Breast MRI test hi i hre chiang em? A chipchiar zawngin sawi ila!

‘Breast MRI’ tih thumal hi i hre tawh mai thei. A nih loh leh doctor pakhatin he test hi nei turin a ti che pawh a ni thei. Hnute MRI (Magnetic Resonance Imaging) hi eng nge ni tak tak? A awlsam zawngin, i taksa chhungril thlalakna test a ni. Mahse X-ray a hmang lo. Chu ai chuan magnet lian tak, radio wave leh computer hmangin i hnute tissue thlalak chiang tak leh chipchiar tak tak a siam a ni. I doctor pawhin hnute cancer enfiah nan ‘Breast MRI’ bakah ‘Mammogram’ a hmang thei bawk. A nih loh leh ‘biopsy’ hmangin hnute tissue te tak te an la a, cancer a awm leh awm loh emaw, cancer hian eng chen nge a darh tawh tih emaw an en thei bawk.

Engvangin nge doctor chuan hnute MRI nei turin a hrilh ang che?

I doctor-in he test hi tihsak tura a tih chhan hi chhan hrang hrang a awm thei. Eng nge an nih hi han thlir ila:

• Breast cancer vei theihna chance sang tak i neih chuan (i.e. i chhungte zinga mi pakhatin a vei tawh a nih chuan, emaw, BRCA1 emaw BRCA2 ang chi genetic mutations i neih chuan), i mammogram pangngai bakah hian hei hi nei turin an ti mai thei bawk.
• I hnute hian tissue dense (`dense breasts`) a neih chuan hei hi test dang atan a pawimawh thei ang.
• Hnute cancer vei thar mi pakhat tan chuan, cancer chu eng chen nge a darh tih dik takin teh rawh .
• Mammogram emaw hnute ultrasound emaw hmanga dik taka hriat harsa hnute dik lo chungchang hi hrechiang rawh.
• Breast implant (cylinder ang chi) chu a puak em tih enfiah la, implant nei mi pakhatin cancer a vei em tih enfiah rawh.

Hei atan hian liquid bik (contrast dye) i inject em?

Ni e, a tam zawkah chuan he `Breast MRI` test atan hian contrast dye hman a ni. Hei hi `Gadolinium` an ti a. Hei hi i kut chhunga vein pakhata `IV` line te tak te hmangin pek che a ni. Hei hian `Radiologist`, radiologist chuan i hnute chhunga thil pangngai leh thil pangngai lo chu chiang takin a hmu thei a ni. Hei hi `CT scan` (`Computed Tomography scan`) atana hman thin `contrast dye` nen a danglam a ni lawm ni?

Breast MRI leh hnute cancer hi eng nge inzawmna?

Hnute cancer a vei tih hmuhchhuah a nih hnuah doctor-te chuan a chungchang hriat belh duh chuan `Breast MRI` tih hi an rawt fo thin. A detect theih dang chu hetiang hi a ni:

• Eng chen nge cancer hi a darh tawh? Chumi awmzia chu hnute, vun emaw, a hnuaia rilru ruh emaw-ah a darh tawh em tih a ni.
• Cancer awmna hmun dang emaw, hnute chhunga tissue pangngai lo emaw zawng rawh. Mammogram-a hmuh theih loh tur lumps (lesions) te tak te pawh MRI hmangin hmuh theih a ni.
• I armpit chhunga lymph node te chu a lian em tih enfiah thin ang che. An lian a nih chuan hei hi chutah chuan cancer a darh (metastasized) tih chhinchhiahna a ni thei.
• Hei hian hnute cancer enkawlna a hlawkzia hriat nan a pui bawk a, a bik takin chemotherapy, operation hmaa tumor tihtlem nan pek thin a ni.

Thil dang pakhat chu, `Breast MRI` hian hnute cancer enkawl hnu kum engemaw zat hnuah lumpectomy sites dinhmun hriat theihna kawngah pawh a pui thei bawk. A chhan chu a chang chuan `Mammogram` leh `Ultrasound` hi a hmel a inang thei a, hliam emaw cancer emaw a lo kir leh tawh pawh nise.

Breast MRI hmain engtin nge i inbuatsaih ang?

