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乳腺癌成像的新技术:专用锥形束乳腺计算机断层扫描

Newer Technologies in Breast Cancer Imaging: Dedicated Cone-Beam Breast Computed Tomography.

作者信息

O'Connell Avice M, Karellas Andrew, Vedantham Srinivasan, Kawakyu-O'Connor Daniel T

机构信息

Department of Imaging Sciences, Section of Women's Imaging, University of Rochester Medical Center, Rochester, NY.

Department of Medical Imaging, Banner University Medical Center, University of Arizona College of Medicine, Tucson, AZ.

出版信息

Semin Ultrasound CT MR. 2018 Feb;39(1):106-113. doi: 10.1053/j.sult.2017.09.001. Epub 2017 Sep 5.

Abstract

Dedicated breast computed tomography (CT) is the latest in a long history of breast imaging techniques dating back to the 1960s. Breast imaging is performed both for cancer screening as well as for diagnostic evaluation of symptomatic patients. Dedicated breast CT received US Food and Drug Administration approval for diagnostic use in 2015 and is slowly gaining recognition for its value in diagnostic 3-dimensional imaging of the breast, and also for injected contrast-enhanced imaging applications. Conventional mammography has known limitations in sensitivity and specificity, especially in dense breasts. Breast tomosynthesis was US Food and Drug Administration approved in 2011 and is now widely used. Dedicated breast CT is the next technological advance, combining real 3-dimensional imaging with the ease of contrast administration. The lack of painful compression and manipulation of the breasts also makes dedicated breast CT much more acceptable for the patients.

摘要

专用乳腺计算机断层扫描(CT)是可追溯到20世纪60年代的漫长乳腺成像技术历史中的最新技术。乳腺成像既用于癌症筛查,也用于对有症状患者的诊断评估。专用乳腺CT于2015年获得美国食品药品监督管理局(US Food and Drug Administration)的诊断用途批准,并且因其在乳腺诊断性三维成像以及注射对比增强成像应用中的价值而逐渐获得认可。传统乳腺X线摄影在敏感性和特异性方面存在已知局限性,尤其是在致密型乳腺中。乳腺断层合成技术于2011年获得美国食品药品监督管理局批准,目前已被广泛使用。专用乳腺CT是下一项技术进步,它将真正的三维成像与便捷的对比剂注入相结合。无需对乳房进行痛苦的压迫和操作也使得专用乳腺CT更易为患者所接受。

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