简略方案乳腺MRI在乳腺癌检测中相对完整诊断方案的应用综述

IF 3.3 Q2 ENGINEERING, BIOMEDICAL International Journal of Biomedical Imaging Pub Date : 2022-04-28 eCollection Date: 2022-01-01 DOI:10.1155/2022/8705531
Haytham Al Ewaidat, Mohammad Ayasrah
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引用次数: 0

摘要

在目前的临床手段中,乳腺MRI对乳腺癌的检测灵敏度较高,是不可缺少的影像学手段。乳腺MRI包括弥散加权成像、超快成像、T2加权和T1加权CE(对比增强)成像,可用于改善病变的表征。这种乳房病变的多模态评估能够区分恶性、良性和恶性病变。乳房MRI适应症的扩大证实了MRI在术前分期方面的优势,特别是在估计肿瘤大小和识别对侧和同侧乳房肿瘤病灶方面。最近的研究表明,专家们可以很好地利用这种工具来改善乳腺癌手术,尽管它们没有显著的长期结果。对于管理直接和间接相关的筛查成本,发现简化方案更有益。此外,在一些接受新辅助化疗的患者中,乳房MRI被用于记录反应。因此,必须认识到肿瘤筛查必须易于获得,具有成本效益和耗时。较早发现这种短序列方案可导致高风险女性人群(如乳房致密的女性、史前证据等)先前和早期罹患乳腺癌。正确使用AP可减少不必要的乳房切除术。因此,本综述的重点是探索性信息,强烈建议与完整诊断方案MRI相比,AP乳腺MRI的益处。
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A Concise Review on the Utilization of Abbreviated Protocol Breast MRI over Full Diagnostic Protocol in Breast Cancer Detection.

Breast MRI possesses high sensitivity for detecting breast cancer among the current clinical modalities and is an indispensable imaging practice. Breast MRI comprises diffusion-weighted imaging, ultrafast, and T2 weighted and T1 weighted CE (contrast-enhanced) imaging that may be utilized for improving the characterization of the lesions. This multimodal evaluation of breast lesions enables outstanding discrimination between the malignant and benign and malignant lesions. The expanding indications of breast MRI confirm the far superiority of MRI in preoperative staging, especially in the estimation of tumour size and identifying tumour foci in the contralateral and ipsilateral breast. Recent studies depicted that experts can meritoriously utilize this tool for improving breast cancer surgery despite their existence of no significant long term outcomes. For managing the, directly and indirectly, associated screening cost, abbreviated protocols are found to be more beneficial. Further, in some of the patients who were treated with neoadjuvant chemotherapy, breast MRI is utilized for documenting response. It is therefore essential to realise that oncological screening must be easily available, cost-effective, and time-consuming. Earlier detection of this short sequence protocol leads to prior and early breast cancer disease in high risky female populations like women with dense breasts, prehistoric evidence, etc. This proper utilization of AP reduces unnecessary mastectomies. Hence, this review focused on the explorative information for strongly suggesting the benefits of AP breast MRI compared to full diagnostic protocol MRI.

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来源期刊
CiteScore
12.00
自引率
0.00%
发文量
11
审稿时长
20 weeks
期刊介绍: The International Journal of Biomedical Imaging is managed by a board of editors comprising internationally renowned active researchers. The journal is freely accessible online and also offered for purchase in print format. It employs a web-based review system to ensure swift turnaround times while maintaining high standards. In addition to regular issues, special issues are organized by guest editors. The subject areas covered include (but are not limited to): Digital radiography and tomosynthesis X-ray computed tomography (CT) Magnetic resonance imaging (MRI) Single photon emission computed tomography (SPECT) Positron emission tomography (PET) Ultrasound imaging Diffuse optical tomography, coherence, fluorescence, bioluminescence tomography, impedance tomography Neutron imaging for biomedical applications Magnetic and optical spectroscopy, and optical biopsy Optical, electron, scanning tunneling/atomic force microscopy Small animal imaging Functional, cellular, and molecular imaging Imaging assays for screening and molecular analysis Microarray image analysis and bioinformatics Emerging biomedical imaging techniques Imaging modality fusion Biomedical imaging instrumentation Biomedical image processing, pattern recognition, and analysis Biomedical image visualization, compression, transmission, and storage Imaging and modeling related to systems biology and systems biomedicine Applied mathematics, applied physics, and chemistry related to biomedical imaging Grid-enabling technology for biomedical imaging and informatics
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