胸部CT上的偶然乳腺癌:放射学报告是否足够?
Allison Aripoli1, Joley Beeler1, Lauren Clark2
1University of Kansas Medical Center, Department of Radiology, Kansas City, KSUSA.
Journal of breast imaging
|March 1, 2024
概括
在胸部CT扫描中,许多偶然的乳房发现被遗漏在后续成像中. 乳腺癌的早期诊断至关重要,外展可以提高患者的随访率.
科学领域:
- 放射学 放射学是一门学科.
- 在瘤学瘤学.
- 公共卫生 公共卫生
背景情况:
- 在胸部CT扫描中偶然发现的乳房是常见的.
- 建议对这些发现进行后续成像,以确保及时诊断.
- 患者遵守后续建议的程度可能会变化.
研究的目的:
- 为了确定胸部CT上偶然发现的乳腺发现的频率,需要进行后续检查.
- 评估患者遵守乳腺成像后续推的情况.
- 为了确定患有偶然发现的患者乳腺恶性瘤的发病率.
主要方法:
- 胸部CT报告的回顾性审查 (2018年7月至2019年6月).
- 识别建议进行乳房成像后续检查的报告.
- 评估患者的坚持,BI-RADS评估和诊断.
主要成果:
- 210名患者有乳腺成像随访的建议.
- 只有23%的患者遵守了随访建议.
- 乳腺癌被诊断为15%的随访患者和78%的活检患者.
结论:
- 在胸部CT上随机发现乳腺的后续成像对于及时诊断至关重要.
- 需要改进患者和提供者推广的策略,以提高遵守率.
- 通过改进的后续检查方案,可以提升未被怀疑的乳腺癌的早期检测.
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