Dhamija Ekta, Gulati Malvika, Deo S V S, Gogia Ajay, Hari Smriti
Department of Radiodiagnosis, Dr B.R.A. Institute Rotary Cancer Hospital, All India Institute of Medical Sciences, New Delhi, 110029 India.
Department of Surgical Oncology, Dr B.R.A. Institute Rotary Cancer Hospital, All India Institute of Medical Sciences, New Delhi, 110029 India.
Indian J Surg Oncol. 2021 Jun;12(2):315-329. doi: 10.1007/s13193-021-01310-y. Epub 2021 May 15.
Breast cancer is emerging as the most common malignancy in Indian women. Mammography is one of the few screening modalities available to the modern world that has proved itself of much use by aiding early detection and treatment of non-palpable, node-negative breast cancers. However, due to its two-dimensional nature, many cases of malignancies are still missed, to be detected at a later date or by an alternate modality. In 2011, FDA approved the supplemental use of digital breast tomosynthesis (DBT) in screening and diagnostic set ups. The acquisition of multiple low-dose projection images of the compressed parenchyma provided a 'third' dimension to the mammogram whereby the breast tissue could be seen layer by layer on the workstation. It improves cancer detection rate, and reduces recall rate and false-positive findings by improving lesion characterization. The current review discusses the principle of DBT with a comprehensive study of the literature.
The online version contains supplementary material available at 10.1007/s13193-021-01310-y.
乳腺癌正成为印度女性中最常见的恶性肿瘤。乳腺钼靶摄影是现代社会可用的少数几种筛查方式之一,通过辅助早期发现和治疗不可触及、无淋巴结转移的乳腺癌,已证明其有很大作用。然而,由于其二维特性,许多恶性肿瘤病例仍会被漏诊,只能在以后或通过其他方式被发现。2011年,美国食品药品监督管理局(FDA)批准了数字乳腺断层合成(DBT)在筛查和诊断中的补充使用。获取压缩乳腺实质的多个低剂量投影图像为乳腺钼靶摄影提供了“第三”维度,从而可以在工作站上逐层查看乳腺组织。它提高了癌症检测率,并通过改善病变特征减少了召回率和假阳性结果。本综述通过对文献的全面研究讨论了DBT的原理。
在线版本包含可在10.1007/s13193-021-01310-y获取的补充材料。