Recent Advances and Application of Breast Imaging in Clinical Practice

Full Article

WL Yu, JCM Sitt, SY Fung, APY Tang

Hong Kong J Radiol 2015;18:99-110

DOI: 10.12809/hkjr1515319

Breast imaging is an essential cornerstone in the management of breast cancer. It serves not only as breast cancer screening, but also in diagnosis, treatment, and follow-up of patients with breast disease. Attempts to enhance the current imaging modalities and development of new technology are underway. We provide a short overview of the existing imaging modalities including mammography, tomosynthesis, ultrasound and magnetic resonance imaging, and recent technological advances including positron emission mammography, contrast digital mammography, elastography, three-dimensional / contrast-enhanced ultrasound and automated whole-breast ultrasound screening. Magnetic resonance spectroscopy, new state-of-the-art applications in optical imaging, cone-beam computed tomography, magnetic resonance–ultrasound navigation, and molecular imaging techniques are also briefly discussed.

 

中文摘要

乳腺影像的最新發展以及在臨床實踐中的應用

余黃莉、薛靜雯、馮倩如、鄧珮儀

 

乳腺影像是診治乳腺癌的重要基礎;它不僅用作乳腺癌病人篩查,而且用於診斷、治療和隨訪。醫學界正不斷嘗試加強當前的影像方式以及開發新技術。本文為乳腺影像技術作一簡短綜述,包括現存技術如乳腺鉬靶、X線層析合成攝影、超聲和磁共振成像,以及新興技術如正電子發射乳腺攝影、對比數字化乳腺攝影、彈性成像、三維/對比—增強超聲造影和自動化全乳腺房超聲篩查。本文同時簡略討論磁共振波譜、光學成像的新型最先進用途、錐束電腦斷層掃描、磁共振—超聲導航和分子成像技術。