基本的ESR:乳腺癌查 - EUSOBI的一般建议
Magda Marcon1,2, Michael H Fuchsjäger3, Paola Clauser4
1Institute of Diagnostic and Interventional Radiology, University Hospital Zurich, Raemistrasse 100, 8091, Zurich, Switzerland. magda.marcon@usz.ch.
European radiology
|April 24, 2024
概括
乳房显微镜仍然是乳腺癌查的主要工具. 使用MRI或超声波用于高风险或密集乳房的个性化查可以改善结果和成本效益.
科学领域:
- 在瘤学瘤学.
- 放射学 放射学是指放射学
- 公共卫生 公共卫生
背景情况:
- 乳腺癌是女性最常见的癌症,其发病率越来越高.
- 乳房镜检查可以降低死亡率,但存在诸如不足诊断和过度诊断等局限性.
- 目前的查是基于年龄的,而不是风险分层的,影响了益处与危害的比率.
研究的目的:
- 评估个性化乳腺癌查方法的有效性.
- 为了比较风险分层查与当前"一刀切"的乳房镜计划.
- 探索补充成像和人工智能在改善查结果中的作用.
主要方法:
- 审查乳腺癌查中的乳腺扫描,补充成像 (MRI,超声波) 和AI现有证据.
- 分析当前基于年龄的查方案的局限性.
- 考虑基于个人风险因素和乳腺密度的风险分层.
主要成果:
- 乳腺造影在早期诊断和降低乳腺癌死亡率方面是有效的.
- 乳房MRI推给高风险女性和乳房非常密集的女性.
- 人工智能在风险分类和减少间隔癌症方面表现有前途.
结论:
- 对乳腺癌查采取个性化,分层风险的方法,可以提高益处与危害的比率和成本效益.
- 乳房影像仍然是主要的支柱,但对于特定人群,应考虑补充MRI或超声波.
- 妇女和医生之间的共同决策对于个性化查建议至关重要.
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