The value of breast palpation imaging in breast cancer screening_CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Authors：

QU Fan , HE Xiaoliang , LAI Yuzhou ,  TIAN Chao

Department of Breast Surgery, Sichuan Cancer Hospital & Institute; Affiliated Cancer Hospital of University of Electronic Science and Technology of China, Chengdu 610042, P. R. China;

Corresponding author：

TIAN Chao, Email: petrichor8293@163.com

Keywords：

breast cancer; palpation imaging; clinical breast examination; mammography; breast ultrasound

DOI：

10.7507/1007-9424.202209101

Video：

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Abstract Full text Figures/Tables Video References Cited by

Objective To describe the role of breast palpation imaging (PI) in breast cancer screening. Method We searched the latest research and previous literatures of PI in the diagnosis of breast cancers, and made an review after reading the articles. Results PI had better diagnostic efficiency than clinical breast examination (CBE) in breast cancer screening. PI combined with mammography (MG) and/or breast ultrasound (BUS) could further improve the diagnostic efficiency. Conclusion PI has important value in breast cancer screening, and is an important supplement to existing breast cancer screening methods.

Citation： QU Fan, HE Xiaoliang, LAI Yuzhou, TIAN Chao. The value of breast palpation imaging in breast cancer screening. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2023, 30(3): 353-357. doi: 10.7507/1007-9424.202209101 Copy

