Mammographic Breast Density: Impact on Breast Cancer Risk and Implications for Screening
Mammographic Breast Density: Impact on Breast Cancer Risk and Implications for Screening
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DOI：
10.1148/rg.352140106
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发表时间：
2015-03-01
期刊：
影响因子：
5.5
通讯作者：
Freer, Phoebe E.
中科院分区：
文献类型：
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作者：
Freer, Phoebe E.
乳腺摄影乳腺密度正在迅速成为医学文献和新闻界的热门话题。在美国，最近19个州的立法变化现在要求放射科医生通知患者乳房密度以及可能需要补充筛查。关于乳腺密度通知的联邦立法已经出台，其通过可能即将到来。了解背景，科学证据和围绕乳腺密度作为乳腺癌风险因素的争议对放射科医生至关重要。目前的证据状态是关于致密乳腺妇女的补充筛查，包括使用数字乳腺断层合成，全乳房超声检查和钆增强磁共振成像。对当前实践指南和其他信息来源的回顾将提高放射科医生对乳腺密度相关主题的理解，并使他们能够适当地回答患者，临床医生和媒体的问题。(C)RSNA，2015年。
Mammographic breast density is rapidly becoming a hot topic in both the medical literature and the lay press. In the United States, recent legislative changes in 19 states now require radiologists to notify patients regarding breast density as well as the possible need for supplemental screening. Federal legislation regarding breast density notification has been introduced, and its passage is likely on the horizon. An understanding of the context, scientific evidence, and controversies surrounding the topic of breast density as a risk factor for breast cancer is critical for radiologists. The current state of evidence is presented regarding supplemental screening for women with dense breasts, including the use of digital breast tomo-synthesis, whole-breast ultrasonography, and gadolinium-enhanced magnetic resonance imaging. A review of current practice guidelines and additional sources of information will improve radiologists' understanding of the relevant subject of breast density and enable them to respond appropriately to questions from patients, clinicians, and the media. (C) RSNA, 2015.