Maimone Santo, Dashevsky Brittany, Coffey Kristen, Zamora Kathryn, Gruen David R, Dodelzon Katerina
Department of Radiology, Mayo Clinic Florida, Jacksonville, FL, USA.
Department of Radiology, Stanford University School of Medicine, Palo Alto, CA, USA.
J Breast Imaging. 2025 Sep 2;7(4):474-482. doi: 10.1093/jbi/wbaf021.
Over the last 30 years, axillary surgery in patients with breast cancer has undergone a consistent patient-centered, evidence-based de-escalation of surgical intervention, including considerable practice changes over the last decade. As surgical approaches change, the role of breast imaging radiologists and axillary imaging must also evolve. Axillary imaging remains variable across radiology practices, with implementation of new protocols occurring at various speeds. Breast radiologists must be aware of recent trials and remain agile in adopting or responding to changing treatment paradigms. Breakthrough studies, such as the SOUND (Sentinel Node Vs Observation After Axillary Ultra-souND) trial, must be vetted and evaluated by individual practices before adoption. Breast radiologists should play a key role in multidisciplinary collaboration with colleagues involved in breast cancer care to assist with strategic planning and appropriate resource utilization.
在过去30年里，乳腺癌患者的腋窝手术经历了以患者为中心、基于证据的手术干预逐步降级，包括在过去十年中出现了相当大的实践变化。随着手术方式的改变，乳腺影像放射科医生和腋窝成像的作用也必须随之演变。腋窝成像在放射科实践中仍然存在差异，新方案的实施速度各不相同。乳腺放射科医生必须了解近期的试验，并在采用或应对不断变化的治疗模式时保持灵活。像SOUND（腋窝超声检查后前哨淋巴结与观察）试验这样的突破性研究，在被采用之前必须由各个实践机构进行审查和评估。乳腺放射科医生应在与参与乳腺癌护理的同事进行多学科协作中发挥关键作用，以协助战略规划和合理利用资源。
