乳腺磁共振在乳腺癌诊断治疗中的运用-中国癌症杂志.PDF

中国癌症杂志 2013年第23卷第8期 《 》 CHINA ONCOLOGY 2013 Vol.23 No.8 613 许玲辉 ，复旦大学附属肿瘤医院放射诊断科副主任医师，上 海市抗癌协会乳腺癌专业委员会成员，长期从事乳腺疾病的 影像研究并将之服务于临床，致力于乳腺癌的早期发现及诊 断。 乳腺磁共振在乳腺癌诊断治疗中的运用 许玲辉　顾雅佳 复旦大学附属肿瘤医院放射诊断科，复旦大学上海医学院肿瘤学系，上海 200032 　　［摘要］　乳腺MRI具有很好的软组织分辨率和无射线辐射等优点，对乳腺癌的早期诊断和局部分期明显 优于乳腺X线摄影和超声检查。随着乳腺癌个体化、规范化综合治疗理念的推广，乳腺MRI在综合治疗中的作用 日益受到重视，伴随对乳腺MRI临床应用的开展和研究的深入，其在乳腺癌分期中的评估、保乳手术病例术前 的筛选、腋窝淋巴结转移原发不明者的诊断、新辅助化疗(neoadjuvant chemotherapy, NAC)的疗效评估、随访 监测中的应用价值也得到了很好的评估。同时，乳腺MRI对肿瘤范围的客观准确的评估也是正确选择治疗方式 的依据。 　　 ［关键词］　乳腺癌；规范化治疗；磁共振成像 　　DOI: 10.3969/j.issn.1007-3969.2013.08.009 　　中图分类号：R737.9　　文献标识码：A　　文章编号：1007-3639(2013)08-0613-05 Application and evaluation of magnetic resonance imaging in the multidisciplinary treatment of breast cancer XU Ling-hui, GU Ya-jia (Department of Radiology, Fudan University Shanghai Cancer Center, Department of Oncology, Shanghai Medical College, Fudan University, Shanghai 200032, China) Correspondence to: XU Ling-hui E-mail: jeniferxlh@ 　　［Abstract ］ It has been shown that MR imaging of breast is superior to conventional mammography and ultrasonography on early diagnosis and cancer staging on breast cancer due to MRI’s high soft-tissue contrast and no radiation. The concept of multidisciplinary treatment of breast cancer has been increasingly accepted in clinical practice of breast cancer care. Investigation of breast MRI on cancer staging, selecting conservative therapy, detecting the primary malignant of patients presenting as axillary metastases, evaluating residual disease after neoadjuvant chemotherapy(NAC), predicting response in the early phase of treatment as well as monit