Breast MRI i neih hmain hengte hi i Radiologist emaw Radiology Technologist emaw hnenah hrilh hmasa phawt a tha em?

• Naupai emaw, hnute i pek emaw chuan a pawi lo . A chhan chu naupai i nih chuan contrast dye hmangin MRI i ti thei lo. Nu hnute pek hian MRI images a nghawng thei bawk.
• I pum chungah minute 30 atanga 60 vel mut a harsat chuan.
• Contrast dye hmanga allergy i neih tawh chuan.
• Conned space hlauhna (claustrophobia) i neih chuan test hmaa i chawlh hahdam theih nan sedative pek i ni thei bawk.

Tin, i taksa chhungah thir thil emaw, damdawi hmanrua dah emaw i neih chuan i doctor leh MRI Technologist hnenah i hrilh tur a ni. A hnuaia mite hi enfiah rawh:

• Pacemaker emaw defibrillator emaw pawh nise.
• Electronic/implanted stimulator emaw device emaw, entirnan vagus nerve stimulator emaw.
• Cochlear implant emaw, beng dahna dang emaw.
• Aneurysm clip leh coil te a awm bawk.
• Stent hi thinlungah a awm lo.
• Filter, entirnan thisen zam filter.
• Taksa emaw mit emawa thir chi hrang hrang (e.g. bullet, thir chi hrang hrang, thir powder).

Heng hmanrua te hi MRI nen hian a rualin hman theih a ni lo :

• Thisen sugar level tehna hmanrua (`Continuous glucose monitor (CGM)`).
• `Insulin pump` tih hi a ni.
• Damdawi chi hrang hrang (e.g. birth control patch, nicotine patch) te.

Hetiang hmanrua i hmang a nih chuan i doctor nen sawi dun la, MRI atan eng nge an tih tih zawt la a tha ber.

Breast MRI neih chhung hian eng nge thleng?

Breast MRI neih huna beisei tur thenkhat chu hetiang hi a ni:

• Hospital gown i ha a ngai dawn a ni.
• MRI i neih chuan, hnute implant check tur ni lovin, i kut vein pakhatah IV line dahin test laiin contrast dye inject a ni ang.
• I hnute nena inmil tura khur siam dawhkan chungah i hmai hnuai lam i mu ang. Technologist chuan i position dik takah a pui ang che. Harsatna i neih chuan hrilh rawh, a tha em?
• Chumi hnuah chuan technologist chuan magnet chu MRI machine chhungah a dah lut ang. Room hranpa computer atang chuan thlalak te chu a la ang a, chutih lai chuan window atang chuan a lo en reng ang che. I duh chuan intercom hmangin technologist nen pawh inbiakna i nei thei bawk.
• Machine hian thlalak a lak hian a theih ang anga awm reng a pawimawh hle a , thlalak chu a chiang a, a blurry lo. MRI machine hian test chhung zawng hian click ri nasa tak a siam chhuak vek a. Chumi awmzia chu machine chu a thawk tha tihna a ni. I beng chhunga dah tur earplug pek i ni ang a, chu chuan thawm chu a khuh ang.
• I MRI-ah hian contrast dye a mamawh a nih chuan technologist chuan image set hmasa ber lak hnuah a inject ang. Tichuan, dye inject lai emaw, injection zawh hnuah emaw image tam zawk lak a ni ang.
• Test zawh a nih chuan radiologist chuan thlalak a en chhung chu rei vak lo nghah turin a ti ang che a, thlalak tam zawk a ngai em tih pawh a zawt mai thei bawk.
• Thlalak a lak tling hnuah Technologist chuan i IV line chu a la chhuak ang a, chu hmun chungah chuan bandage te tak te a dah ang. Chutah chuan test chu a tawp ta a ni.

Breast MRI tih zawh hnuah?

I hnute MRI zawhah i hna pangngai i thawk thei tawh ang. Mahse, MRI hnute biopsy i neih chuan MRI atanga tissue thenkhat lak a ngai a nih chuan i doctor thupek dik takin i zawm tur a ni. Sawi tawh ang khan test hmaa sedative i ei a nih chuan mi pakhatin a hruai haw tir tur che a ni.

Breast MRI hian eng chen nge a daih?

