Magnetic resonance imaging in screening women at high risk of breast cancer: A meta-analysis

被引：11

作者：

Ding, Wu ^{[1
,2
]}

Fan, Zaiwei ^{[2
]}

Xu, Yuehuai ^{[2
]}

Wei, Chunshou ^{[1
]}

Li, Zhian ^{[1
]}

Lin, Yingli ^{[3
]}

Zhu, Jianming ^{[1
]}

Ruan, Guodong ^{[1
,4
]}

机构：

[1] Shaoxing Second Hosp, Dept Oncol Surg, Shaoxing, Peoples R China

[2] Shaoxing Univ, Sch Med, Dept Clin Med, Shaoxing, Peoples R China

[3] Shaoxing Vocat & Tech Coll, Dept Early Childhood Educ, Shaoxing, Peoples R China

[4] Shaoxing Second Hosp, Dept Oncol Surg, Shaoxing 312000, Zhejiang, Peoples R China

来源：

MEDICINE | 2023年 / 102卷 / 10期

关键词：

breast cancer; mammography; magnetic resonance imaging; meta-analysis; PROSPECTIVE MULTICENTER COHORT; MUTATION CARRIERS; FAMILIAL RISK; MAMMOGRAPHY; MRI; RECOMMENDATIONS; ULTRASOUND;

D O I：

10.1097/MD.0000000000033146

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Background:Magnetic resonance imaging (MRI) is more accurate than mammography in screening for breast cancer. Exposure to ionizing radiation from repeated diagnostic X-rays may be a cause of breast cancer. Methods:We conducted systematic searches on PubMed, Cochrane and Embase to identify studies on women who underwent mammography or MRI screening. A meta-analysis was performed to compare the detection rate of breast cancer by mammography, MRI or both. Results:A total of 18 diagnostic publications were identified and included in the meta-analysis. Among the 1000 screened women, MRI alone increased the detection rate of breast cancer by 8 compared with mammography alone (RR 0.48, 95% CI 0.42-0.54), and MRI plus mammography increased the detection rate of breast cancer by 1 compared with MRI alone (RR 0.86, 95% CI 0.78-0.96). Subgroup analysis demonstrated that the diagnostic efficacy of MRI plus mammography in breast was obviously better than that of MRI alone or mammography alone. Conclusions:Screening with MRI alone might be the best choice for women at high risk of breast cancer.

引用

页数：10

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