Opportunities and challenges of digital world of multimodal interventional breast radiology (review)

Abstract

The article presents the evolution of the introduction of digital technologies into the oncomammoscreening system, multimodal technologies of interventional radiology, statistics on the growth of malignant breast neoplasms in the world and Russia, shows the advantages of digitalization of radiology, interdisciplinary integration with omix systems biology technologies, which contributes to the development of a new direction of radiogenomics, and also points out the existing problems of introducing the latest technologies of interventional radiology, the need to prepare multimodal specialists. The purpose of the study . To show the possibilities of modern digital radiological non-invasive and invasive technologies, as well as the need for interdisciplinary integration and training of multimodal specialists for the early detection and determination of the phenotype of breast cancer, increasing the effectiveness of choosing adequate treatment tactics aimed at increasing the duration and quality of life of patients. Materials and methods. There are given literary data on development of radiological digital methods of diagnostics of breast diseases, including technologies of interventional radiology. New data are also presented on the direction of radiogenomics, born due to the interdisciplinary integration of radiological digital systems, interventional technologies and high-tech systems biology. Results. The review presents the development of equipment and radiological methods for early recognition of breast diseases, based on technical progress, including the active introduction of digitalization and informatization in medicine. New models of artificial intelligence act as a physician assistant in screening. Advantages of various versions of interventional radiology technologies in oncomammoscreening are shown to increase accuracy of pathomorphological diagnostics and determination of tumor phenotype. The latest data on feasibility of interdisciplinary integration of «computer vision» on signs of medical imaging with capabilities of systems biology in determination of tumor phenotype with correlation validity in 71% are given. Conclusions. The undeniable advantages of digitalization and the new capabilities of interventional radiology in detecting the earliest forms of diseases in an interdisciplinary format open the prospect of high-precision diagnostics and an adequate choice of organ-saving therapeutic tactics. The training of a multimodal specialist – radiologist – radiologist-diagnostics and interventional radiologist, who has a wide range of methods of radiological diagnostics, including invasive interventions, requires correction of organizational forms of work, new educational programs not only in the specialty, but also in the basics of digitalization, which will ensure the rational and effective use of modern achievements of science and technology.