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Bobinas de radiofrequência em estudos mamários por ressonância

Bobinas de radiofrequência em estudos mamários por ressonância

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imagens obtidas. O facto <strong>de</strong> a bobina X possuir 7 canais<br />

não constitui a justificação para permitir obter um valor<br />

médio <strong>de</strong> SNR <strong>de</strong> 4,77u.a., <strong>em</strong> oposição aos 1,89u.a. medidos<br />

nas imagens obtidas com a bobina Y <strong>de</strong> 2 canais e<br />

<strong>de</strong> 15,08u.a.na bobina Z <strong>de</strong> 4 canais. Concluímos que a<br />

performance das bobinas relativamente à U <strong>de</strong> imag<strong>em</strong><br />

t<strong>em</strong> um com<strong>por</strong>tamento s<strong>em</strong>elhante, tendo a bobina Z<br />

um melhor <strong>de</strong>s<strong>em</strong>penho com um valor <strong>de</strong> 0,58u.a. <strong>em</strong><br />

oposição ao 0,06u.a. da bobina Y, tendo tido a X o valor<br />

<strong>de</strong> 0,30u.a.<br />

Concluiu-se também que não exist<strong>em</strong> correlações estatisticamente<br />

significativas entre os valores <strong>de</strong> SNR e U com<br />

a posição <strong>de</strong> medida da ROI (valor-p superior a 0,05 <strong>em</strong><br />

todas as bobinas), o que nos leva a concluir que a SNR e a U<br />

não difer<strong>em</strong> se a ROI for colocada interna, externa anterior<br />

ou posteriormente. Este resultado permite afirmar que os<br />

valores obtidos <strong>de</strong> SNR e U não diferiram com a variação<br />

do volume mamário dos casos estudados.<br />

Relativamente à variável conforto físico, <strong>de</strong>staca-se a<br />

bobina X, o que mostra a im<strong>por</strong>tância do <strong>de</strong>sign e construção<br />

das mesmas.<br />

No acto da aquisição <strong>de</strong> equipamentos e acessórios, as<br />

instituições <strong>de</strong>v<strong>em</strong> consi<strong>de</strong>rar a im<strong>por</strong>tância <strong>de</strong> garantir,<br />

para além <strong>de</strong> uma elevada qualida<strong>de</strong> <strong>de</strong> imag<strong>em</strong>, um bom<br />

acesso à paciente para actuar <strong>em</strong> situações <strong>de</strong> <strong>em</strong>ergência,<br />

permitir procedimentos <strong>de</strong> intervenção e facilitar o correcto<br />

posicionamento. Suger<strong>em</strong>-se <strong>estudos</strong> envolvendo outras<br />

marcas e consi<strong>de</strong>rando o custo-efectivida<strong>de</strong>, pois pensa-se que<br />

este propósito po<strong>de</strong>rá vir a ter um impacto regulador sobre<br />

os aspectos comerciais entre marcas concorrentes no mercado.<br />

Sugere-se a realização <strong>de</strong> mais <strong>estudos</strong> cont<strong>em</strong>plando<br />

amostras <strong>de</strong> maior dimensão, <strong>de</strong> modo a permitir obter<br />

conclusões mais robustas e que possam contribuir para a<br />

estruturação <strong>de</strong> orientações e valores <strong>de</strong> referência para as<br />

variáveis <strong>em</strong> análise.<br />

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