Ukufumana ii-lymph nodes ze-axillary usebenzisa iithegi ze-radio-frequency identification (RFID) lunyango olukhuselekileyo nolunokwenzeka lomhlaza webele, utshilo isazi saseBritane kwinqaku elipapashwe kwiClinical Radiology.
Abaphandi abakhokelwa nguGqr. Simon Lowes weSibhedlele sikaKumkanikazi u-Elizabeth eGateshead (kumntla-mpuma weNgilani) bafumanise ukubaIithegi zeRFIDingasetyenziselwa ukufumana ii-lymph nodes ze-axillary ngaphandle kwentambo kwizigulana ezenziwa i-ultrasound yebele kunye ne-dual-view mammograms. Iqela lophando libhale lathi. “Idatha ekhoyo inceda ukuxhasa ukusetyenziswa ngokukhuselekileyo nangokusebenzayo kweethegi ze-RFID ukuze kufumaneke indawo yee-lymph nodes ze-axillary.
Kwiminyaka yakutshanje, bekukho umdla okhulayo ekusebenziseni ubuchwepheshe bendawo engenazingcingo ukufumana ngokuchanekileyo ii-lymph nodes kumhlaza webele. Abaphandi bacinga ukuba ezinye iindlela ezingenazingcingo ezifana nee-RFID tag zinokunciphisa iingxaki ezinokubakho koogqirha be-radiologists kunye noogqirha kunyango lomhlaza webele, kwaye ukuba indawo engcono yee-lymph nodes inokunceda izigulane zomhlaza webele ukuba ziphuhlise amaqhinga onyango angcono kwaye ziphephe unyango olugqithisileyo. ULowes kunye noogxa bakhe baqaphela ukuba akukho datha iphantse ibekho malunga nendawo engenazingcingo yee-lymph nodes ze-axillary, kubandakanya nokusetyenziswa kwee-RFID tag ezifakwe kwiindawo zovavanyo lwebele. Ukongeza kuncwadi olukhoyo, baphande ukhuseleko kunye nokwenzeka kokusebenzisa ii-RFID tag ukufumana ii-lymph nodes ze-axillary. Bobabini basebenzise i-11 mm x 2 mm passive RFID tag elayishwe kwangaphambili kwinkqubo yeenaliti ye-12-gauge (LOCazer, Hologic) esebenzisa ukuhanjiswa kwe-percutaneous okukhokelwa ngumfanekiso. Ukubekwa kweleyibhile kwaqinisekiswa yi-ultrasound kunye ne-dual-view mammography. I-tag nganye inenombolo yokuchonga eyahlukileyo enamanani amahlanu, edluliselwa nge-handheld reader. I-reader ikwabonisa umgama wexesha langempela phakathi kwe-detector kunye ne-tag nganye, echanekileyo kwinqanaba le-millimeter.
Olu phononongo lukwaquke idatha evela kwii-75 zokuqala ze-RFID-target axillary node insertions phakathi kowama-2019 nowama-2022; ngeli xesha, ii-tag zesifuba neze-axillary eziyi-1,296 zizonke zafakwa kwizigulane eziyi-1,120 (umhlaza webele ofumana i-neoadjuvant chemotherapy Isigulana sifaka i-tag ye-RFID emva kokugqiba unyango). Ii-tag zafakwa kumndilili weentsuku ezili-11 ngaphambi kotyando. Kwiileyibhile ezingama-75 zekhwapha, ezingama-70 zabonisa umhlaza webele oyintloko kwaye ezi-5 zabonisa ukuba akukho mhlaza. Kwiisignali ezingama-70 ezibonisa umhlaza webele, ezingama-20 zabonisa isidingo se-neoadjuvant chemotherapy. Lo mbutho uxela izinga lempumelelo eli-100 leepesenti lokufakwa kwee-tag ze-RFID. Kwangaxeshanye, iqela likwafumanise ukuba zonke ii-tag kunye nee-lymph nodes zazo ze-axillary zasuswa ngempumelelo ngaphandle kweengxaki ezibalulekileyo. “Bekukho amatyala amane okususwa kweleyibhile ngexesha lokususwa, kodwa ngokubanzi, oku akuzange kuchaphazele ukulebula okanye ukubuyiselwa kwe-lymph node,” babhala uLowes kunye noogxa bakhe.
Ababhali bolu phando bacebisa ukuba ngokusekelwe kwiziphumo zabo, kunye nedatha evela kwizifundo zangaphambili, amaqela eengcali zonyango ezinyanga abafazi abanomhlaza webele kufuneka basebenzisane ukuze bagqibe ukuba loluphi ubuchwepheshe bendawo engenazingcingo ekufuneka busetyenziswe. Bakwabonise ukuba nangona zonke izixhobo ezingenazingcingo zinezibonelelo kunye neengxaki zazo, xa kufikwa kwizilonda zebele, zisebenza kakuhle ekufumaneni ii-lymph nodes ze-axillary.
Ixesha lokuthumela: Juni-30-2023
