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数字乳腺断层合成:概念与临床实践。

Digital Breast Tomosynthesis: Concepts and Clinical Practice.

机构信息

From the Department of Radiology, Division of Breast Imaging, Perelman School of Medicine, University of Pennsylvania, 3400 Spruce St, Philadelphia, PA 19104. From the 2016 RSNA Annual Meeting.

出版信息

Radiology. 2019 Jul;292(1):1-14. doi: 10.1148/radiol.2019180760. Epub 2019 May 14.

DOI:10.1148/radiol.2019180760
PMID:31084476
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6604796/
Abstract

Digital breast tomosynthesis (DBT) is emerging as the standard of care for breast imaging based on improvements in both screening and diagnostic imaging outcomes. The additional information obtained from the tomosynthesis acquisition decreases the confounding effect of overlapping tissue, allowing for improved lesion detection, characterization, and localization. In addition, the quasi three-dimensional information obtained from the reconstructed DBT data set allows a more efficient imaging work-up than imaging with two-dimensional full-field digital mammography alone. Herein, the authors review the benefits of DBT imaging in screening and diagnostic breast imaging.

摘要

数字乳腺断层合成术(DBT)在改善筛查和诊断成像结果的基础上,成为乳腺成像的标准护理方法。从断层合成术获取的额外信息减少了重叠组织的混杂影响,从而提高了病变检测、特征描述和定位的能力。此外,从重建的 DBT 数据集获得的准三维信息使得与单独使用二维全数字化乳腺摄影相比,能够更有效地进行成像检查。在此,作者综述了 DBT 成像在筛查和诊断性乳腺成像中的益处。

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JAMA Oncol. 2019 May 1;5(5):635-642. doi: 10.1001/jamaoncol.2018.7078.
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A prospective comparative trial of adjunct screening with tomosynthesis or ultrasound in women with mammography-negative dense breasts (ASTOUND-2).前瞻性比较试验:在乳腺 X 线摄影阴性致密乳腺的女性中,附加断层合成或超声筛查(ASTOUND-2)。
Eur J Cancer. 2018 Nov;104:39-46. doi: 10.1016/j.ejca.2018.08.029. Epub 2018 Oct 11.
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Microcalcifications Detected at Screening Mammography: Synthetic Mammography and Digital Breast Tomosynthesis versus Digital Mammography.筛查性乳房 X 光摄影中检测到的微钙化:合成乳房 X 光摄影与数字乳腺断层合成摄影对数字乳腺 X 光摄影的比较。
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