对于乳腺密度较高的女性进行补充查:实践放射科医生建议什么?
Tisha Singer1, Ana P Lourenco1, Grayson L Baird1
1Rhode Island Hospital and Alpert Medical School of Brown University, Department of Diagnostic Imaging, Providence, RI.
放射科医生建议数字乳房图解 (DBT) 对于女性有密集的乳房,但不太可能建议超声波 (美国). 他们更有可能为自己推补充查,而不是为患者或亲人推.
科学领域:
- 放射学 放射学是一门学科.
- 乳房成像 乳房成像
- 在瘤学瘤学.
背景情况:
- 密集的乳腺组织是乳腺癌的重要危险因素.
- 补充查方式对于在女性中早期检测乳房密度至关重要.
- 了解放射科医生的建议是优化查方案的关键.
研究的目的:
- 评估放射科医生的建议,以补充乳腺癌查在女性有密集的乳房.
- 根据患者风险分层 (平均,中等,高) 来评估建议中的差异.
- 为了比较放射科医生对患者,家人/朋友和自身的建议.
主要方法:
- 匿名调查分发给乳腺成像学会 (SBI) 成员.
- 评估乳腺密度作为风险因素的知识.
- 评估了推数字乳腺断层合成 (DBT),超声波 (US) 和磁共振成像 (MRI) 在利克尔特尺度上的可能性.
- 收集有关放射科医生的人口统计和实践重点的数据.
主要成果:
- 53-57%的放射科医生正确确定了与乳房密度相关的相对风险.
- 在所有风险群体中,建议在低率 (1.0-1.4) 的超声波 (US) 中进行超声波.
- 无论风险如何,数字乳腺图莫合成 (DBT) 获得了很高的推率 (2.5-3.0).
- 磁共振成像 (MRI) 主要推用于高危人群 (3.6).
- 与患者或亲人相比,放射科医生更倾向于为自己推额外的成像.
结论:
- 放射科医生"有点可能"推US和"可能"到"非常可能"推DBT对于乳房密的女性,无论风险如何.
- 在高风险群体中观察到MRI的"非常可能"推率.
- 放射科医生的个人查建议与他们对患者/亲人的建议之间存在差异.
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