监视乳房显微镜性能差异的来源和补充乳房成像的风险指导建议:一个模拟研究研究
Rebecca A Hubbard1, Toyya A Pujol2, Elie Alhajjar3
1Department of Biostatistics, Epidemiology & Informatics, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania.
以风险为导向的乳腺癌监测可能会加剧种族差异. 基于癌症特征和社会因素的个性化查显示,黑人女性的乳房镜敏感性较低,西班牙裔和亚洲/太平洋岛屿妇女的补充成像建议较少.
科学领域:
- 在瘤学瘤学.
- 放射学 放射学是一门学科.
- 健康 公平 卫生 公平
背景情况:
- 对乳腺癌幸存者来说,监视性乳房造影是标准的.
- 使用先进成像技术的风险导向监测可以提高第二种癌症的早期检测.
- 个性化查方法可能无意中扩大现有的健康差异.
研究的目的:
- 在风险导向乳腺癌监测中调查基于种族和种族的差异.
- 分析癌症特征和健康的社会决定因素 (SDOH) 如何导致这些差异.
- 评估个性化监测对乳房造影成绩的影响以及补充成像建议.
主要方法:
- 基于乳腺癌监测联盟 (BCSC) 数据的模拟人群 (65,446张乳房影像).
- 根据不同种族/种族在癌症特征,SDOH和确定错误中的模拟差异.
- 估计对乳房镜敏感度,特异性的影响,以及补充成像建议.
主要成果:
- 黑人女性的乳房影像显示出较低的敏感性 (64.1%),与普通人口 (71.1%) 相比,只有癌症特征因种族/种族而异.
- 当癌症特征和SDOH变化时,敏感度的差异扩大了 (53.8%与71.1%相比).
- 与整体人口 (10.0%) 相比,基于风险的补充成像建议对西班牙裔 (6.7%) 和亚洲/太平洋岛屿妇女 (6.4%) 的频率较低.
结论:
- 监视乳房扫描表现和补充成像推的差异与癌症特征和SDOH的变化有关.
- 实施风险导向监督可能会加剧现有的不平等.
- 仔细考虑股权影响对于风险导向选计划至关重要.
更多相关视频
15:48Tracking the Mammary Architectural Features and Detecting Breast Cancer with Magnetic Resonance Diffusion Tensor Imaging
Published on: December 15, 2014
06:03Integrating Augmented Reality Tools in Breast Cancer Related Lymphedema Prognostication and Diagnosis
Published on: February 6, 2020
相关概念视频
Imaging Studies for Cardiovascular System VI: Calcium -Scoring CT
Imaging Studies for Cardiovascular System III: X-Ray
Definition and Purpose
An X-ray, or radiograph, is a non-invasive method that uses ionizing radiation to take images of internal structures. It is mainly used in cardiac imaging to examine the heart, lungs, and major blood vessels, aiming to identify abnormalities in the heart's size, shape, and position, such as heart failure, congenital defects, and vascular...
Radiological Investigation I: X-ray and CT
Radiological Investigation II: MRI and Ventilation Perfusion Scan
Magnetic Resonance Imaging (MRI) and Ventilation Perfusion Scans are two radiological investigations that offer detailed diagnostic images of the body, particularly lung structures.
MRI
MRI uses magnetic fields and radiofrequency signals to distinguish between normal and abnormal tissues. This technology provides a more detailed diagnostic image than CT scans, enabling it to characterize pulmonary nodules, stage bronchogenic carcinoma, and evaluate inflammatory activity in...
