乳腺X线联合超声检查对乳腺癌筛查的研究进展
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摘要
乳腺癌筛查是降低病死率的有效方法,乳腺X线和超声检查为乳腺癌的主要筛查方法。乳腺X线对微小钙化敏感,而乳腺超声不受腺体密度影响,可清晰显示肿块型病灶边界、内部和周围组织,二者联合筛查乳腺癌是目前研究热点。本文就乳腺X线联合超声筛查乳腺癌的研究进展作一综述。
Breast cancer screening is an effective method to reduce breast cancer mortality. It mainly depends on mammography and ultrasonography. Mammography is sensitive to microcalcification. Ultrasonography is not affected by breast density, and it can display the edge, internal and surrounding tissue structure of tumor clearly. The combination of these two methods has become the research hotspot recently. This paper reviews the research progress of screening of breast cancer by mammography combined with ultrasonography.
Breast cancer screening is an effective method to reduce breast cancer mortality. It mainly depends on mammography and ultrasonography. Mammography is sensitive to microcalcification. Ultrasonography is not affected by breast density, and it can display the edge, internal and surrounding tissue structure of tumor clearly. The combination of these two methods has become the research hotspot recently. This paper reviews the research progress of screening of breast cancer by mammography combined with ultrasonography.
引文
[1] 董维露,陈亚青,蒋珺,等.常规超声与MRI对乳腺X线摄影阴性乳腺癌诊断价值的对比研究[J].肿瘤影像学,2017,26(5):326-331.
[2] 冯小伟.乳腺癌筛查的现状及进展[J].国际医学放射学杂志,2012,35(2):131-134.
[3] BREM R F, LENIHAN M J, LIEBERMAN J, et al. Screening breast ultrasound: past, present, and future[J]. AJR Am J Roentgenol,2015,204(2):234-240.
[4] 朱陈,王乐,杜灵彬,等.乳腺X线摄影技术应用于人群筛查准确性的Meta分析[J].中华流行病学杂志,2016,37(9):1296-1305.
[5] 于连水,付连英.相位对比钼靶X线成像诊断乳腺癌价值[J].中华实用诊断与治疗杂志,2014,28(10):1028-1030.
[6] BERG W A, BANDOS A I, MENDELSON E B, et al. Ultrasound as the primary screening test for breast cancer: analysis from ACRIN 6666[J]. J Natl Cancer Inst,2015,108(4):djv367.
[7] SHEN S, ZHOU Y, XU Y, et al. A multi-centre randomised trial comparing ultrasound vs mammography for screening breast cancer in high-risk Chinese women[J]. Br J Cancer,2015,112(6):998-1004.
[8] OHUCHI N, SUZUKI A, SOBUE T, et al. Sensitivity and specificity of mammography and adjunctive ultrasonography to screen for breast cancer in the Japan Strategic Anti-cancer Randomized Trial (J-START): a randomised controlled trial[J]. Lancet,2016,387(10016):341-348.
[9] BERG W A, ZHANG Z, LEHRER D, et al. Detection of breast cancer with addition of annual screening ultrasound or a single screening MRI to mammography in women with elevated breast cancer risk[J]. JAMA,2012,307(13):1394-1404.
[10] 季亚婕,常才,丁建辉,等.中国乳腺X线筛查项目中联合应用超声检查的价值[J].外科理论与实践,2010,15(5):486-489.
[11] 张歌,闫静茹,巨艳,等.自动乳腺超声成像系统在乳腺癌筛查和诊断中的应用进展[J].中华医学超声杂志,2017,14(11):805-809.
[12] TAGLIAFICO A S, CALABRESE M, MARISCOTTI G, et al. Adjunct screening with tomosynthesis or ultrasound in women with mammography-negative dense breasts: interim report of a prospective comparative trial[J]. J Clin Oncol,2016,34(16):1882-1888.
[13] KORHONEN K E, WEINSTEIN S P, MCDONALD E S, et al. Strategies to increase cancer detection: review of true-positive and false-negative results at digital breast tomosynthesis screening[J]. Radiographics,2016,36(7):1954-1965.
