对乳腺癌检测率使用相同或不同顺序的查乳房图片的影响:随机临床试验
Sian Taylor-Phillips1, Matthew G Wallis2, David Jenkinson1
1Warwick Medical School, the University of Warwick, Coventry, United Kingdom.
JAMA
|May 11, 2016
概括
在英国的一项大型试验中,改变第二个读者的乳腺扫描读数顺序并没有显著影响乳腺癌检测率. 这项研究没有发现不同组的癌症检测或召回率的差异.
科学领域:
- 放射学
- 癌症学
- 公共卫生
背景情况:
- 由于读者警度下降, 查乳房图解具有挑战性, 可能会错过癌症和错误阳性.
- 在英国,两位读者独立评估乳房影像,数字乳房影像分批阅读.
研究的目的:
- 评估第二个阅读器的批次阅读顺序是否会影响乳腺癌检测率.
主要方法:
- 一个多中心,双盲,集群随机试验,涉及英国46个查中心的360名读者.
- 干预组的读者以相反的顺序检查乳房图片,而对照组使用相同的顺序.
主要成果:
- 干预组和对照组之间癌症检测率没有显著差异 (0. 88% vs 0. 87%).
- 观察到类似的回忆率 (4. 14%) 和读者不同意 (3. 43%) .
- 这项研究分析了1,194,147份查性乳房图.
结论:
- 第二个阅读器对乳腺扫描批次的不同阅读顺序不会显著改变乳腺癌检测率.
- 这些发现表明当前的批次读取协议在读取顺序方面很强大.
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