Memorial Sloan Kettering Cancer Center, 300 East 66th Street, New York, NY 10065, USA.
Memorial Sloan Kettering Cancer Center, 300 East 66th Street, New York, NY 10065, USA.
Clin Imaging. 2021 Jan;69:269-279. doi: 10.1016/j.clinimag.2020.09.003. Epub 2020 Sep 19.
Contrast-enhanced mammography (CEM) combines conventional mammography with iodinated contrast material to improve cancer detection. CEM has comparable performance to breast MRI without the added cost or time of conventional MRI protocols. Thus, this technique may be useful for indications previously reserved for MRI, such as problem-solving, determining disease extent in patients with newly diagnosed cancer, monitoring response to neoadjuvant therapy, evaluating the posttreatment breast for residual or recurrent disease, and potentially screening in women at intermediate- or high-risk for breast cancer. This article will provide a comprehensive overview on the past, present, and future of CEM, including its evolving role in the diagnostic and screening settings.
对比增强乳腺摄影术(CEM)将传统乳腺摄影术与碘造影剂相结合,以提高癌症检测率。CEM 的性能与乳腺 MRI 相当,而无需额外的成本或时间进行传统 MRI 方案。因此,该技术可能适用于以前保留给 MRI 的适应症,例如解决问题、确定新诊断癌症患者的疾病范围、监测新辅助治疗的反应、评估治疗后乳房的残留或复发性疾病,以及可能在乳腺癌中危或高危女性中进行筛查。本文将全面概述 CEM 的过去、现在和未来,包括其在诊断和筛查环境中的不断发展的作用。