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Application of breast MRI in breast cancer screening: interpretation of the latest breast imaging screening guideline issued by ACR & SBI in 2010
LI Jie  ZHANG Xiao-peng 

DOI:10.3969/j.issn.1674-8034.2011.03.001.


[Abstract] It is well demonstrated that breast cancer is able to be early detected by imaging before palpated. Among all breast imaging modalities, mammography screening is the solely one that was demonstrated to reduce mortality of breast cancer. However, it is not perfect. Due to limitations of mammography, there have been many investigations to explore feasibility and validity of breast imaging beyond mammography, such as ultrasound and MRI. Consequently, screening protocols are getting more variable and complex. In 2010, American College of Radiology and Society of Breast Imaging updated the guideline of imaging screening, on the bases of board review of existed evidence and expertise consensus. Recommendations on screening using Mammography, Ultrasound and MRI according to breast cancer risk evaluation of women were issued. Specifically, breast MRI screening should be limited in high risk women. This article interpret the guideline, illustrate the contents, provide relevant evidence and knowledge and address some important points with authors sight, in order to help in Chinese medical practice.
[Keywords] Breast cancer；Screening；Recommendation；Magnetic resonance imaging；Mammography；Ultrasound

LI Jie* Beijing Cancer Hospital, Peking University School of Oncology, Beijing Institute for Cancer Research, Beijing 100142, China

ZHANG Xiao-peng Beijing Cancer Hospital, Peking University School of Oncology, Beijing Institute for Cancer Research, Beijing 100142, China

*Correspondence to: Li J, E-mail: lijieletter@gmail.com

Conflicts of interest   None.

Received  2011-03-22
Accepted  2011-04-28
DOI: 10.3969/j.issn.1674-8034.2011.03.001
DOI:10.3969/j.issn.1674-8034.2011.03.001.

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