Department of Radiology, Emory University School of Medicine, Atlanta, GA, USA.
Semin Oncol. 2011 Feb;38(1):119-27. doi: 10.1053/j.seminoncol.2010.11.004.
The mainstay of screening for breast cancer is the mammogram. There are several randomized control trials that demonstrate a significant decrease in breast cancer mortality when compared to women without screening mammography included in their care. Digital mammography has improved detection in the dense breast. With the introduction of digital mammography, other novel techniques such as stereo digital mammography (SDM) and tomosynthesis can reduce recall significantly without a negative effect on cancer detection. Magnetic resonance imaging (MRI) and ultrasound added to mammography can improve cancer detection for high-risk women but can have false positive consequences.
乳腺癌筛查的主要手段是乳房 X 光摄影。有几项随机对照试验表明,与未接受筛查性乳房 X 光摄影的女性相比,接受这种检查的女性乳腺癌死亡率显著降低。数字乳房 X 光摄影技术提高了致密型乳房的检测效果。随着数字乳房 X 光摄影技术的引入,立体数字乳房 X 光摄影(SDM)和断层合成等新技术的应用可以显著减少召回率,而不会对癌症检测产生负面影响。将磁共振成像(MRI)和超声检查与乳房 X 光摄影相结合,可以提高高危女性的癌症检出率,但可能会出现假阳性结果。