The imaging of breast cancer has undergone significant progression in recent years. A multimodality approach is often required, with ongoing developments in mammography, ultrasound, magnetic resonance and nuclear medicine all contributing to breast cancer imaging. Here we review the literature to assess how advances in well-established technologies, such as mammography, have brought added benefits both in terms of diagnostic and practical benefits, as well as allowing the application of derived technologies, such as tomosynthesis and contrast-enhanced mammography. We consider how these newer technologies may fit into clinical practice, both in terms of general population screening as well as use as problem solving tools in specific patient groups, and where the limitations for these may lie. We aim to highlight some of the promising advances in imaging that are still in earlier stages, such as magnetic resonance elastography, as well as reviewing techniques that are already becoming incorporated into clinical practice.

译文

:近年来,乳腺癌的影像学经历了重大进展。通常需要一种多模态方法,随着乳房X线照片,超声,磁共振和核医学的不断发展,所有这些都有助于乳腺癌的成像。在这里,我们回顾文献以评估诸如乳房X线照相术等成熟技术的进步如何在诊断和实际获益方面带来了额外的好处,以及如何允许诸如断层合成和对比增强的X线照相术等衍生技术的应用。我们从总体人群筛查以及在特定患者群体中用作问题解决工具的角度考虑这些更新技术如何适合临床实践,以及这些方法可能存在的局限性。我们的目标是突出显示仍处于早期阶段的一些有希望的成像进展,例如磁共振弹性成像以及已经纳入临床实践的检查技术。

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