RRIMS:乳房扫描查中的辐射风险 - 模型评估
Sahand Hooshmand1, Warren M Reed1, Mo'ayyad E Suleiman1
1Faculty of Medicine and Health, Discipline of Medical Imaging Sciences, The University of Sydney, SusanWakil Health Building (D18), Sydney, Australia.
The British journal of radiology
|September 26, 2023
概括
乳房扫描查中的辐射风险 (RRIMS) 模型准确估计了辐射剂量和乳腺癌风险. 这种工具与手工计算有很好的一致性,使得人们能够在乳房扫描查时做出明智的决定.
科学领域:
- 医学物理 医学物理
- 放射学 放射学是一门学科.
- 公共卫生 公共卫生
背景情况:
- 乳房扫描查涉及辐射暴露,需要准确的剂量评估.
- 估计辐射诱导的乳腺癌风险对于患者和临床医生的知情决策至关重要.
研究的目的:
- 评估RRIMS模型在预测平均腺体剂量 (MGD) 的准确性.
- 评估RRIMS模型在估计辐射诱导乳腺癌的人口水平风险方面的能力.
主要方法:
- 对RRIMS模型预测的MGD值进行了比较,对317名女性的手动计算剂量进行了比较,在733次哺乳镜查访问中进行了比较.
- 统计分析,包括布兰德-阿尔特曼图片,类内相关系数 (ICC) 和肯德尔的W,被用来评估协议.
主要成果:
- 布兰德-阿尔特曼分析显示,平均偏差为-2.02%,共识范围很大 (-44.27%至40.24%).
- 定量分析显示了统计学上显著的类内相关系数 (ICC=0.64,p<0.001) 和肯德尔的W (0.83,p<0.001).
结论:
- 该RRIMS模型显示了与手动剂量计算的统计学上显著和相当好的一致性.
- 建议对多家乳房造影设备供应商进行进一步的研究,以提高该模型在临床实践中的适用性和实用性.
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