计算机断层扫描检查肺癌的查方法
1Harvard Medical School, and, Center for Airway Imaging, Department of Radiology, Beth Israel Deaconess Medical Center, Boston, Massachusetts, USA.pboisell@bidmc.harvard.edu
低剂量计算机断层扫描 (CT) 查可以降低高风险个体的肺癌死亡率. 与您的医生讨论潜在的益处,危害和不确定性,以做出明智的查决定.
科学领域:
- 肺部病理学 肺部病理学
- 放射学 放射学是一门学科.
- 在瘤学瘤学.
背景情况:
- 肺癌查决定对高风险个人及其医生至关重要.
- 低剂量计算机断层扫描 (CT) 已经成为一种潜在的查工具.
研究的目的:
- 审查胸部X射线和低剂量CT肺癌查的证据.
- 概述CT查的好处,危害和不确定性.
- 为了总结当前的肺癌查指南.
主要方法:
- 在MEDLINE和科克兰图书馆 (1984-2012) 的系统文献搜索.
- 包括来自相关研究和评论文章的引用.
- 使用美国医院协会指导方针对证据进行评分.
主要成果:
- 在国家肺部查试验 (NLST) 中,低剂量CT查显示肺癌死亡率降低了20%.
- 其他试验没有足够的数据或样本大小来得出最终的结论.
- 在CT查中高错误阳性率需要后续程序,并携带相关的风险和成本.
结论:
- 符合NLST标准的高风险个人应该考虑CT查.
- 与医生共同决策对于权衡好处,危害和不确定性至关重要.
- 指南建议对符合NLST资格的个人进行查,并提出了一些扩大建议.
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