Preibsch H, Siegmann-Luz K C
Abteilung für Diagnostische und Interventionelle Radiologie, Universitätsklinikum Tübingen, Hoppe-Seyler-Str. 3, 72076, Tübingen, Deutschland,
Radiologe. 2015 Jan;55(1):59-67; quiz 68-70. doi: 10.1007/s00117-014-2753-0.
In digital breast tomosynthesis several low dose mammograms are acquired from different angles to calculate thin slices of synthetic mammograms from algorithms. Similar to computed tomography and magnetic resonance imaging, breast tomosynthesis provides breast images which are virtually free from superimposition. This is in particular important in cases of high mammographic density to differentiate real masses and architectural distortions from the overlying parenchyma. In comparison to full field digital mammography tomosynthesis can improve the cancer detection rate and reduce the recall rate. The limitations of tomosynthesis are the higher radiation dose and the longer reporting time compared to full field digital mammography. Until the radiation dose can be significantly reduced it is advisable to use tomosynthesis in addition to full field digital mammography primarily for the assessment of suspicious mammographic findings and not for breast cancer screening.
在数字乳腺断层合成中,从不同角度获取几张低剂量乳房X光片,通过算法计算合成乳房X光片的薄片。与计算机断层扫描和磁共振成像类似,乳腺断层合成提供的乳房图像几乎没有重叠。这在乳房X光密度高的情况下尤为重要,以便将真正的肿块和结构扭曲与覆盖其上的实质组织区分开来。与全视野数字乳腺摄影相比,断层合成可以提高癌症检测率并降低召回率。断层合成的局限性在于与全视野数字乳腺摄影相比,辐射剂量更高且报告时间更长。在辐射剂量能够显著降低之前,除全视野数字乳腺摄影外,建议主要将断层合成用于评估可疑的乳房X光检查结果,而不是用于乳腺癌筛查。