CAR乳腺影像与介入实践指南:乳腺超声
该指南为加拿大放射科协会(CAR)乳腺影像与介入实践指南第三部分,聚焦乳腺超声,涵盖诊断、补充筛查和介入角色,包括临床指征、设备技术、腋窝评估、文档记录、BI-RADS结构化报告、质量保证和人员资质,涉及手持与自动全乳腺超声技术。指南强调多模态关联、及时诊断评估及超声在整体乳腺影像路径中的合理整合,为共识性最佳实践与最低标准,需结合该系列其他部分及转诊指南使用。
要点
- 乳腺超声应用涵盖诊断、补充筛查和介入操作,需结合多模态影像综合判断。
- 推荐使用BI-RADS进行结构化报告,并关注腋窝评估与文档记录规范。
- 手持与自动全乳腺超声技术均需注意设备性能、技术操作及质量保证。
英文原文(摘要)· 点击展开
This guideline presents Part III of the Canadian Association of Radiologists (CAR) Practice Guidelines on Breast Imaging and Intervention and focuses on breast ultrasound. Recommendations address the diagnostic, supplemental screening, and interventional roles of ultrasound in contemporary breast imaging practice. Topics include clinical indications, equipment and technical performance, axillary assessment, documentation, structured reporting using BI-RADS®, quality assurance, and personnel qualifications, with attention to both handheld and automated whole-breast ultrasound techniques. This guideline emphasizes the importance of multimodality correlation, timely diagnostic assessment, and appropriate integration of ultrasound into the overall breast imaging pathway. It is intended to be used in conjunction with the other components of the CAR Breast Practice Guidelines series and complements the CAR Breast Disease Imaging Referral Guidelines. While outlining consensus-based best practices and minimum standards, this guideline acknowledges that local expertise, patient characteristics, and resource availability may influence implementation, with final responsibility for interpretation and management decisions resting with the radiologist.
引用
- Fienberg S, Crivellaro PS, Fleming R, et al. CAR Practice Guidelines on Breast Imaging and Interventions: Breast Ultrasound. Can Assoc Radiol J. 2026. PMID: 42198835. doi:10.1177/08465371261451256
供执业医师工作参考,不替代临床判断;数值与分级以指南原文为准。