医学
乳腺摄影术
乳腺癌
模态(人机交互)
磁共振成像
乳腺癌筛查
模式
阶段(地层学)
癌症
乳房磁振造影
乳房成像
风险评估
终身风险
医学物理学
妇科
放射科
内科学
古生物学
社会科学
计算机安全
人机交互
社会学
生物
计算机科学
作者
Elizabeth P. Wellings,Lauren Vassiliades,Reem Abdalla
出处
期刊:Cureus
[Cureus, Inc.]
日期:2016-12-28
被引量:12
摘要
While the guidelines for breast cancer screening in average-risk women are well established, screening in high-risk women is not as clear. For women with BRCA1 or BRCA2 mutations, current guidelines recommend screening by clinical breast examination and mammography starting at age 30. For certain high-risk women, additional screening with magnetic resonance imaging (MRI) is encouraged. This review focuses on differentiating imaging modalities used for screening women at high-risk for breast cancer over the age of 50 by discussing the different imaging techniques, cost versus benefit, detection rates, and impact on survival. While mammography is the only imaging modality proven to reduce mortality from breast cancer, MRI is more sensitive in identifying cancers. MRI can often identify smaller malignancies at a greater resolution at an earlier stage. The use of MRI would be more cost effective as there would be less need for invasive therapeutic procedures. Research thus far has not identified an age-specific preference in imaging modality. There are no guidelines for high-risk women that specify screening with respect to age (i.e., older than 50 years old). More research is needed before screening guidelines in different age groups with various risk factors can be established.
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