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高分辨率超声对数字乳腺摄影的辅助作用。

Role of high resolution ultrasound complementary to digital mammography.

作者信息

Gupta Kamini, Sandhu Parambir, Arora Srishti, Bedi Gaganpreet

机构信息

Department of Radiodiagnosis, Dayanand Medical College and Hospital, Ludhiana, Punjab, India.

出版信息

Ann Afr Med. 2018 Jul-Sep;17(3):117-124. doi: 10.4103/aam.aam_36_17.

DOI:10.4103/aam.aam_36_17
PMID:30185680
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6126056/
Abstract

BACKGROUND

Breast carcinoma is a major cause of mortality among women worldwide. Early detection and cure is the key to reduce the mortality of the disease. This article studied the role of high resolution ultrasound in detection and characterization of lesions to complement mammographic diagnosis and improve patient management.

AIMS AND OBJECTIVES

To evaluate the role of complementary high resolution ultrasound, BIRADS scoring and to correlate it with histological diagnosis.

RESULTS AND OBSERVATIONS

HRUS is excellent in detecting microcalcifications, malignant features of solid masses, differentiating focal asymmetry from masses, differentiating between solid and cystic lesions, simple and complex cysts and detecting satellite lesions and mammographically inaccessible areas for which special views can be done.

CONCLUSIONS

Every case referred for digital mammography should undergo ultrasound irrespective of the age, symptoms and density of the breast parenchyma and a combined final BIRADS grading should be done. Ultrasound is an excellent imaging modality for breast lesions in expert hands.

摘要

背景

乳腺癌是全球女性死亡的主要原因。早期检测和治愈是降低该疾病死亡率的关键。本文研究了高分辨率超声在病变检测和特征描述中的作用,以补充乳腺钼靶诊断并改善患者管理。

目的

评估高分辨率超声、乳腺影像报告和数据系统(BIRADS)评分的补充作用,并将其与组织学诊断相关联。

结果与观察

高分辨率超声在检测微钙化、实性肿块的恶性特征、区分局灶性不对称与肿块、区分实性与囊性病变、单纯性与复杂性囊肿以及检测卫星病灶和乳腺钼靶难以检查的区域(可进行特殊视图检查)方面表现出色。

结论

每例转诊进行数字化乳腺钼靶检查的病例,无论年龄、症状和乳腺实质密度如何,均应接受超声检查,并应进行最终的联合BIRADS分级。在专家手中,超声是检测乳腺病变的优秀成像方式。

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Role of high resolution ultrasound complementary to digital mammography.高分辨率超声对数字乳腺摄影的辅助作用。
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Sonographic detection and sonographically guided biopsy of breast microcalcifications.乳腺微钙化的超声检测及超声引导下活检
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本文引用的文献

1
Breast cancer detection using sonography in women with mammographically dense breasts.在乳腺钼靶检查显示乳房致密的女性中使用超声检查进行乳腺癌检测。
BMC Med Imaging. 2014 Dec 30;14:41. doi: 10.1186/s12880-014-0041-0.
2
Local and regional staging of invasive breast cancer with sonography: 25 years of practice at MD Anderson Cancer Center.超声在浸润性乳腺癌的局部和区域分期中的应用:MD 安德森癌症中心 25 年的实践经验。
Oncologist. 2014 Jan;19(1):5-15. doi: 10.1634/theoncologist.2013-0323. Epub 2013 Dec 5.
3
Benign breast lesions: Ultrasound.良性乳腺病变:超声检查
J Ultrasound. 2011 Jun;14(2):55-65. doi: 10.1016/j.jus.2011.03.002. Epub 2011 Apr 20.
4
Mammographic signs of systemic disease.全身性疾病的乳房 X 线征象。
Radiographics. 2011 Jul-Aug;31(4):1085-100. doi: 10.1148/rg.314105205.
5
Cancer statistics, 2009.2009年癌症统计数据。
CA Cancer J Clin. 2009 Jul-Aug;59(4):225-49. doi: 10.3322/caac.20006. Epub 2009 May 27.
6
Combined screening with ultrasound and mammography vs mammography alone in women at elevated risk of breast cancer.超声与乳腺X线摄影联合筛查与单纯乳腺X线摄影筛查对乳腺癌高危女性的效果比较
JAMA. 2008 May 14;299(18):2151-63. doi: 10.1001/jama.299.18.2151.
7
Ultrasound Demonstration of Mammographically Detected Microcalcifications in Patients with Ductal Carcinoma in situ of the Breast.乳腺导管原位癌患者乳腺钼靶检测到的微小钙化灶的超声表现
Breast Cancer. 2005;12(3):216-20. doi: 10.2325/jbcs.12.216.
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Focal asymmetric densities seen at mammography: US and pathologic correlation.
Radiographics. 2002 Jan-Feb;22(1):19-33. doi: 10.1148/radiographics.22.1.g02ja2219.
9
Multicentric and multifocal cancer: whole-breast US in preoperative evaluation.多中心和多灶性癌症:全乳超声在术前评估中的应用
Radiology. 2000 Jan;214(1):59-66. doi: 10.1148/radiology.214.1.r00ja2559.
10
In vivo demonstration of microcalcification in breast cancer using high resolution ultrasound.利用高分辨率超声对乳腺癌微钙化进行体内演示。
Br J Radiol. 1997 Jul;70(835):685-90. doi: 10.1259/bjr.70.835.9245879.