Gao Yiming, Reig Beatriu, Heacock Laura, Bennett Debbie L, Heller Samantha L, Moy Linda
Department of Radiology, NYU School of Medicine, 160 East 34th Street, New York, NY 10016, USA.
Department of Radiology, NYU School of Medicine, 160 East 34th Street, New York, NY 10016, USA.
Radiol Clin North Am. 2021 Jan;59(1):85-98. doi: 10.1016/j.rcl.2020.09.004. Epub 2020 Oct 29.
Magnetic Resonance (MR) imaging is the most sensitive modality for breast cancer detection but is currently limited to screening women at high risk due to limited specificity and test accessibility. However, specificity of MR imaging improves with successive rounds of screening, and abbreviated approaches have the potential to increase access and decrease cost. There is growing evidence to support supplemental MR imaging in moderate-risk women, and current guidelines continue to evolve. Functional imaging has the potential to maximize survival benefit of screening. Leveraging MR imaging as a possible primary screening tool is therefore also being investigated in average-risk women.
磁共振成像（MR）是检测乳腺癌最敏感的方式，但目前由于特异性有限和检测可及性问题，仅限于对高危女性进行筛查。然而，MR成像的特异性会随着连续筛查轮次的增加而提高，简化方法有可能增加可及性并降低成本。越来越多的证据支持对中度风险女性进行补充性MR成像检查，当前的指南也在不断演变。功能成像有可能使筛查的生存获益最大化。因此，将MR成像作为普通风险女性的一种可能的初筛工具也正在研究中。
