Advances in breast cancer risk modeling: integrating clinics, imaging, pathology and artificial intelligence for personalized risk assessment

被引:5
|
作者
Pesapane, Filippo [1 ]
Battaglia, Ottavia [2 ]
Pellegrino, Giuseppe [2 ]
Mangione, Elisa [3 ,4 ]
Petitto, Salvatore [5 ]
Del Fiol Manna, Eliza [6 ]
Cazzaniga, Laura [6 ,7 ]
Nicosia, Luca [1 ]
Lazzeroni, Matteo [6 ]
Corso, Giovanni [5 ,8 ,9 ]
Fusco, Nicola [3 ,8 ]
Cassano, Enrico [1 ]
机构
[1] IEO European Inst Oncol IRCCS, Breast Imaging Div, I-20141 Milan, Italy
[2] Univ Milan, Postgrad Sch Radiodiagnost, I-20141 Milan, Italy
[3] IEO European Inst Oncol IRCCS, Div Pathol, I-20141 Milan, Italy
[4] Univ Milan, Sch Pathol, I-20141 Milan, Italy
[5] IEO European Inst Oncol, Div Breast Surg, IRCCS, I-20141 Milan, Italy
[6] IEO European Inst Oncol IRCCS, Div Canc Prevent & Genet, I-20141 Milan, Italy
[7] Univ Milan, Dept Hlth Sci, Med Genet, I-20142 Milan, Italy
[8] Univ Milan, Dept Oncol & Hematooncol, I-20141 Milan, Italy
[9] European Canc Prevent Org ECP, I-20141 Milan, Italy
关键词
breast; imaging; pathology; risk factors; screening; women's health; CARCINOMA IN-SITU; ASSOCIATION; VARIANTS; RECLASSIFICATION; MAMMOGRAPHY; BIOMARKERS; GUIDELINES; GENETICS; NOMOGRAM; MUTATION;
D O I
10.2217/fon-2023-0365
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
Breast cancer risk models represent the likelihood of developing breast cancer based on risk factors. They enable personalized interventions to improve screening programs. Radiologists identify mammographic density as a significant risk factor and test new imaging techniques. Pathologists provide data for risk assessment. Clinicians conduct individual risk assessments and adopt prevention strategies for high-risk subjects. Tumor genetic testing guides personalized screening and treatment decisions. Artificial intelligence (AI) in mammography integrates imaging, clinical, genetic and pathological data to develop risk models. Emerging imaging technologies, genetic testing and molecular profiling improve risk model accuracy. The complexity of the disease, limited data availability and model inputs are discussed. A multidisciplinary approach is essential for earlier detection and improved outcomes.
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页码:2547 / 2564
页数:18
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