Возможности современных лучевых методов дополнительной визуализации молочных желез в скрининге рака молочной железы: обзор литературы

Возможности современных лучевых методов дополнительной визуализации молочных желез в скрининге рака молочной железы: обзор литературы

Автор: Айнакулова А.С., Кайдарова Д.Р., Жолдыбай Ж.Ж., Иноземцева Н.И., Габдуллина М.О., Карибаев И.М.

Журнал: Сибирский онкологический журнал @siboncoj

Рубрика: Обзоры

Статья в выпуске: 4 т.20, 2021 года.

Бесплатный доступ

Актуальность. Рак молочной железы (РМЖ) занимает первое место в структуре онкологической заболеваемости женского населения во всем мире. Несмотря на успехи в его лечении, ранняя диагностика РМЖ ограничена возможностями скрининговой маммографии и зачастую требует дополнительной визуализации молочных желез. Цель исследования – обобщение и анализ имеющихся данных о современных лучевых методах дополнительной визуализации молочных желез, применяемых для усовершенствования скрининга РМЖ. Материал и методы. В обзор включены данные рандомизированных контролируемых исследований (РКИ) и метаанализов об эффективности лучевых методов визуализации молочных желез в ранней диагностике РМЖ, опубликованные за последние 7 лет. Поиск производился в системах pubmed, Web of science, scopus, the cochrane library. Всего было найдено 100 литературных источников, посвященных анализу эффективности лучевых методов в скрининге РМЖ, из которых 51 использован в представленном обзоре. Результаты. Скрининг РМЖ с применением различных методов визуализации в мире проводится более 30 лет, и за последние 10 лет достигнут значительный прогресс в усовершенствовании рентгенологических, ультразвуковых и магнитно-резонансных технологий в ранней диагностике РМЖ. На данный момент перед организаторами здравоохранения стоит вопрос выбора вектора усовершенствования программы скрининга РМЖ путем внедрения цифрового томосинтеза, контрастной спектральной маммографии или ускоренной МРТ. Согласно текущим результатам анализа данных литературы, наиболее высокой чувствительностью обладают контрастная спектральная маммография и ускоренная МРТ, но исследования чувствительности, специфичности, положительного и отрицательного прогностических значений (ppV, NpV) продолжаются. Заключение. Представленные данные подтверждают актуальность поиска вектора усовершенствования программы скрининга РМЖ, для чего требуется еще больше многоцентровых проспективных исследований с целью определения оптимального метода улучшения программы скрининга РМЖ.

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Рак молочной железы, скрининг, ранняя диагностика, цифровая маммография, томосинтез, контрастная спектральная маммография, МРТ молочных желез

Короткий адрес: https://sciup.org/140254539

IDR: 140254539   |   DOI: 10.21294/1814-4861-2021-20-4-99-107

Список литературы Возможности современных лучевых методов дополнительной визуализации молочных желез в скрининге рака молочной железы: обзор литературы

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