Funke M, Villena C
Radiologische Klinik, Stadtklinik Baden-Baden, Brustzentrum Klinikum Mittelbaden, Baden-Baden.
Radiologe. 2008 Jun;48(6):601-13; quiz 614. doi: 10.1007/s00117-008-1676-z.
Advances in female breast imaging have substantially influenced the diagnosis, therapy, and prognosis of breast cancer in the past few years. Mammography using conventional or digital technique is considered the gold standard for the early detection of breast cancer. Other modalities such as breast ultrasound and contrast-enhanced magnetic resonance imaging of the breast play an important role in diagnostic imaging, staging, and follow-up of breast cancer. Percutaneous needle biopsy is a faster, less invasive, and more cost-effective method than surgical biopsy for verifying the histological diagnosis. New methods such as breast tomosynthesis, contrast-enhanced mammography, and positron emission tomography promise to further improve breast imaging. Further studies are mandatory to adapt these new methods to clinical needs and to evaluate their performance in clinical practice.
在过去几年中,女性乳腺成像技术的进步极大地影响了乳腺癌的诊断、治疗和预后。使用传统或数字技术的乳腺X线摄影被认为是早期检测乳腺癌的金标准。其他方式,如乳腺超声和乳腺对比增强磁共振成像,在乳腺癌的诊断成像、分期和随访中发挥着重要作用。经皮穿刺活检比手术活检在验证组织学诊断方面更快、侵入性更小且更具成本效益。乳腺断层合成、对比增强乳腺X线摄影和正电子发射断层扫描等新方法有望进一步改善乳腺成像。必须进行进一步的研究,以使这些新方法适应临床需求,并评估它们在临床实践中的性能。