[14] FRIEDEWALD S M, RAFFERTY E A, ROSE S L, et al. Breast cancer screening using tomosynthesis in combination with digital mammography[J]. JAMA,2014,311(24):2499-2507.
[15] 杨晓婧,王法,娜迪热·铁列吾汗.超声造影在乳腺癌新辅助化疗疗效评价中的价值[J].中华实用诊断与治疗杂志,2016,30(4):396-398.
[16] 马克敏,徐梅玉.超声造影对早期乳腺癌前哨淋巴结的诊断价值[J].中华实用诊断与治疗杂志,2018,32(10):1013-1015.
[17] BREM R F, TABAR L, DUFFY S W, et al. Assessing improvement in detection of breast cancer with three-dimensional automated breast US in women with dense breast tissue: the SomoInsight Study[J]. Radiology,2015,274(3):663-673.
[2] 冯小伟.乳腺癌筛查的现状及进展[J].国际医学放射学杂志,2012,35(2):131-134.
[3] BREM R F, LENIHAN M J, LIEBERMAN J, et al. Screening breast ultrasound: past, present, and future[J]. AJR Am J Roentgenol,2015,204(2):234-240.
[4] 朱陈,王乐,杜灵彬,等.乳腺X线摄影技术应用于人群筛查准确性的Meta分析[J].中华流行病学杂志,2016,37(9):1296-1305.
[5] 于连水,付连英.相位对比钼靶X线成像诊断乳腺癌价值[J].中华实用诊断与治疗杂志,2014,28(10):1028-1030.
[6] BERG W A, BANDOS A I, MENDELSON E B, et al. Ultrasound as the primary screening test for breast cancer: analysis from ACRIN 6666[J]. J Natl Cancer Inst,2015,108(4):djv367.
[7] SHEN S, ZHOU Y, XU Y, et al. A multi-centre randomised trial comparing ultrasound vs mammography for screening breast cancer in high-risk Chinese women[J]. Br J Cancer,2015,112(6):998-1004.
[8] OHUCHI N, SUZUKI A, SOBUE T, et al. Sensitivity and specificity of mammography and adjunctive ultrasonography to screen for breast cancer in the Japan Strategic Anti-cancer Randomized Trial (J-START): a randomised controlled trial[J]. Lancet,2016,387(10016):341-348.
[9] BERG W A, ZHANG Z, LEHRER D, et al. Detection of breast cancer with addition of annual screening ultrasound or a single screening MRI to mammography in women with elevated breast cancer risk[J]. JAMA,2012,307(13):1394-1404.
[10] 季亚婕,常才,丁建辉,等.中国乳腺X线筛查项目中联合应用超声检查的价值[J].外科理论与实践,2010,15(5):486-489.
[11] 张歌,闫静茹,巨艳,等.自动乳腺超声成像系统在乳腺癌筛查和诊断中的应用进展[J].中华医学超声杂志,2017,14(11):805-809.
[12] TAGLIAFICO A S, CALABRESE M, MARISCOTTI G, et al. Adjunct screening with tomosynthesis or ultrasound in women with mammography-negative dense breasts: interim report of a prospective comparative trial[J]. J Clin Oncol,2016,34(16):1882-1888.
[13] KORHONEN K E, WEINSTEIN S P, MCDONALD E S, et al. Strategies to increase cancer detection: review of true-positive and false-negative results at digital breast tomosynthesis screening[J]. Radiographics,2016,36(7):1954-1965.
[14] FRIEDEWALD S M, RAFFERTY E A, ROSE S L, et al. Breast cancer screening using tomosynthesis in combination with digital mammography[J]. JAMA,2014,311(24):2499-2507.
[15] 杨晓婧,王法,娜迪热·铁列吾汗.超声造影在乳腺癌新辅助化疗疗效评价中的价值[J].中华实用诊断与治疗杂志,2016,30(4):396-398.
[16] 马克敏,徐梅玉.超声造影对早期乳腺癌前哨淋巴结的诊断价值[J].中华实用诊断与治疗杂志,2018,32(10):1013-1015.
[17] BREM R F, TABAR L, DUFFY S W, et al. Assessing improvement in detection of breast cancer with three-dimensional automated breast US in women with dense breast tissue: the SomoInsight Study[J]. Radiology,2015,274(3):663-673.