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乳腺磁共振成像:欧洲乳腺影像学会关于女性信息的建议。

Breast MRI: EUSOBI recommendations for women's information.

作者信息

Mann Ritse M, Balleyguier Corinne, Baltzer Pascal A, Bick Ulrich, Colin Catherine, Cornford Eleanor, Evans Andrew, Fallenberg Eva, Forrai Gabor, Fuchsjäger Michael H, Gilbert Fiona J, Helbich Thomas H, Heywang-Köbrunner Sylvia H, Camps-Herrero Julia, Kuhl Christiane K, Martincich Laura, Pediconi Federica, Panizza Pietro, Pina Luis J, Pijnappel Ruud M, Pinker-Domenig Katja, Skaane Per, Sardanelli Francesco

机构信息

Department of Radiology, Radboud University Nijmegen Medical Centre, Nijmegen, The Netherlands.

Department of Radiology, Gustave-Roussy Institute, Villejuif, France.

出版信息

Eur Radiol. 2015 Dec;25(12):3669-78. doi: 10.1007/s00330-015-3807-z. Epub 2015 May 23.


DOI:10.1007/s00330-015-3807-z
PMID:26002130
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4636525/
Abstract

UNLABELLED: This paper summarizes information about breast MRI to be provided to women and referring physicians. After listing contraindications, procedure details are described, stressing the need for correct scheduling and not moving during the examination. The structured report including BI-RADS® categories and further actions after a breast MRI examination are discussed. Breast MRI is a very sensitive modality, significantly improving screening in high-risk women. It also has a role in clinical diagnosis, problem solving, and staging, impacting on patient management. However, it is not a perfect test, and occasionally breast cancers can be missed. Therefore, clinical and other imaging findings (from mammography/ultrasound) should also be considered. Conversely, MRI may detect lesions not visible on other imaging modalities turning out to be benign (false positives). These risks should be discussed with women before a breast MRI is requested/performed. Because breast MRI drawbacks depend upon the indication for the examination, basic information for the most important breast MRI indications is presented. Seventeen notes and five frequently asked questions formulated for use as direct communication to women are provided. The text was reviewed by Europa Donna-The European Breast Cancer Coalition to ensure that it can be easily understood by women undergoing MRI. KEY POINTS: • Information on breast MRI concerns advantages/disadvantages and preparation to the examination • Claustrophobia, implantable devices, allergic predisposition, and renal function should be checked • Before menopause, scheduling on day 7-14 of the cycle is preferred • During the examination, it is highly important that the patient keeps still • Availability of prior examinations improves accuracy of breast MRI interpretation.

摘要

未标注:本文总结了将提供给女性及转诊医生的有关乳腺磁共振成像(MRI)的信息。在列出禁忌证后,描述了检查步骤细节,强调了正确安排检查时间以及检查期间不要移动的必要性。讨论了包含乳腺影像报告和数据系统(BI-RADS®)分类的结构化报告以及乳腺MRI检查后的进一步措施。乳腺MRI是一种非常敏感的检查方式,能显著提高对高危女性的筛查效果。它在临床诊断、问题解决及分期方面也发挥着作用,对患者管理产生影响。然而,它并非完美的检查,偶尔会漏诊乳腺癌。因此,还应考虑临床及其他影像学检查结果(来自乳腺X线摄影/超声)。相反,MRI可能检测到其他影像学检查未显示的病变,而这些病变最终可能是良性的(假阳性)。在要求/进行乳腺MRI检查前,应与女性讨论这些风险。由于乳腺MRI的缺点取决于检查适应证,本文介绍了最重要的乳腺MRI适应证的基本信息。提供了17条注意事项和5个常见问题,用于与女性直接沟通。欧洲乳腺癌联盟(Europa Donna)对本文进行了审核,以确保接受MRI检查的女性能够轻松理解。 关键点: • 关于乳腺MRI的信息涉及检查的优缺点及准备工作 • 应检查是否有幽闭恐惧症、植入式装置、过敏倾向和肾功能 • 绝经前,优选在月经周期的第7 - 14天安排检查 • 检查期间,患者保持静止非常重要 • 提供先前检查结果可提高乳腺MRI解读的准确性。

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本文引用的文献

[1]
MR Imaging for Selection of Patients for Partial Breast Irradiation: A Systematic Review and Meta-Analysis.

Radiology. 2015-6-4

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Magnetic resonance imaging improves breast screening sensitivity in BRCA mutation carriers age ≥ 50 years: evidence from an individual patient data meta-analysis.

J Clin Oncol. 2014-12-22

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Acad Radiol. 2014-12

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AJR Am J Roentgenol. 2014-3

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Radiologe. 2014-2

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Br J Cancer. 2013-8-20

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