Ukuthola ama-lymph node e-axillary kusetshenziswa amathegi okuhlonza i-radio-frequency (RFID) kuyindlela ephephile nengenzeka yokwelapha umdlavuza webele, kusho isazi saseBrithani esihlokweni esanyatheliswa kuyi-Clinical Radiology.
Abacwaningi abaholwa nguDkt. Simon Lowes wase-Queen Elizabeth's Hospital eGateshead (enyakatho-mpumalanga yeNgilandi) bathole ukuthiAmathegi e-RFIDingasetshenziswa ukuthola ama-lymph node e-axillary ngaphandle kwentambo ezigulini ezihlolwa nge-ultrasound yebele kanye nama-mammogram abonisa kabili. Ithimba locwaningo libhale. “Isethi yedatha yamanje isiza ukusekela ukusetshenziswa okuphephile nokuphumelelayo kwamathegi e-RFID ukuze kutholakale indawo yama-lymph node e-axillary.
Eminyakeni yamuva nje, kube nesithakazelo esikhulayo ekusetshenzisweni kobuchwepheshe bendawo engenantambo ukuthola ngokunembile ama-lymph node kumdlavuza webele. Abacwaningi bacabanga ukuthi ezinye izindlela ezingenantambo ezifana nama-RFID tag zinganciphisa izinkinga ezingaba khona kodokotela be-radiology kanye nodokotela abahlinzayo ekwelashweni komdlavuza webele, nokuthi indawo engcono yama-lymph node ingasiza iziguli zomdlavuza webele ukuthuthukisa amasu okwelapha angcono futhi zigweme ukwelashwa ngokweqile. ULowes nozakwabo baphawula ukuthi cishe akukho datha mayelana nendawo engenantambo yama-lymph node e-axillary, okuhlanganisa nokusetshenziswa kwama-RFID tag afakwe ezindaweni zokuhlolwa kwebele. Ukuze bangeze ezincwadini ezikhona, baphenye ukuphepha kanye nokwenzeka kokusebenzisa ama-RFID tag ukuthola ama-lymph node e-axillary. Bobabili basebenzise i-RFID tag engu-11 mm x 2 mm engasebenzisi i-RFID elayishwe kusengaphambili ohlelweni lwenaliti oluyi-12-gauge (LOCazer, Hologic) olusebenzisa ukufakwa kwe-percutaneous okuqondiswa yisithombe. Ukubekwa kwelebula kwaqinisekiswa yi-ultrasound kanye ne-dual-view mammography. I-tag ngayinye inenombolo yokuhlonza eyingqayizivele enamadijithi amahlanu, edluliselwa ngomfundi ophathwa ngesandla. Umfundi uphinde abonise ibanga lesikhathi sangempela phakathi kwe-detector kanye ne-tag ngayinye, enembile ezingeni le-millimeter.
Ucwaningo luphinde lwafaka idatha evela ekufakweni kwama-node e-axillary okuqondiswe ku-RFID okuqala angu-75 phakathi kuka-2019 no-2022; phakathi nalesi sikhathi, kwafakwa ama-tag esifuba ne-axillary angu-1,296 ezigulini ezingu-1,120 (umdlavuza webele othola i-chemotherapy ye-neoadjuvant Isiguli sifaka i-tag ye-RFID ngemva kokuqeda ukwelashwa). Ama-tag afakwa isilinganiso sezinsuku ezingu-11 ngaphambi kokuhlinzwa. Kumalebula angu-75 angaphansi kwekhwapha, angu-70 abonise umdlavuza webele oyinhloko kanti angu-5 abonisanga umdlavuza. Kumasignali angu-70 abonisa umdlavuza webele, angu-20 abonise isidingo se-chemotherapy ye-neoadjuvant. Le nhlangano ibika izinga lempumelelo eliyi-100% lokufakwa kwama-tag e-RFID. Ngesikhathi esifanayo, ithimba liphinde lathola ukuthi wonke ama-tag kanye nama-lymph node awo e-axillary asuswe ngempumelelo ngaphandle kwezinkinga ezinkulu. “Kube namacala amane okushintshwa kwamalebula ngesikhathi sokususwa, kodwa jikelele, lokhu akuzange kuthinte ukulebula noma ukubuyiselwa kwama-lymph node,” kubhala uLowes nozakwabo.
Abalobi bocwaningo basikisela ukuthi ngokusekelwe kokutholakele kwabo, kuhlanganiswe nedatha evela ezifundweni zangaphambilini, amaqembu ochwepheshe bezokwelapha abelapha abesifazane abanomdlavuza webele kufanele basebenzisane ukuze banqume ukuthi yiluphi ubuchwepheshe bendawo engenantambo okufanele busetshenziswe. Baphinde baveza ukuthi yize wonke amadivayisi angenantambo enezinzuzo nezingozi zawo, uma kukhulunywa ngezilonda zebele, asebenza kahle ekutholeni ama-lymph node e-axillary.
Isikhathi sokuthunyelwe: Juni-30-2023
