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Breast Imaging How We Manage Diagnostic Technology at a Multidisciplinary Breast Center英文文献资料.doc

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Breast Imaging How We Manage Diagnostic Technology at a Multidisciplinary Breast Center英文文献资料

HindawiPublishingCorporation JournalofOncology Volume2012,ArticleID213421,9pages doi:10.1155/2012/213421 ReviewArticle BreastImaging:HowWeManageDiagnosticTechnologyat aMultidisciplinaryBreastCenter AlejandroTejerinaBernal,AntonioTejerinaBernal,FranciscoRabada′nDoreste, AnaDeLaraGonza′lez,JuanAntonioRosello′Llerena,andArmandoTejerinaGo′mez CentrodePatolog′?adelaMama,Fundaci′onTejerina,Jos′eAbascal40,28003Madrid,Spain CorrespondenceshouldbeaddressedtoAlejandroTejerinaBernal,alejandro.tejerina@cpmama.es andAntonioTejerinaBernal,antonio.tejerina@cpmama.es Received18April2012;Accepted4June2012 AcademicEditor:AlvaroRuibal Copyright?2012AlejandroTejerinaBernaletal. This is an open access article distributed under the Creative Commons AttributionLicense,whichpermitsunrestricteduse,distribution,andreproductioninanymedium,providedtheoriginalworkis properlycited. This paper discusses the most important aspects and problems related to the management of breast cancer imaging, at a center specialized in breast pathology. We review the established and emerging diagnostic techniques, their indications, and peculiarities:digitalmammography,CADsystems,andtherecentdigitalbreasttomosynthesis,ultrasoundandcomplementary elastography,molecularimagingtechniques,magneticresonanceimaging,advancedsequences(di?usion),andpositronemission mammography(PEM).Theadequateintegrationandrationalmanagementofthesetechniquesisessential,butthisisnotalways easy,inordertoachieveasuccessfuldiagnosis. 1.Introduction image, capable of providing additional information, very valuabletobetterunderstanddiseaseprocesses.Manytech- nologicalchangeshavebeenestablishedsincethedevelop- ment of the ?rst analogue mammography device in the sixties,withwhichwestartedworkingbut,undoubtedly,the mostimportantadvancehasbeentheintroductionofdigital mammography. Breastcancerremainsthemostprevalentcancerdiseasein women of developed countries with great social and eco- nomicimpact.Forallthesereasons,thescienti?ccommunity concen