1.	Sung H, Ferlay J, Siegel RL, et al. Global cancer statistics 2020: GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries. CA Cancer J Clin, 2021, 71(3): 209-249.
2.	孙可欣, 郑荣寿, 顾秀瑛, 等. 2000—2014年中国肿瘤登记地区女性乳腺癌发病趋势及年龄变化情况分析. 中华预防医学杂志, 2018, 52(6): 567-572.
3.	沈松杰, 孙强. 制定中国女性乳腺癌筛查指南的意义. 中国研究型医院, 2022, 9(2): 23-27.
4.	von Euler-Chelpin M, Lillholm M, Vejborg I, et al. Sensitivity of screening mammography by density and texture: a cohort study from a population-based screening program in Denmark. Breast Cancer Res, 2019, 21(1): 111. doi: 10.1186/s13058-019-1203-3.
5.	赫捷, 陈万青, 李霓, 等. 中国女性乳腺癌筛查与早诊早治指南(2021, 北京). 中华肿瘤杂志, 2021, 43(4): 357-382.
6.	张敏璐, 彭鹏, 吴春晓, 等. 2008–2012年中国肿瘤登记地区女性乳腺癌发病和死亡分析. 中华肿瘤杂志, 2019, 41(4): 315-320.
7.	刘慧杰, 刘迪. 超声乳腺影像报告和数据系统分级在筛查社区女性乳腺癌中的应用. 当代医学, 2022, 28(11): 152-154.
8.	孙鑫, 韩优莉, 王乐, 等. 超声检查用于亚洲女性乳腺癌筛查卫生经济学研究的系统评价. 中国肿瘤, 2018, 27(7): 553-560.
9.	中国抗癌协会乳腺癌专业委员会. 中国乳腺癌筛查与早期诊断指南. 中国癌症杂志, 2022, 32(4): 363-372.
10.	Kiely BE, Goodwin A. Is it time to abandon clinical breast examination? Med J Aust, 2021, 215(10): 458-459.
11.	Egorov V, Sarvazyan AP. Mechanical imaging of the breast. IEEE Trans Med Imaging, 2008, 27(9): 1275-1287.
12.	Ding Y, Sun C, Zhou Q, et al. Use of palpation imaging in diagnosis of breast diseases: A way to improve the detection rate. Med Sci Monit, 2020, 26: e927553. doi: 10.12659/MSM.927553.
13.	Romanoff A, Constant TH, Johnson KM, et al. Association of previous clinical breast examination with reduced delays and earlier-stage breast cancer diagnosis among women in peru. JAMA Oncol, 2017, 3(11): 1563-1567.
14.	Mittra I, Mishra GA, Dikshit RP, et al. Effect of screening by clinical breast examination on breast cancer incidence and mortality after 20 years: prospective, cluster randomised controlled trial in Mumbai. BMJ, 2021, 372: n256. doi: 10.1136/bmj.n256.
15.	Malmartel A, Tron A, Caulliez S. Accuracy of clinical breast examination's abnormalities for breast cancer screening: cross-sectional study. Eur J Obstet Gynecol Reprod Biol, 2019, 237: 1-6.
16.	NCCN. Breast cancer screening and diagnosis. (version 2022). https://www.nccn.org/patients/guidelines/content/PDF/breastcancerscreening-patient.pdf.
17.	Committee on Practice Bulletins—Gynecology. Practice bulletin number 179: breast cancer risk assessment and screening in average-risk women. Obstet Gynecol, 2017, 130(1): e1-e16. doi: 10.1097/AOG.0000000000002158.
18.	沈松杰, 孙强, 黄欣, 等. 中国女性乳腺癌筛查指南(2022年版). 中国研究型医院, 2022, 9(2): 6-13.
19.	周星彤, 沈松杰, 孙强. 中国乳腺癌筛查现状及进展. 中国医学前沿杂志(电子版), 2020, 12(3): 6-11.
20.	Kaufman CS, Jacobson L, Bachman BA, et al. Digital documentation of the physical examination: moving the clinical breast exam to the electronic medical record. Am J Surg, 2006, 192(4): 444-449.
21.	Tasoulis MK, Zacharioudakis KE, Dimopoulos NG, et al. Diagnostic accuracy of tactile imaging in selecting patients with palpable breast abnormalities: a prospective comparative study. Breast Cancer Res Treat, 2014, 147(3): 589-598.
22.	盖小荣, 王振捷, 王健, 等. 触诊成像系统在乳腺疾病健康筛查中的应用研究. 中华健康管理学杂志, 2013, 7(6): 398-401.
23.	顾玉芳, 李国远. 乳腺触诊成像系统在乳腺疾病早期筛查中的应用分析. 中国初级卫生保健, 2022, 36(4): 77-79.
