Mamografi dan ultrasonografi (USG) payudara dapat berperan untuk deteksi dini kanker payudara. Selain untuk deteksi dini, modalitas radiologi juga digunakan untuk menilai perluasan/metastasis kanker payudara. Namun, seringkali timbul pertanyaan, pemeriksaan radiologi manakah yang lebih baik ketika dokter mengarah diagnosis kanker payudara. Artikel ini diharapkan dapat menjawab pertanyaan tersebut.[1-3]
Modalitas untuk Breast Imaging
Secara garis besar, modalitas untuk breast imaging adalah mamografi, ultrasonografi (USG), magnetic resonance imaging (MRI), gamma radiation (nuclear medicine), dan non-ionizing radiation. Namun, di Indonesia umumnya menggunakan mamografi, USG, dan MRI. Pemeriksaan breast MRI dipercaya akan lebih akurat, tetapi ketersediaan MRI terbatas dan biaya yang mahal.[1,4]
(Konten ini khusus untuk dokter. Registrasi untuk baca selengkapnya)
Referensi
1. Prasad SN, Houserkova D. The role of various modalities in breast imaging. Biomed Pap Med Fac Univ Palacky Olomouc Czech Repub. 2007 Dec;151(2):209-18.
2. Iranmakani S, Mortezazadeh T, et al. A review of various modalities in breast imaging: technical aspects and clinical outcomes. Egyptian Journal of Radiology and Nuclear Medicine. 2020; 51:57.
3. Kalli S, Samine A, et al. American joint committee on cancer’s staging system for breast cancer, eight edition: what the Radiologist needs to know. RSNA. RadioGraphics 2018; 38:1921-1933.
4. Ha SM, Chang JM, et al. Detection of contralateral breast cancer using diffusion-weighted Magnetic Resonance Imaging in women with newly diagnosed breast cancer: comparison with combined mammography and whole-breast ultrasound. Korean Journal of Radiology. 2021 Jun; 22(6):867-879.
5. Lee JM, Ichikawa LE, et al. Impact of Surveillance Mammography Intervals Less Than One Year on Performance Measures in Women With a Personal History of Breast Cancer. Korean journal of Radiology. 2023;24(8):729-738.
6. Pesce K, Orruma MB, et al. BI-RADS Terminology for Mammography Reports: What Residents Need to Know. RSNA. RadioGraphics 2019; 39:319–320.
7. Ohnuki K, Tohno E, et al. Overall assessment system of combined mammography and ultrasound for breast cancer screening in Japan. Springer. Breast Cancer (2021) 28:254–262.
8. Pereira RdO, Luz LAD, et al. Evaluation of the accuracy of mammography, ultrasound and magnetic resonance imaging in suspect breast lesions. Elsevier. Clinics 2020 Feb;75:e1805.
9. Wang Y, Li Y, et al. Comparison of ultrasound and mammography for early diagnosis of breast cancer among Chinese women with suspected breast lesions: A prospective trial. Thoracic Cancer. 2022 Nov; 13(22): 3145–3151.
10. Aurora H, Yueniwati Y. Mammographic and Sonographic Findings in Breast Cancer Screening. International journal of radiology and imaging. 2022 Jun: 27-32.
11. Ian TWM, Tan EY, ChotaiN. Role of mammogram and ultrasound imaging in predicting breast cancer subtypes in screening and symptomatic patients. 2021 Sep; 12(9): 808-822.
12. Pathanasethpong P, Nawapun S, et al. The diagnostic accuracy of mammography and ultrasonography for recurrent breast cancer after breast conserving treatment. European Journal of Radiology open. 2023 August.
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