Hmun tam zawkah chuan `Breast MRI` atan minute 40 atanga 60 vel ruahman ni mahse, `scan` tak tak chu minute 20 vel chauh a ni. Hun dang chu `zawhna screening`-ah te, `IV` dahnaah te, `proper positioning`-ah te hman a ni.

Breast MRI hian risk a nei em?

Nang leh Technologist hian himna tur thupek uluk taka i zawm chuan Breast MRI neih a hlauhawmna a tlem hle. Risk awm thei te chu:

• Contrast dye-a allergic reaction: Contrast dye-a allergic reaction neih theihna chance tlemte a awm. Mahse, hei hi a tlem hle. A lo thleng ta a nih pawhin a tlangpuiin thil tenau tak a ni a, medical team-in an enkawl thuai ang.
• False positive: MRI hi test sensitive tak a nih avangin false positive a nei thei. Hei hian tissue pangngai tak tak chu a pangngai lo tih a lantir thei tihna a ni. Mahse, radiologist-in i hnute tissue-ah thil danglam tak a hmuh chuan, chu chu eng nge a nih chiah tih hriat nân test dang neih belh tûrin a ti thei a ni.

Breast MRI tih hian eng result nge a chhuah?

I MRI report chu hnute cancer hlauhawmna enfiah nan (screening), natna hriat theihna tur (diagnostic) emaw, cancer i neih tawh leh awm loh enfiah nan emaw hnute MRI i neih leh neih loh a zirin a danglam thei. Mahse, i hnute MRI titu doctor chuan a result chu a sawipui ang che.

Radiologist te hian hnute exam result report nan standard way inang an hmang vek a ni. A hmingah chuan Breast Imaging Reporting and Data System (BI-RADS) tih a ni. It rates the results on a scale of 0 to 6. I MRI result chu i electronic medical records account-ah (i neih chuan) leh i doctor office-ah ni khat atanga ni hnih chhungin a awm tlangpui ang. Chumi hnuah i doctor chuan result chu a sawipui ang che.

Breast MRI leh Mammogram hi eng nge an danglamna?

Doctor-te chuan hnute cancer leh hnute chhunga thil danglam dangte hriatchhuahna atan mammogram leh hnute MRI te an hmang vek a ni.

Mammogram hi hnute cancer screening leh diagnosis atan chuan duhthlanna hmasa ber a ni tlangpui a, a bik takin microcalcifications , hnute cancer thenkhat chhinchhiahna hmasa ber ni thei tur imaging test awmchhun a nih avangin.

Heng image test pahnih hnathawh danah pawh hian danglamna a awm bawk.

Breast MRI hi Mammogram aiin a tha zawk em?

Pakhat chu a dang aiin a tha zawk tih hi a awm lo. A nihna takah chuan thil chi hrang hrang atana hman an ni. Mammogram hi hnute cancer enfiahna gold standard test a ni. Mammogram bakah hian MRI hi hnute cancer vei theihna sang tak nei emaw, hnute cancer vei nia hriatte tan pawh a \angkai thei hle. I doctor chuan i dinhmun a zirin eng test nge i tana tha ber tih a hrilhfiah ang che.

A tawp berah chuan i hriat reng tur thil (Take-Home Message) .

Breast MRI hi test pawimawh tak a ni a, hnute cancer leh hnute chhunga thil danglam dangte hriatchhuah, hriatchhuah leh tehna atan a pui a ni. MRI hmaa tlema hlauhthawn leh lungkhamna nei hi thil pangngai a ni. Test result-in eng nge a lantir ang tih leh i hriselna a nghawng dan tur chungchangah zawhna leh ngaihtuahna tam tak i nei thei. Hemi chungchang hi i doctor hnenah sawi hreh suh. A hnute MRI chu a hrilhfiah thei che a, a hnua thil thleng tur pawh a hriattir thei bawk che a ni.

Natna tam tak laka invenna kawng ṭha ber chu a hmaa hriat chhuah hi a ni tih hre reng ang che . Chuvangin doctor-in chutiang test ti tura a tih che chuan hlau suh la, a chipchiar tak chu hria la, hmachhawn rawh.

` Hnute MRI, Hnute Cancer, Mammogram, MRI Scan, Cancer Detection, Hmeichhe hriselna, Medical Test