实施国家密度乳腺报告标准,扩大使用当前指南的补充查,以及拟议的发现早期行动
Wendie A Berg1, Robin L Seitzman2,3, JoAnn Pushkin3
1University of Pittsburgh School of Medicine, Magee-Womens Hospital of UPMC, Department of Radiology, Pittsburgh, PA, USA.
Journal of breast imaging
|December 23, 2023
概括
新的联邦规则规定了乳房造影的全国密度乳房报告标准,提高了患者的通知. 这旨在通过向妇女提供关于密集乳腺组织和补充查选项的信息来改善早期乳腺癌检测.
科学领域:
- 放射学 放射学是一门学科.
- 公共卫生政策 公共卫生政策
背景情况:
- 超过90%的美国妇女受到州级密集乳房通知法律的保护.
- 美国食品和药物管理局 (FDA) 在2023年3月10日发布了一项最终规则,为密集乳房报告制定了国家标准.
研究的目的:
- 为了让妇女了解她们的乳腺密度及其对乳房扫描精度和癌症风险的影响.
- 概述实施国家乳腺密度报告标准和补充查的战略.
主要方法:
- 分析现有的州级密集乳房通知法律和保险覆盖.
- 审查美国食品和药物管理局根据"乳腺造影质量标准法案" (MQSA) 的最终规则.
主要成果:
- 从2024年9月10日起,患者的信件必须说明乳房是否"密集"或"不密集",解释风险和需要潜在的补充成像.
- 提供者报告必须包括乳腺成像报告和数据系统 (BI-RADS) 的密度类别.
- 目前的景观包括21个州和DC有补充成像保险法律,加上俄克拉荷马州的诊断成像覆盖任务.
结论:
- 国家实施密集乳房报告的目的是标准化患者沟通和风险评估.
- 补充查决策应将乳腺密度与个性化护理的其他患者风险因素相结合.
- 拟议的联邦立法,即Find It Early Act,旨在确保高危妇女免费进行查和诊断成像.
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