患有乳腺癌个人病史的患者的乳腺癌监测:最新情况和争议
Sona A Chikarmane1, Catherine S Giess1
1From the Department of Radiology, Brigham and Women's Hospital, Boston, Mass; and Dana-Farber Cancer Institute, Boston, Mass.
概括
患有乳腺癌 (PHBC) 个人病史的患者需要警的成像监测. 本次审查澄清了乳房影像和补充查的指导方针,以改善复发或新癌症的早期检测.
科学领域:
- 放射学 放射学是一门学科.
- 在瘤学瘤学.
- 医疗成像医学成像
背景情况:
- 乳腺癌患者的生存率增加需要强有力的后续策略.
- 患有乳腺癌 (PHBC) 个人病史的患者面临局部复发和新发原发性乳腺癌的风险增加.
- 目前对PHBC的成像监测协议对于早期检测至关重要.
研究的目的:
- 审查目前针对PHBC患者的查指南.
- 为了突出乳房扫描启动,停止和模式选择的挑战.
- 提供有关新出现的补充成像和遵守建议的最新信息.
主要方法:
- 全面审查PHBC国家和国际查指南.
- 分析推的成像方法,包括乳房扫描,增强对比度的乳房扫描,全乳房查超声波和乳房MRI.
- 检查查与诊断性乳房造影以及离线与实时查协议的检查.
主要成果:
- 在PHBC患者的查方案和补充成像指示中存在显著的异质性.
- 在确定乳房扫描启动/停止最佳时间时遇到的挑战.
- 讨论了新出现的补充成像模式和合规数据.
结论:
- 需要对PHBC患者进行标准化查协议,以优化监测.
- 了解当前的指南和新兴技术对于有效的乳腺癌管理至关重要.
- 更好地遵守查建议可以提高PHBC幸存者的结果.
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