Meme Görüntüleme Yöntemleri

Yazarlar

Fırat Canlıkarakaya
https://orcid.org/0000-0003-4858-7480

Özet

Meme kanserinin tanısında ve tedavi yönetiminde gelişen teknoloji ile birlikte görüntüleme yöntemleri yaygın biçimde kullanılmaktadır. Mamografi temel tarama yöntemi olmakla beraber tanısal görüntülemenin de ilk basamağını oluşturmaktadır. Ultrasonografi mamografi bulgularını detaylandırmada yardımcı olabildiği gibi genç bireylerde temel tanı aracı olarak da kullanılabilmektedir. Klinik rutinde mamografi ile eş zamanlı ultrasonografi ile değerlendirme de yapmaktadır. Tomosentez ve kontrastlı mamografi gibi yeni yöntemler ile daha detaylı incelemeler olanaklı hale gelmiş olup, kanseri saptama oranında artış olmuştur. Son olarak manyetik rezonans görüntüleme meme dokusu için en duyarlı görüntüleme yöntemi olarak kullanılmakta olup uygun endikasyon dışı kullanım maliyet-etkinliği olumsuz etkileyebilir. Bu bölümde bu görüntüleme yöntemleri detaylı olarak incelenecek olup; girişimsel işlemlere nasıl entegre olduklarından bahsedilecektir. 

 

Referanslar

Nicosia L, Gnocchi G, Gorini I, Venturini M, Fontana F, Pesapane F, et al., editors. History of mammography: analysis of breast imaging diagnostic achievements over the last century. Healthcare; 2023: MDPI.

Christiansen SR, Autier P, Støvring H. Change in effectiveness of mammography screening with decreasing breast cancer mortality: a population-based study. European Journal of Public Health. 2022;32(4):630-5.

Tot T, Gere M, Hofmeyer S, Bauer A, Pellas U, editors. The clinical value of detecting microcalcifications on a mammogram. Seminars in cancer biology; 2021: Elsevier.

Sickles EA. ACR BI-RADS® Atlas, Breast imaging reporting and data system. American College of Radiology. 2013:39.

Lee SC, Jain PA, Jethwa SC, Tripathy D, Yamashita MW. Radiologist’s role in breast cancer staging: providing key information for clinicians. Radiographics. 2014;34(2):330-42.

Loizidou K, Elia R, Pitris C. Computer-aided breast cancer detection and classification in mammography: A comprehensive review. Computers in Biology and Medicine. 2023;153:106554.

Jochelson MS, Lobbes MB. Contrast-enhanced mammography: state of the art. Radiology. 2021;299(1):36-48.

Cozzi A, Magni V, Zanardo M, Schiaffino S, Sardanelli F. Contrast-enhanced mammography: a systematic review and meta-analysis of diagnostic performance. Radiology. 2022;302(3):568-81.

Uematsu T. Sensitivity and specificity of screening mammography without clinical breast examination among Japanese women aged 40–49 years: analysis of data from the J-START results. Breast Cancer. 2022;29(5):928-31.

Coffey K, Jochelson MS. Contrast-enhanced mammography in breast cancer screening. European journal of radiology. 2022;156:110513.

Pediconi F, Speranza A, Moffa G, Maroncelli R, Coppola S, Galati F, et al. Contrast-enhanced mammography for breast cancer detection and diagnosis with high concentration iodinated contrast medium. Insights into Imaging. 2025;16(1):1-11.

Park JM, Franken Jr EA, Garg M, Fajardo LL, Niklason LT. Breast tomosynthesis: present considerations and future applications. Radiographics. 2007;27(suppl_1):S231-S40.

Goodsitt MM, Maidment AD. Evolution of tomosynthesis. Journal of Medical Imaging. 2025;12(S1):S13012-S.

Taşkın F. Dijital meme tomosentezi ve kontrastlı mamografi. Türk radyoloji seminerleri. 2014;2:182-91.

Heindel W, Weigel S, Gerß J, Hense H-W, Sommer A, Krischke M, et al. Digital breast tomosynthesis plus synthesised mammography versus digital screening mammography for the detection of invasive breast cancer (TOSYMA): a multicentre, open-label, randomised, controlled, superiority trial. The Lancet Oncology. 2022;23(5):601-11.

Hooley RJ, Scoutt LM, Philpotts LE. Breast ultrasonography: state of the art. Radiology. 2013;268(3):642-59.

Hashimoto BE, Morgan GN, Kramer DJ, Lee M. Systematic approach to difficult problems in breast sonography. Ultrasound quarterly. 2008;24(1):31-8.

Jiang K, Ma C, Yang Y, McKevitt E, Pao J-S, Warburton R, et al. Axillary ultrasonography for early-stage invasive breast cancer. The American Journal of Surgery. 2024;231:86-90.

Brem RF, Tabár L, Duffy SW, Inciardi MF, Guingrich JA, Hashimoto BE, et al. Assessing improvement in detection of breast cancer with three-dimensional automated breast US in women with dense breast tissue: the SomoInsight Study. Radiology. 2015;274(3):663-73.

Shin HJ, Kim HH, Cha JH. Current status of automated breast ultrasonography. Ultrasonography. 2015;34(3):165.

Edelman RR. The history of MR imaging as seen through the pages of radiology. Radiology. 2014;273(2S):S181-S200.

Schneider BP, Miller KD. Angiogenesis of breast cancer. Journal of Clinical Oncology. 2005;23(8):1782-90.

Dorrius MD, Dijkstra H, Oudkerk M, Sijens PE. Effect of b value and pre-admission of contrast on diagnostic accuracy of 1.5-T breast DWI: a systematic review and meta-analysis. European radiology. 2014;24:2835-47.

Zhang L, Tang M, Min Z, Lu J, Lei X, Zhang X. Accuracy of combined dynamic contrast-enhanced magnetic resonance imaging and diffusion-weighted imaging for breast cancer detection: a meta-analysis. Acta radiologica. 2016;57(6):651-60.

Giess CS, Yeh ED, Raza S, Birdwell RL. Background parenchymal enhancement at breast MR imaging: normal patterns, diagnostic challenges, and potential for false-positive and false-negative interpretation. Radiographics. 2014;34(1):234-47.

Baltzer PA, Benndorf M, Dietzel M, Gajda M, Runnebaum IB, Kaiser WA. False-positive findings at contrast-enhanced breast MRI: a BI-RADS descriptor study. American Journal of Roentgenology. 2010;194(6):1658-63.

Ryu J, Park HS, Kim S, Kim JY, Park S, Kim SI. Preoperative magnetic resonance imaging and survival outcomes in T1–2 breast cancer patients who receive breast-conserving therapy. Journal of Breast Cancer. 2016;19(4):423-8.

Verkooijen H, Peeters P, Buskens E, Koot V, Rinkes I, Mali W, et al. Diagnostic accuracy of large-core needle biopsy for nonpalpable breast disease: a meta-analysis. British journal of cancer. 2000;82(5):1017-21.

Kettritz U, Rotter K, Schreer I, Murauer M, Schulz-Wendtland R, Peter D, et al. Stereotactic vacuum-assisted breast biopsy (VB) in 2874 patients: a multicenter study. European Journal of Cancer Supplements. 2004;2(3):88.

Catelli A, Santoro A, Antignani E, Venetucci P, Minelli S. SAFETY AND EFFICACY OF US-GUIDED BREAST BIOPSIES WITH 16 G NEEDLE. Euromediterranean Biomedical Journal. 2021;16.

Sayfalar

29-36

Yayınlanan

10 Kasım 2026

Lisans

Lisans