在正常的乳房造影中减少"可能良性的"评估:放射科医生经验的作用
Mohammad A Rawashdeh1,2, Patrick C Brennan3
1Faculty of Health Sciences, Gulf Medical University, Ajman, United Arab Emirates.
European journal of radiology open
|June 26, 2023
概括
具有更多阅读乳房影像经验的放射科医生,以更高的年度和终身病例量为准,不太可能将正常乳房影像归类为"可能是良性的". 阅读量增加与较少的"可能良性"评估相关.
科学领域:
- 放射学 放射学是一门学科.
- 医学成像分析 医学成像分析
- 诊断的准确性 诊断的准确性
背景情况:
- 乳房摄影的解释对于乳腺癌查至关重要.
- 精确分类乳房镜检测结果,特别是"可能良性" (3类),影响患者召回率和查计划的效率.
研究的目的:
- 调查放射科医生的经验和病例数量之间的关系,以及他们将正常的乳房影像归类为"可能是良性的" (3类).
主要方法:
- 92名经过董事会认证的放射科医生报告了经验指标 (年龄,资格年数,乳房镜阅读经验,病例量).
- 放射科医生的准确性是使用"可能良性分数" (正常病例可能良性发现/总正常病例) 来评估的.
- 统计分析将"可能良性分数"与经验因素相关联.
主要成果:
- 在放射科医生经验和正常乳房图片上的"可能良性"分数之间发现了显著的负相关性.
- 年度乳腺扫描读数量较高 (r = -0.29,P = 0.006) 和终身乳腺扫描读数量较高 (r = -0.21,P = 0.049) 与较低的"可能良性"分数相关.
结论:
- 乳房镜读数量的增加与将正常乳房镜分类为"可能良性"的倾向降低有关.
- 这些发现对优化查计划的有效性和减少不必要的患者召回有影响.
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