遥控乳腺钼靶检查

　　乳腺钼靶检查时，放射技师需要对乳房进行挤压固定，夹得越紧，乳腺钼靶影像越清晰。虽然挤压固定时间很短，但是对于乳房较小的女性而言，往往引起剧烈的疼痛或不适。

　　2017年10月17日，《美国医学会杂志》食品药品管理局（FDA）新闻栏目发表报道：遥控乳腺钼靶检查。

　　2017年9月1日，FDA批准了一种新设备，可使患者自行控制对乳房的挤压，减少乳腺钼靶检查引起的疼痛或不适。

　　该设备由通用电气（GE）医疗集团制造，是一种手持无线遥控器，可与该公司的新型乳腺钼靶系统配合使用。技师正确定位乳房后，患者可使用遥控器调整挤压力度。传统乳腺钼靶检查时，由技师控制挤压力度。

　　佛罗里达博卡拉顿地区医院女性卫生与健康研究所放射诊断医师凯西·席林博士称：该系统使乳腺成像进入一个新时代。席林参与了该设备的临床评审。席林在声明中表示：使用遥控器的患者表示该检查较舒适，而且表现较轻松。任何乳腺放射医师都知道，当患者放松时，能够获得更好的影像，而更好的影像可使诊断更有把握。

　　根据FDA的说法，加入遥控器允许患者自行挤压，对影像质量无负面影响。

JAMA. 2017 Oct 17;318(15):1432.

Remote Control Mammography.

Rebecca Voelker.

A newly approved device may reduce the pain or discomfort of mammography by allowing patients to control compression on the breast.

The device, the Senographe Pristina Dueta manufactured by GE Healthcare, is a handheld wireless remote that works with the company's new mammography system. After a technologist properly positions the breast, patients can use the remote to adjust the compression force. In traditional mammography, the technologist controls the amount of compression.

Diagnostic radiologist Kathy Schilling, MD, medical director of Boca Raton Regional Hospital's Christine E. Lynn Women's Health and Wellness Institute in Florida, said the system launches "a new age in breast imaging." Schilling conducted a clinical review of the device. "Patients who used the remote control said the exam was more comfortable and they were visibly more relaxed," Schilling said in a statement. "Any breast radiologist knows that when patients are relaxed, we are able to get better images and better images lead to a more confident diagnosis."

According to the FDA, adding the remote to allow self-compression did not negatively affect image quality.

DOI: 10.1001/jama.2017.15053