Khalkhali I, Mena I, Diggles L
Department of Radiology, Harbor-UCLA Medical Center, Torrance.
Eur J Nucl Med. 1994 Apr;21(4):357-62. doi: 10.1007/BF00947973.
Imaging techniques currently used for the diagnosis of breast cancer are reviewed and compared. Besides mammography, magnetic resonance imaging, positron emission tomography, and thallium-201 scintimammography, a new role of technetium-99m sestamibi scintimammography is discussed. It is concluded that while mammography remains the procedure of choice in screening asymptomatic women for breast cancer, other imaging methods play an important role in detecting malignancies in symptomatic patients. 99mTc-sestamibi scintimammography has high sensitivity and improves the specificity of conventional mammography for the detection of breast cancer; with this technique, prone imaging is preferable to supine imaging. 99mTc-sestamibi scintimammography thus deserves further study as a screening technique.
对目前用于乳腺癌诊断的成像技术进行了综述和比较。除了乳房X线摄影、磁共振成像、正电子发射断层扫描和铊-201乳腺闪烁显像外，还讨论了锝-99m甲氧基异丁基异腈乳腺闪烁显像的新作用。得出的结论是，虽然乳房X线摄影仍然是对无症状女性进行乳腺癌筛查的首选方法，但其他成像方法在检测有症状患者的恶性肿瘤方面发挥着重要作用。锝-99m甲氧基异丁基异腈乳腺闪烁显像具有高灵敏度，并提高了传统乳房X线摄影检测乳腺癌的特异性；使用该技术时，俯卧位成像优于仰卧位成像。因此，锝-99m甲氧基异丁基异腈乳腺闪烁显像作为一种筛查技术值得进一步研究。