24.	Tabár L, Fagerberg CJ, Gad A, et al. Reduction in mortality from breast cancer after mass screening with mammography. Randomised trial from the Breast Cancer Screening Working Group of the Swedish National Board of Health and Welfare. Lancet, 1985, 1(8433): 829-832.
25.	Nyström L, Andersson I, Bjurstam N, et al. Long-term effects of mammography screening: updated overview of the Swedish randomised trials. Lancet, 2002, 359(9310): 909-919.
26.	梅霞, 卞方云, 谢雯. 数字乳腺断层融合X线成像技术在乳腺癌诊断中的应用价值. 影像研究与医学应用, 2022, 6(6): 175-177.
27.	Bahl M, Gaffney S, McCarthy AM, et al. Breast cancer characteristics associated with 2d digital mammography versus digital breast tomosynthesis for screening-detected and interval cancers. Radiology, 2018, 287(1): 49-57.
28.	Alabousi M, Wadera A, Kashif Al-Ghita M, et al. Performance of digital breast tomosynthesis, synthetic mammography, and digital mammography in breast cancer screening: A systematic review and meta-analysis. J Natl Cancer Inst, 2021, 113(6): 680-690.
29.	Conant EF, Beaber EF, Sprague BL, et al. Breast cancer screening using tomosynthesis in combination with digital mammography compared to digital mammography alone: a cohort study within the PROSPR consortium. Breast Cancer Res Treat, 2016, 156(1): 109-116.
30.	Hofvind S, Hovda T, Holen ÅS, et al. Digital Breast tomosynthesis and synthetic 2d mammography versus digital mammography: evaluation in a population-based screening program. Radiology, 2018, 287(3): 787-794.
31.	李军, 徐阿巧, 单秧女, 等. 数字乳腺断层融合技术的辐射剂量分析. 浙江创伤外科, 2021, 26(1): 3-5.
32.	李琪, 王慧, 闫赟. 数字乳腺断层融合成像技术对乳腺癌诊断价值的分析. 影像研究与医学应用, 2020, 4(10): 107-109.
33.	位寒, 刘鸿利, 王思奇, 等. 数字乳腺三维断层摄影及全数字化乳腺摄影对乳腺疾病诊断价值对比的初步研究. 临床放射学杂志, 2019, 38(1): 171-176.
34.	BI-RADS 5th edition. https://www.acr.org/Clinical-Resources/ Reporting-and-Data- Systems/Bi-Rads. Date accessed: January 5, 2023.
35.	闫晔. 中国女性乳腺腺体密度分布及其影响因素的研究. 天津医科大学, 2014.
36.	唐艳艳. 基于成本-效果评价的我国农村妇女乳腺癌筛查策略优化研究. 华中科技大学, 2019.
37.	吴佳毅, 陈伟国, 梅章懿, 等. 乳腺触觉成像诊断乳腺疾病临床价值研究. 中国实用外科杂志, 2012, 32(5): 390-394.
38.	Hooley RJ, Greenberg KL, Stackhouse RM, et al. Screening US in patients with mammographically dense breasts: initial experience with Connecticut Public Act 09-41. Radiology, 2012, 265(1): 59-69.
39.	Teh W, Wilson AR. The role of ultrasound in breast cancer screening. A consensus statement by the European Group for Breast Cancer Screening. Eur J Cancer, 1998, 34(4): 449-450.
40.	Shen S, Zhou Y, Xu Y, et al. A multi-centre randomised trial comparing ultrasound vs mammography for screening breast cancer in high-risk Chinese women. Br J Cancer, 2015, 112(6): 998-1004.
41.	徐颖. 基于乳腺癌高危因素及风险分级的北京地区女性乳腺癌筛查方案优化研究. 北京协和医学院, 2021.
42.	谭旸, 张煜, 张诚. 可视化触诊和超声对触诊阴性乳腺病灶的诊断价值. 中国医学装备, 2014, 11(S2): 90-91.
43.	逯超, 黄俊魁, 尹传昌, 等. 乳腺可视化电子触觉成像诊断系统在女性乳腺肿块早期诊断中的应用价值. 中国妇幼保健, 2013, 28(24): 4045-4047.
44.	Zheng R, Zhang S, Zeng H, et al. Cancer incidence and mortality in China, 2016. J Natl Cancer Cent, 2022, 2(1): 1-9.
45.	Lei S, Zheng R, Zhang S, et al. Breast cancer incidence and mortality in women in China: temporal trends and projections to 2030. Cancer Biol Med, 2021, 18(3): 900-909.
46.	Wellman PS, Dalton EP, Krag D, et al. Tactile imaging of breast masses: first clinical report. Arch Surg, 2001, 136(2): 204-208.
47.	瞿亚军, 吕青. 我国乳腺癌预防若干问题的思考. 中国普外基础与临床杂志, 2020, 27(11): 1334-1339.
48.	赵亚男. Sure Touch在乳腺疾病诊断上临床应用价值的研究. 吉林大学, 2011.

