Agrawal Garima, Su Min-Ying, Nalcioglu Orhan, Feig Stephen A, Chen Jeon-Hor
Tu and Yuen Center for Functional Onco-Imaging, University of California, Irvine, California 92697, USA.
Cancer. 2009 Apr 1;115(7):1363-80. doi: 10.1002/cncr.24156.
In recent years, dynamic contrast-enhanced magnetic resonance imaging (DCE-MRI) has altered the clinical management for women with breast cancer. In March 2007, the American Cancer Society (ACS) issued a new guideline recommending annual MRI screening for high-risk women. This guideline is expected to substantially increase the number of women each year who receive breast MRI. The diagnosis of breast MRI involves the description of morphological and enhancement kinetics features. To standardize the communication language, the Breast Imaging Reporting and Data System (BI-RADS) MRI lexicon was developed by the American College of Radiology (ACR). In this article, the authors will review various appearances of breast lesions on MRI by using the standardized terms of the ACR BI-RADS MRI lexicon. The purpose is to familiarize all medical professionals with the breast MRI lexicon because the use of this imaging modality is rapidly growing in the field of breast disease. By using this common language, a comprehensive analysis of both morphological and kinetic features used in image interpretation will help radiologists and other clinicians to communicate more clearly and consistently. This may, in turn, help physicians and patients to jointly select an appropriate management protocol for each patient's clinical situation.
近年来，动态对比增强磁共振成像（DCE-MRI）改变了乳腺癌女性的临床管理方式。2007年3月，美国癌症协会（ACS）发布了一项新指南，建议对高危女性进行年度MRI筛查。预计该指南将大幅增加每年接受乳腺MRI检查的女性人数。乳腺MRI诊断涉及形态学和强化动力学特征的描述。为了规范交流语言，美国放射学会（ACR）制定了乳腺影像报告和数据系统（BI-RADS）MRI词典。在本文中，作者将使用ACR BI-RADS MRI词典的标准化术语来回顾MRI上乳腺病变的各种表现。目的是让所有医学专业人员熟悉乳腺MRI词典，因为这种成像方式在乳腺疾病领域的应用正在迅速增长。通过使用这种通用语言，对图像解读中使用的形态学和动力学特征进行全面分析，将有助于放射科医生和其他临床医生更清晰、一致地进行交流。这反过来可能有助于医生和患者根据每位患者的临床情况共同选择合适的管理方案。
