Balu-Maestro C
Centre Antoine-Lacassagne, Département d'Imagerie Médicale, 33, avenue de Valombrose, 06189 Nice Cedex 2.
J Radiol. 2001 Jan;82(1):17-26.
This article reviews the current benefits and limitations of MR imaging of the breast. Techniques and results based on a review of the literature are first presented then analyzed. This imaging modality is clearly indicated for the diagnosis of recurrent disease and clinically occult breast cancers. Its value in other fields (neoadjuvant chemotherapy, staging of cancers, genetic cancers) is still experimental. Owing to its variable specificity, MRI is not currently recommended for the diagnosis of microcalcifications or evaluation of asymptomatic mammographically dense breasts. MR-guided interventional procedures should improve the value of this technique in breast pathology.
本文综述了乳腺磁共振成像(MR成像)目前的优势与局限性。首先呈现基于文献综述的技术与结果,然后进行分析。这种成像方式在复发性疾病和临床隐匿性乳腺癌的诊断中具有明确指征。其在其他领域(新辅助化疗、癌症分期、遗传性癌症)的价值仍处于实验阶段。由于其特异性存在差异,目前不建议将MRI用于微钙化的诊断或对无症状乳腺钼靶致密乳房的评估。MR引导下的介入操作应会提高该技术在乳腺病理学中的价值。