Mendelson Ellen B, Berg Wendie A
1 Department of Radiology, Feinberg School of Medicine, Northwestern University, Prentice Hospital, 250 E Chicago Ave, Ste 4-2304, Chicago, IL 60611-2171.
AJR Am J Roentgenol. 2015 Feb;204(2):265-8. doi: 10.2214/AJR.14.13794.
OBJECTIVE. To compensate for the reduction of mammography's sensitivity in women with dense breasts, supplemental screening can increase the cancer detection rate. The modalities suggested are MRI, which is the most sensitive and is indicated for women with the highest risk of breast cancer, and ultrasound, which is suggested for dense-breasted average-risk women. CONCLUSION. For decades, ultrasound has been a focused examination. Extending a handheld ultrasound examination to depict the entire breast requires formal didactic training and hands-on scanning to learn suitable, efficient methods. Automated options also require intensive training in performance and interpretation.
目的。为弥补乳腺钼靶对致密型乳腺女性敏感性降低的问题，补充筛查可提高癌症检出率。建议采用的检查方式有MRI（对乳腺癌风险最高的女性最敏感且适用）和超声（对致密型乳腺的平均风险女性适用）。结论。几十年来，超声一直是一种针对性检查。要扩展手持超声检查以描绘整个乳房，需要接受正规的理论培训和实际操作扫描，以学习合适、有效的方法。自动化检查选项也需要在操作和解读方面进行强化培训。
