乳腺癌MRI检查的临床研究进展

Clinical Research Progress of MRI Scans for Breast Cancer

乳腺癌是女性患者中发病率较高的恶性肿瘤之一,近年来呈现发病率高、低龄化的表现。影像学检查是诊断乳腺癌的主要手段,主要包括X线钼靶、超声检查、CT和磁共振成像。目前,磁共振在诊断乳腺癌方面,具有软组织分辨率高、无辐射、对周围组织结构显像清晰等特点,在早期乳腺癌诊断方面明显优于超声和钼靶检查。随着肿瘤个体化、规范化治疗的理念不断推广和深入,MRI检查在肿瘤分期评估、保乳治疗患者的术前评估和选择、腋窝淋巴结转移及无法明确原发灶患者的确诊、指导和评估辅助化疗及术后随访和肿瘤检测等多方面起到了关键性的作用,具有显著的临床应用价值。文章将对目前乳腺癌MRI检查的临床研究及应用进展进行总结和叙述,为MRI诊断乳腺癌提供客观准确的依据。

Breast cancer is one of the malignant tumors with high incidence in female patients. It has a high incidence and incidence trend of younger age in recent years. Imaging examination is the main method for diagnosis of breast cancer, including mammography, ultrasonography, CT and magnetic resonance imaging. At present, MRI has the advantages of high resolution, no radiation, clear imaging of surrounding tissue in breast cancer diagnosis. It is superior to ultrasound and mammography in the diagnosis of early breast cancer. As the concept of tumor individualized, standardized treatment has been continuous promoting in-depth. MRI examination in the assessment of tumor stage, breast conserving therapy in patients selection and preoperative evaluation, axillary lymph node diagnosis, guidance and evaluation of follow-up and postoperative adjuvant chemotherapy and tumor metastasis detection have been playing a key role in clinical application and has signifcant clinical value. In this review we will summarize and describe the clinical research and application progress of breast cancer by MRI, and provide an objective and accurate basis for the diagnosis of breast cancer by MRI.