Cohen Ethan, Leung Jessica W T
Department of Diagnostic Radiology, Division of Diagnostic Imaging, The University of Texas MD Anderson Cancer Center, 1515 Holcombe Boulevard, Unit 1350, Houston, TX 77030-4009, USA.
Department of Diagnostic Radiology, Division of Diagnostic Imaging, The University of Texas MD Anderson Cancer Center, 1515 Holcombe Boulevard, Unit 1350, Houston, TX 77030-4009, USA.
Magn Reson Imaging Clin N Am. 2018 May;26(2):221-233. doi: 10.1016/j.mric.2017.12.012. Epub 2018 Feb 21.
Breast MR imaging is commonly used for high-risk screening and for assessing the extent of disease in patients with newly diagnosed breast cancer, but its utility for assessing suspicious symptoms and equivocal imaging findings is less widely accepted. The authors review current literature and guidelines regarding the use of breast MR imaging for these indications. Overall, problem-solving breast MR imaging is best reserved for pathologic nipple discharge and sonographically occult architectural distortion with limited biopsy options. Further study is necessary to define the role of problem-solving MR imaging for calcifications, mammographic asymmetries, and surgical scarring.
乳腺磁共振成像常用于高危筛查以及评估新诊断乳腺癌患者的疾病范围，但它在评估可疑症状和不明确的影像学表现方面的效用尚未得到广泛认可。作者回顾了有关乳腺磁共振成像用于这些指征的当前文献和指南。总体而言，解决问题的乳腺磁共振成像最好仅用于病理性乳头溢液以及超声隐匿性结构扭曲且活检选择有限的情况。有必要进一步研究以明确解决问题的磁共振成像在钙化、乳腺钼靶不对称以及手术瘢痕方面的作用。
