医学
乳腺摄影术
乳腺癌
乳腺癌筛查
随机对照试验
观察研究
妇科
数字乳腺摄影术
入射(几何)
产科
癌症
肿瘤科
内科学
光学
物理
作者
Wahida Rahman,Mark A. Helvie
标识
DOI:10.1016/j.bpobgyn.2021.11.007
摘要
Breast cancer is the most common cancer among females worldwide with rising incidence. In the United States, screening mammography and advances in therapy have lowered mortality by 41% since 1990. Screening mammography is supported by randomized control trials (RCT), observational studies, and computer model data. Digital breast tomosynthesis is a new technology that addresses limitations in mammography resulting from overlapping breast tissue, improving its sensitivity and specificity. Patients at high risk for breast cancer include those with a ≥20% lifetime risk, high-risk germline mutation, or history of thoracic radiation treatment between 10-30 years of age. Such patients are recommended to undergo annual screening mammography and adjunctive annual screening breast MRI. Patients unable to undergo MRI may undergo whole breast ultrasound or contrast-enhanced mammography. Pregnant and lactating patients at average risk for breast cancer are recommended to undergo age-appropriate screening mammography.
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