1. Sung H, Ferlay J, Siegel RL, et al. Global cancer statistics 2020: GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries. CA Cancer J Clin, 2021, 71(3): 209-249.
2. 孙可欣, 郑荣寿, 顾秀瑛, 等. 2000—2014年中国肿瘤登记地区女性乳腺癌发病趋势及年龄变化情况分析. 中华预防医学杂志, 2018, 52(6): 567-572.
3. 沈松杰, 孙强. 制定中国女性乳腺癌筛查指南的意义. 中国研究型医院, 2022, 9(2): 23-27.
4. von Euler-Chelpin M, Lillholm M, Vejborg I, et al. Sensitivity of screening mammography by density and texture: a cohort study from a population-based screening program in Denmark. Breast Cancer Res, 2019, 21(1): 111. doi: 10.1186/s13058-019-1203-3.
5. 赫捷, 陈万青, 李霓, 等. 中国女性乳腺癌筛查与早诊早治指南(2021, 北京). 中华肿瘤杂志, 2021, 43(4): 357-382.
6. 张敏璐, 彭鹏, 吴春晓, 等. 2008–2012年中国肿瘤登记地区女性乳腺癌发病和死亡分析. 中华肿瘤杂志, 2019, 41(4): 315-320.
7. 刘慧杰, 刘迪. 超声乳腺影像报告和数据系统分级在筛查社区女性乳腺癌中的应用. 当代医学, 2022, 28(11): 152-154.
8. 孙鑫, 韩优莉, 王乐, 等. 超声检查用于亚洲女性乳腺癌筛查卫生经济学研究的系统评价. 中国肿瘤, 2018, 27(7): 553-560.
9. 中国抗癌协会乳腺癌专业委员会. 中国乳腺癌筛查与早期诊断指南. 中国癌症杂志, 2022, 32(4): 363-372.
10. Kiely BE, Goodwin A. Is it time to abandon clinical breast examination? Med J Aust, 2021, 215(10): 458-459.
11. Egorov V, Sarvazyan AP. Mechanical imaging of the breast. IEEE Trans Med Imaging, 2008, 27(9): 1275-1287.
12. Ding Y, Sun C, Zhou Q, et al. Use of palpation imaging in diagnosis of breast diseases: A way to improve the detection rate. Med Sci Monit, 2020, 26: e927553. doi: 10.12659/MSM.927553.
13. Romanoff A, Constant TH, Johnson KM, et al. Association of previous clinical breast examination with reduced delays and earlier-stage breast cancer diagnosis among women in peru. JAMA Oncol, 2017, 3(11): 1563-1567.
14. Mittra I, Mishra GA, Dikshit RP, et al. Effect of screening by clinical breast examination on breast cancer incidence and mortality after 20 years: prospective, cluster randomised controlled trial in Mumbai. BMJ, 2021, 372: n256. doi: 10.1136/bmj.n256.
15. Malmartel A, Tron A, Caulliez S. Accuracy of clinical breast examination's abnormalities for breast cancer screening: cross-sectional study. Eur J Obstet Gynecol Reprod Biol, 2019, 237: 1-6.
16. NCCN. Breast cancer screening and diagnosis. (version 2022). https://www.nccn.org/patients/guidelines/content/PDF/breastcancerscreening-patient.pdf.
17. Committee on Practice Bulletins—Gynecology. Practice bulletin number 179: breast cancer risk assessment and screening in average-risk women. Obstet Gynecol, 2017, 130(1): e1-e16. doi: 10.1097/AOG.0000000000002158.
18. 沈松杰, 孙强, 黄欣, 等. 中国女性乳腺癌筛查指南(2022年版). 中国研究型医院, 2022, 9(2): 6-13.
19. 周星彤, 沈松杰, 孙强. 中国乳腺癌筛查现状及进展. 中国医学前沿杂志(电子版), 2020, 12(3): 6-11.
20. Kaufman CS, Jacobson L, Bachman BA, et al. Digital documentation of the physical examination: moving the clinical breast exam to the electronic medical record. Am J Surg, 2006, 192(4): 444-449.
21. Tasoulis MK, Zacharioudakis KE, Dimopoulos NG, et al. Diagnostic accuracy of tactile imaging in selecting patients with palpable breast abnormalities: a prospective comparative study. Breast Cancer Res Treat, 2014, 147(3): 589-598.
22. 盖小荣, 王振捷, 王健, 等. 触诊成像系统在乳腺疾病健康筛查中的应用研究. 中华健康管理学杂志, 2013, 7(6): 398-401.
23. 顾玉芳, 李国远. 乳腺触诊成像系统在乳腺疾病早期筛查中的应用分析. 中国初级卫生保健, 2022, 36(4): 77-79.
24. Tabár L, Fagerberg CJ, Gad A, et al. Reduction in mortality from breast cancer after mass screening with mammography. Randomised trial from the Breast Cancer Screening Working Group of the Swedish National Board of Health and Welfare. Lancet, 1985, 1(8433): 829-832.
