指南与共识乳腺MR

加拿大放射科医师协会乳腺影像与介入实践指南:乳腺磁共振成像

CAR Practice Guidelines on Breast Imaging and Interventions: Breast Magnetic Resonance Imaging.
指南 / 共识 · Can Assoc Radiol J · 2026-05-26

该指南为加拿大放射科医师协会乳腺影像与介入实践指南第四部分,专门针对乳腺磁共振成像(MRI)。指南更新了MRI在筛查、分期、问题解决和治疗监测中的适应证、技术要求、对比剂使用、报告标准、质量保证、患者安全及MRI引导介入的设施准备等推荐,强调双侧成像协议、多模态相关性和多学科乳腺护理整合,旨在与系列其他部分共同替代2016年综合指南。

要点

  • 乳腺MRI是乳腺癌检测最敏感的影像 modality,适用于筛查、分期、问题解决和治疗监测。
  • 指南强调双侧成像协议和多模态相关性,报告需遵循标准化标准。
  • MRI引导介入需确保设施准备、患者安全和质量保证。

局限性

  • 指南强调应用灵活性,需根据患者因素、可用资源和不断发展的知识调整,临床判断由主管放射科医师负责。

以上解读依据论文摘要(全文未开放获取或许可不允许翻译转载)。

英文原文(摘要)· 点击展开

This guideline presents Part IV of the Canadian Association of Radiologists (CAR) Practice Guidelines on Breast Imaging and Intervention and addresses breast magnetic resonance imaging (MRI). As the most sensitive imaging modality for breast cancer detection, MRI plays an established and expanding role in screening, staging, problem-solving, and treatment monitoring. This guideline provides updated recommendations on indications, technical requirements, contrast administration, reporting standards, quality assurance, patient safety, and facility readiness for MRI-guided intervention. Emphasis is placed on bilateral imaging protocols, multimodality correlation, and integration within multidisciplinary breast care. This guideline is intended to be used alongside the other components of the CAR Breast Practice Guidelines series, which collectively replace the 2016 consolidated guidelines and reflecting current evidence and clinical practice in Canada. While defining best practices and minimum expectations, this guideline supports flexibility in application based on patient factors, available resources, and evolving knowledge, with clinical judgment remaining the responsibility of the supervising radiologist.

来源:Can Assoc Radiol J,查看原文。版权归原作者所有。

引用

  1. Flegg C, Crivellaro PS, Fleming R, et al. CAR Practice Guidelines on Breast Imaging and Interventions: Breast Magnetic Resonance Imaging. Can Assoc Radiol J. 2026. PMID: 42198826. doi:10.1177/08465371261451249

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。