Breast Cancer Surveillance in Patients with a Personal History of Breast Cancer: Updates and Controversies.

IF 5.2 1区医学 Q1 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING

Radiographics Pub Date : 2025-04-01 DOI:10.1148/rg.240132

Sona A Chikarmane, Catherine S Giess

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引用次数: 0

Abstract

The increased survival rates for patients with a personal history of breast cancer (PHBC) can be attributed to early detection and advancements in breast cancer treatment. Imaging surveillance is of utmost importance due to the increased risk of local recurrence and the development of new primary breast cancer in patients with PHBC. National and international organizations recommend annual mammography for patients with PHBC; supplemental imaging modalities include contrast-enhanced mammography, whole-breast screening US, and breast MRI. However, the screening protocols and indications for supplemental imaging are significantly heterogeneous. The authors provide a review of current screening guidelines for patients with PHBC to aid understanding of the challenges involved in (a) determining when to initiate or discontinue screening mammography, (b) performing screening versus diagnostic mammography, and (c) performing offline versus live screening. The authors also provide updates on emergent supplemental imaging modalities and compliance with screening recommendations for patients with PHBC. ^©RSNA, 2025.

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有乳腺癌个人病史患者的乳腺癌监测：最新进展和争议。

有乳腺癌个人病史（PHBC）的患者生存率的提高可归因于早期发现和乳腺癌治疗的进步。由于PHBC患者局部复发和新发原发性乳腺癌的风险增加，影像学监测至关重要。国家和国际组织建议PHBC患者每年进行乳房x光检查；辅助成像方式包括对比增强乳房x线照相术、全乳筛查US和乳房MRI。然而，筛查方案和补充成像的适应症明显不同。作者回顾了PHBC患者目前的筛查指南，以帮助理解以下方面所涉及的挑战：(a)确定何时开始或停止筛查性乳房x光检查，(b)进行筛查与诊断性乳房x光检查，(c)进行离线筛查与实时筛查。作者还提供了对PHBC患者紧急补充成像方式和依从性筛查建议的最新信息。©RSNA, 2025年。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Radiographics 医学-核医学

CiteScore

8.20

自引率

5.50%

发文量

224

审稿时长

4-8 weeks

期刊介绍： Launched by the Radiological Society of North America (RSNA) in 1981, RadioGraphics is one of the premier education journals in diagnostic radiology. Each bimonthly issue features 15–20 practice-focused articles spanning the full spectrum of radiologic subspecialties and addressing topics such as diagnostic imaging techniques, imaging features of a disease or group of diseases, radiologic-pathologic correlation, practice policy and quality initiatives, imaging physics, informatics, and lifelong learning. A special issue, a monograph focused on a single subspecialty or on a crossover topic of interest to multiple subspecialties, is published each October. Each issue offers more than a dozen opportunities to earn continuing medical education credits that qualify for AMA PRA Category 1 CreditTM and all online activities can be applied toward the ABR MOC Self-Assessment Requirement.