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乳腺成像中的磁共振成像见解

MRI Insights in Breast Imaging.

作者信息

Orlando Alessia Angela Maria, Clauser Paola, Zarcaro Calogero, Ferraro Fabiola, Curatolo Calogero, Marino Maria Adele, Bartolotta Tommaso Vincenzo

机构信息

Department of Biomedicine, Azienda Ospedaliera Universitaria Policlinico "Paolo Giaccone" di Palermo, Palermo, Italy.

Department of Biomedical Imaging and Image-guided Therapy, Medical University of Vienna, Vienna, Austria.

出版信息

Curr Med Imaging. 2024;20:e15734056274670. doi: 10.2174/0115734056274670240205090722.

Abstract

In the world, breast cancer is the most commonly diagnosed cancer among women. Currently, MRI is the most sensitive breast imaging method for detecting breast cancer, although false positive rates are still an issue. To date, the accuracy of breast MRI is widely recognized across various clinical scenarios, in particular, staging of known cancer, screening for breast cancer in high-risk women, and evaluation of response to neoadjuvant chemotherapy. Since technical development and further clinical indications have expanded over recent years, dedicated breast radiologists need to constantly update their knowledge and expertise to remain confident and maintain high levels of diagnostic performance in breast MRI. This review aims to detail current and future applications of breast MRI, from technological requirements and advances to new multiparametric and abbreviated protocols, and ultrafast imaging, as well as current and future indications.

摘要

在全球范围内,乳腺癌是女性中最常被诊断出的癌症。目前,磁共振成像(MRI)是检测乳腺癌最敏感的乳腺成像方法,尽管假阳性率仍是一个问题。迄今为止,乳腺MRI的准确性在各种临床情况下都得到了广泛认可,特别是已知癌症的分期、高危女性的乳腺癌筛查以及新辅助化疗反应的评估。由于近年来技术发展和进一步的临床应用不断扩展,专业的乳腺放射科医生需要不断更新他们的知识和专业技能,以便在乳腺MRI诊断中保持自信并维持高水平的诊断性能。本综述旨在详细介绍乳腺MRI的当前和未来应用,从技术要求和进展到新的多参数和简化方案、超快成像,以及当前和未来的适应症。

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