MAMOGRAFIJA SA INTRAVENSKOM PRIMENOM KONTRASTNOG SREDSTVA KAO NOVI STANDARD BRIGE O ZDRAVLJU DOJKE
Sažetak
Kontrastna mamografija (KM) (eng. Contrast-enhanced mammography - CEM) postaje sve više prisutna metoda u dijagnostici karcinoma dojke tokom poslednjih nekoliko decenija, a posebno tokom poslednjih nekoliko godina. Sve je više dokaza o visokoj dijagnostičkoj efektivnosti i senzitivnosti KM u otkrivanju karcinoma dojke. Takođe, nova istraživanja pokazuju sličnost u efektivnosti i senzitivnosti KM u poređenju sa magnetnom rezonancom (MR), uz manje slučajeva lažno pozitivnih rezultata. Kako se primena KM sve više širi, od potencijalne njene primene u skriningu kod žena sa gustim tkivom dojke do određivanja stadijuma maligniteta dojke, sve je više neophodna dobra upućenost u ovu metodu i njenu implementaciju. Ovim preglednim radom biće sagledan značaj KM kako za skrining, tako i za dijagnostičku proceduru, sa posebnim akcentom na sagledavanje njenih prednosti i nedostataka u odnosu na ultrazvuk, standardnu mamografiju i MR.
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