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[扩散加权成像作为一种独立的乳腺成像方式]

[Diffusion-Weighted Imaging as a Stand-Alone Breast Imaging Modality].

作者信息

Shin Hee Jung, Lee Su Hyun, Moon Woo Kyung

出版信息

Taehan Yongsang Uihakhoe Chi. 2021 Jan;82(1):29-48. doi: 10.3348/jksr.2020.0215. Epub 2021 Jan 31.

DOI:10.3348/jksr.2020.0215
PMID:36237448
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9432391/
Abstract

Diffusion-weighted magnetic resonance imaging (DW MRI) is a fast unenhanced technique that shows promise as a stand-alone modality for cancer screening and characterization. Currently, DW MRI may have lower sensitivity than that of dynamic contrast-enhanced MRI as a standalone modality for breast cancer detection but superior to that of mammography, which may provide a useful alternative for supplemental screening. Standardized acquisition and interpretation of DW MRI can improve the image quality and reduce the variability of the results. Furthermore, high-resolution DW MRI, with advanced techniques and postprocessing, will facilitate better detection and characterization of subcentimeter cancers and reduce false-negatives and false-positives. Future results from ongoing prospective multicenter clinical trials using standardized and optimized protocols will facilitate the use of DW MRI as a stand-alone modality.

摘要

扩散加权磁共振成像（DW MRI）是一种快速的非增强技术，有望成为癌症筛查和特征描述的独立检查方法。目前，作为乳腺癌检测的独立检查方法，DW MRI的敏感性可能低于动态对比增强MRI，但优于乳腺X线摄影，可为补充筛查提供一种有用的替代方法。DW MRI的标准化采集和解读可提高图像质量并减少结果的变异性。此外，采用先进技术和后处理的高分辨率DW MRI将有助于更好地检测和描述亚厘米级癌症，并减少假阴性和假阳性。正在进行的使用标准化和优化方案的前瞻性多中心临床试验的未来结果将促进DW MRI作为独立检查方法的应用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/10e7/9432391/ee1f0ae1e011/jksr-82-29-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/10e7/9432391/a70de1de00b9/jksr-82-29-g001.jpg
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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/10e7/9432391/a70de1de00b9/jksr-82-29-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/10e7/9432391/65746a1494bb/jksr-82-29-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/10e7/9432391/1bc14793f4e8/jksr-82-29-g003.jpg
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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/10e7/9432391/ee1f0ae1e011/jksr-82-29-g007.jpg

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本文引用的文献

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J Magn Reson Imaging. 2021 Apr;53(4):1108-1115. doi: 10.1002/jmri.27433. Epub 2020 Nov 10.
2
Diffusion-Weighted Magnetic Resonance Imaging of the Breast: Standardization of Image Acquisition and Interpretation.乳腺弥散加权磁共振成像：图像采集和解读的标准化。
Korean J Radiol. 2021 Jan;22(1):9-22. doi: 10.3348/kjr.2020.0093. Epub 2020 Aug 28.
3
A Comparison of Methods for High-Spatial-Resolution Diffusion-weighted Imaging in Breast MRI.
一种用于乳腺 MRI 高空间分辨率弥散加权成像的方法比较。
Radiology. 2020 Nov;297(2):304-312. doi: 10.1148/radiol.2020200221. Epub 2020 Aug 25.
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Diffusion-weighted MRI at 3.0 T for detection of occult disease in the contralateral breast in women with newly diagnosed breast cancer.3.0T 磁共振弥散加权成像在诊断为乳腺癌的女性对侧乳腺隐匿性疾病的检测中的应用。
Breast Cancer Res Treat. 2020 Jul;182(2):283-297. doi: 10.1007/s10549-020-05697-0. Epub 2020 May 23.
5
Double reading of diffusion-weighted magnetic resonance imaging for breast cancer detection.弥散加权磁共振成像在乳腺癌检测中的双读。
Breast Cancer Res Treat. 2020 Feb;180(1):111-120. doi: 10.1007/s10549-019-05519-y. Epub 2020 Jan 14.
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