25. Nyström L, Andersson I, Bjurstam N, et al. Long-term effects of mammography screening: updated overview of the Swedish randomised trials. Lancet, 2002, 359(9310): 909-919.
26. 梅霞, 卞方云, 谢雯. 数字乳腺断层融合X线成像技术在乳腺癌诊断中的应用价值. 影像研究与医学应用, 2022, 6(6): 175-177.
27. Bahl M, Gaffney S, McCarthy AM, et al. Breast cancer characteristics associated with 2d digital mammography versus digital breast tomosynthesis for screening-detected and interval cancers. Radiology, 2018, 287(1): 49-57.
28. Alabousi M, Wadera A, Kashif Al-Ghita M, et al. Performance of digital breast tomosynthesis, synthetic mammography, and digital mammography in breast cancer screening: A systematic review and meta-analysis. J Natl Cancer Inst, 2021, 113(6): 680-690.
29. Conant EF, Beaber EF, Sprague BL, et al. Breast cancer screening using tomosynthesis in combination with digital mammography compared to digital mammography alone: a cohort study within the PROSPR consortium. Breast Cancer Res Treat, 2016, 156(1): 109-116.
30. Hofvind S, Hovda T, Holen ÅS, et al. Digital Breast tomosynthesis and synthetic 2d mammography versus digital mammography: evaluation in a population-based screening program. Radiology, 2018, 287(3): 787-794.
31. 李军, 徐阿巧, 单秧女, 等. 数字乳腺断层融合技术的辐射剂量分析. 浙江创伤外科, 2021, 26(1): 3-5.
32. 李琪, 王慧, 闫赟. 数字乳腺断层融合成像技术对乳腺癌诊断价值的分析. 影像研究与医学应用, 2020, 4(10): 107-109.
33. 位寒, 刘鸿利, 王思奇, 等. 数字乳腺三维断层摄影及全数字化乳腺摄影对乳腺疾病诊断价值对比的初步研究. 临床放射学杂志, 2019, 38(1): 171-176.
34. BI-RADS 5th edition. https://www.acr.org/Clinical-Resources/ Reporting-and-Data- Systems/Bi-Rads. Date accessed: January 5, 2023.
35. 闫晔. 中国女性乳腺腺体密度分布及其影响因素的研究. 天津医科大学, 2014.
36. 唐艳艳. 基于成本-效果评价的我国农村妇女乳腺癌筛查策略优化研究. 华中科技大学, 2019.
37. 吴佳毅, 陈伟国, 梅章懿, 等. 乳腺触觉成像诊断乳腺疾病临床价值研究. 中国实用外科杂志, 2012, 32(5): 390-394.
38. Hooley RJ, Greenberg KL, Stackhouse RM, et al. Screening US in patients with mammographically dense breasts: initial experience with Connecticut Public Act 09-41. Radiology, 2012, 265(1): 59-69.
39. Teh W, Wilson AR. The role of ultrasound in breast cancer screening. A consensus statement by the European Group for Breast Cancer Screening. Eur J Cancer, 1998, 34(4): 449-450.
40. Shen S, Zhou Y, Xu Y, et al. A multi-centre randomised trial comparing ultrasound vs mammography for screening breast cancer in high-risk Chinese women. Br J Cancer, 2015, 112(6): 998-1004.
41. 徐颖. 基于乳腺癌高危因素及风险分级的北京地区女性乳腺癌筛查方案优化研究. 北京协和医学院, 2021.
42. 谭旸, 张煜, 张诚. 可视化触诊和超声对触诊阴性乳腺病灶的诊断价值. 中国医学装备, 2014, 11(S2): 90-91.
43. 逯超, 黄俊魁, 尹传昌, 等. 乳腺可视化电子触觉成像诊断系统在女性乳腺肿块早期诊断中的应用价值. 中国妇幼保健, 2013, 28(24): 4045-4047.
44. Zheng R, Zhang S, Zeng H, et al. Cancer incidence and mortality in China, 2016. J Natl Cancer Cent, 2022, 2(1): 1-9.
45. Lei S, Zheng R, Zhang S, et al. Breast cancer incidence and mortality in women in China: temporal trends and projections to 2030. Cancer Biol Med, 2021, 18(3): 900-909.
46. Wellman PS, Dalton EP, Krag D, et al. Tactile imaging of breast masses: first clinical report. Arch Surg, 2001, 136(2): 204-208.
47. 瞿亚军, 吕青. 我国乳腺癌预防若干问题的思考. 中国普外基础与临床杂志, 2020, 27(11): 1334-1339.
48. 赵亚男. Sure Touch在乳腺疾病诊断上临床应用价值的研究. 吉林大学, 2011.

CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

The value of breast palpation imaging in breast cancer screening

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