Łuczyńska Elżbieta, Pawlak Marta, Popiela Tadeusz, Rudnicki Wojciech
Department of Electroradiology, Jagiellonian University Medical College, Cracow, Poland.
Diagnostic Imaging Unit, University Hospital in Cracow, Cracow, Poland.
J Ultrason. 2022 Apr 27;22(89):76-85. doi: 10.15557/JoU.2022.0014. eCollection 2022 Apr.
Breast cancer, which is the most common cancer in women, is a major problem both in Poland and worldwide. Mammography remains the primary screening method. However, the sensitivity of mammographic screening is lower in women with dense glandular breasts due to tissue overlap and the effect of the glandular tissue obscuring the tumor and the fact that tumors and glandular tissue show similar X-ray absorption. Consequently, other methods are being sought to increase breast cancer detection rates. Currently, the most common and used methods are ultrasonography, magnetic resonance imaging and advanced mammographic methods (digital breast tomosynthesis and contrast-enhanced spectral mammography). Despite many advantages and superiority over mammography in dense breasts, they also have many disadvantages. Ultrasound is operator-dependent and the other techniques are expensive or not widely available. The Automated Breast Ultrasound Service (ABUS) technique appears to be a good option in terms of both effectiveness and lower cost.
乳腺癌是女性中最常见的癌症,在波兰乃至全球都是一个重大问题。乳房X线摄影术仍然是主要的筛查方法。然而,由于组织重叠以及腺体组织掩盖肿瘤的影响,加之肿瘤和腺体组织在X射线下显示出相似的吸收情况,乳腺致密的女性进行乳房X线摄影筛查的敏感度较低。因此,人们正在寻求其他方法来提高乳腺癌的检出率。目前,最常用的方法是超声检查、磁共振成像以及先进的乳房X线摄影方法(数字乳腺断层合成和对比增强光谱乳腺摄影)。尽管这些方法相较于乳房X线摄影术在乳腺致密的情况下具有诸多优势,但它们也存在许多缺点。超声检查依赖操作人员,而其他技术则昂贵或尚未广泛应用。自动乳腺超声检查(ABUS)技术在有效性和低成本方面似乎是一个不错的选择。