中国普外基础与临床杂志

中国普外基础与临床杂志

对比增强能谱乳腺 X 线摄影新进展

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目的 总结对比增强能谱乳腺 X 线摄影(contrast-enhanced spectral mammography,CESM)的原理、检查技术及其临床应用。 方法 复习近年来国内外有关 CESM 的研究文献并进行综述。 结果 CESM 将病灶的形态学信息与血供信息综合,通过低能量图像与剪影图像诊断,在临床多个领域中得到应用,例如对临床可疑病灶的进一步诊断、乳腺癌术前评估、乳腺癌新辅助治疗效果评估等。 结论 CESM 的临床价值与 MRI 检查相仿,却更加快速、简单及相对价廉,可为不具备 MRI 设备的医院提供一种可能具有与 MRI 检查相似效能的乳腺检查技术。

Objective To summarize the basic principles, techniques, and clinical applications of contrast-enhanced spectral mammography (CESM). Methods The literatures about CESM in recent years were collected to make an review. Results CESM had a low energy image and subtracted image, could provide both morphology information and enhancement characteristics of breast lesions. CESM had been adopted in some clinical applications, such as problem solving of inconclusive findings, preoperative evaluation of tumor extent, and assessing residual malignancy after neoadjuvant systemic therapy. Conclusion CESM has equal clinical value with MRI, but it needs short examination time, and lead to easy accessibility and fewer cost, which might be a suitable alternative in the department that do not have MRI.

关键词: 对比增强能谱乳腺X线摄影; 诊断; 综述

Key words: contrast-enhanced spectral mammography; diagnosis; review

引用本文: 张燕芹, 余建群. 对比增强能谱乳腺 X 线摄影新进展. 中国普外基础与临床杂志, 2018, 25(12): 1511-1514. doi: 10.7507/1007-9424.201808080 复制

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