転移性乳がんにおける脳イメージングスクリーニング:患者と医師の視点
Leonor Matos1, Mette van Ramshorst2, Volkmar Müller3
1Breast Unit, Champalimaud Clinical Center, Champalimaud Foundation, Lisbon, Portugal.
Breast (Edinburgh, Scotland)
|August 23, 2025
まとめ
転移性乳がんの患者は 症状がなくても 脳転移に関する情報を欲します 医者はしばしば脳画像検査を命じますが,脳転移のリスクを患者に話し合うことはめったにありません.
科学分野:
- 腫瘍学
- 医療用イメージング
- 患者 の 経験
背景:
- 無症状の転移性乳がん (BC) 患者に対する通常の脳イメージングスクリーニング (BIS) は,効果が証明されていないため,標準ではありません.
- BISに関する医師と患者の見解は 未知のままです
研究 の 目的:
- 転移性乳がん (BC) の例行脳イメージングスクリーニング (BIS) に関する医師と患者の態度と認識を調査する.
主な方法:
- 2023年5月から2024年2月の間に国際的,横断的なオンライン調査が行われました.
- 適格な参加者はBCと診断された患者とBC患者を治療する医師でした.
主要な成果:
- 調査対象の医師の65%は,特にHER2+と脳外進行のトリプルネガティブBC (TNBC) に対して,BISを処方している.
- 85% の患者は,不確実な臨床的利益に関係なく,脳転移 (BM) の発達について学ぶことに強い関心を持っています.
- 臨床的利益が証明された場合,BISを行う意向は91%であったにもかかわらず,医師の13%のみが患者とBMを定期的に議論しています.
結論:
- 患者は脳転移の可能性について情報を受けたいと強く願っている.
- 患者の情報への欲求と 医者のBMに関する日常的な議論の間に 断絶的な関係があるのです
- 転移性乳がんに対する日常的なBISの臨床的有用性を確立するには,さらなる研究が必要である.
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