Publications by authors named "A C Stieber"
The pretherapeutic assessment of axillary lymph node status is crucial in staging early breast cancer patients, significantly influencing their further treatment and prognosis. According to current guidelines, patients with clinically unsuspicious axillary status regularly undergo a biopsy of sentinel lymph nodes (SLNs), whereby metastasis is detected in up to 20% of cases. In recent years, the use of shear wave elastography (SWE) has been studied as an additional ultrasound tool for the non-invasive assessment of tumors in the breast parenchyma and axillary lymph nodes.
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- Preoperative evaluation of axillary lymph nodes is important for determining treatment options in early breast cancer, and this study explored the effectiveness of shear wave elastography (SWE) for staging these lymph nodes.
- The research involved 100 patients, measuring the stiffness of axillary lymph nodes with SWE, and established a cutoff velocity of 2.66 m/s to differentiate between malignant and benign nodes with notable sensitivity and specificity.
- The findings suggest that SWE can enhance the assessment of suspicious axillary lymph nodes, providing a valuable tool for improving biopsy decisions and treatment planning in breast cancer patients.
Background: The aim of this study was to analyze the cleaning and disinfection of operating rooms (ORs) status quo focusing on hygiene plans in German hospitals.
Methods: In 2016, a structured online survey was sent to infection prevention and control (IPC) specialists at the cost calculation hospitals of the Institute for the Hospital Remuneration System (InEK) and all university hospitals in Germany (n = 365).
Results: With a response rate of 27.
Article Synopsis
- - Pre-therapeutic histologic diagnosis for suspicious breast issues typically uses image-guided biopsies, but patients on anti-coagulation therapy face potential bleeding risks, and there's no standardized management protocol.
- - A survey conducted among breast health experts revealed that over half believe there’s no standard approach for managing breast biopsies in patients on anti-coagulation or anti-platelet therapy, with differing views on when to discontinue medications.
- - Experts generally consider breast biopsies safe for patients on aspirin or prophylactic heparin, but there’s hesitation around performing them on other medications like DOACs or phenprocoumon, suggesting a need for further guidelines.
Objectives: Shear wave elastography (SWE) is increasingly used in breast cancer diagnostics. However, large, prospective, multicenter data evaluating the reliability of SWE is missing. We evaluated the intra- and interobserver reliability of SWE in patients with breast lesions categorized as BIRADS 3 or 4.
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