Technologist-performed Handheld Screening Breast US Imaging: How Is It Performed and What Are the Outcomes to Date?
Technologist-performed Handheld Screening Breast US Imaging: How Is It Performed and What Are the Outcomes to Date?
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DOI：
10.1148/radiol.14132628
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发表时间：
2014-07-01
期刊：
影响因子：
19.7
通讯作者：
Mendelson, Ellen B.
中科院分区：
文献类型：
--
作者：
Berg, Wendie A.;Mendelson, Ellen B.
乳腺密度信息立法增加了对定制筛查结果数据的需求。致密的软组织可以掩盖癌症，而且致密的组织也比脂肪组织更容易患乳腺癌。数字乳房X光检查是乳房致密女性的标准检查。补充筛选磁共振成像应提供给妇女谁符合高风险标准。补充筛查超声（US）成像可能是适当的，在更大的群体妇女致密的乳房。医生和技术人员进行的筛查超声成像增加了淋巴结阴性浸润性乳腺癌的检出率。为了满足美国的预期需求，筛选美国图像将最有可能由训练有素的技术人员而不是医生获得。虽然自动US提供标准文档，但很少有关于结果的数据。几十年来，US一直被用于诊断，通过使用乳房X光检查来描述肿块的特征，但一直缺乏针对筛查的培训。需要采用标准方法对技术人员执行的手持式筛查超声成像进行培训和记录。本文综述了技术人员进行的手持筛查乳腺超声成像的现状。
Breast density-inform legislation is increasing the need for data on outcomes of tailored screening. Dense parenchyma can mask cancers, and denser tissue is also more likely to develop breast cancer than fatty tissue. Digital mammography is standard for women with dense breasts. Supplemental screening magnetic resonance imaging should be offered to women who meet high-risk criteria. Supplemental screening ultrasonographic (US) imaging may be appropriate in the much larger group of women with dense breasts. Both physician-and technologist-performed screening US imaging increases detection of node-negative invasive breast cancer. To meet anticipated demand in the United States, screening US images will most likely be acquired by trained technologists rather than physicians. While automated US offers standard documentation, there are few data on outcomes. US has been used diagnostically for decades to characterize masses seen by using mammography, but training specific to screening has been lacking. Standard approaches to training and documentation of technologist-performed handheld screening US imaging are needed. This article reviews the current status of technologist-performed handheld screening breast US imaging.