexpensive but requires a certain level of knowledge, skills and experience. Radiological techniques rarely used to diagnose the condition in the breast are computerized tomography (CT) and magnetic resonance (MR). CT produces ionizing radiation while MR produces nonionizing radiation, and besides the morphological, it also provides functional visualization of the tissue. Both techniques are digital, with excellent contrast between the breast tissue, providing the possibility of subsequent image processing and providing insight into the transverse, sagittal and coronary plane of the body. MR is used to diagnose breast diseases only in difficult cases because of long duration of examination, mostly with some other research. Because of its high cost and radiation dose, CT is used to estimate the invasion of breast cancer and metastasis. A new radiological method used to check the pathological processes in the breast is tomosynthesis. It is a three-dimensional radiological technique that works on the basis of tomography. Exposures are pulsed while the X-ray tube moves in arc form above the receptor. The image provides a layered representation of the tissue, without summation. Each of the radiological methods described herein has its advantages and disadvantages in diagnosing various pathological conditions in the breast. There is no ideal radiological method to show all changes in the breast, so selecting the appropriate methods for a patient depends on several factors.
Keywords
radiološka dijagnostika
slika
bolest dojke (ključne riječi unio urednik)
Keywords (english)
radiology diagnostic
imaging
breast disease (ključne riječi unio urednik)
Language croatian
URN:NBN urn:nbn:hr:176:237788
Study programme Title: Radiologic Technology (university/undergraduate) Study programme type: university Study level: undergraduate Academic / professional title: sveučilišni prvostupnik/prvostupnica (baccalaureus/baccalaurea) radiološke tehnologije (sveučilišni prvostupnik/prvostupnica (baccalaureus/baccalaurea) radiološke tehnologije)
Type of resource Text
File origin Born digital
Access conditions Open access
Terms of use
Created on 2020-06-23 09:41:50