在ACR前列腺MRIPI-RADS得分中使用的标准化风险语言的患者感知
Jeremiah R Dallmer1, Michael Luu2, Rola Saouaf3
1Resident, Department of Urology, Cedars-Sinai Medical Center, Los Angeles, California.
Journal of the American College of Radiology : JACR
|June 16, 2024
概括
在阅读标准化前列腺成像报告和数据系统 (PI-RADS) 语言时,男性高估了临床显著前列腺癌 (csPCa) 的风险. 数字估计提高了风险感知,特别是PI-RADS 3和4病变.
科学领域:
- 放射学 放射学是一门学科.
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 卫生沟通健康沟通
背景情况:
- 前列腺MRI报告使用标准化的PI-RADS语言 (模两可,可能,极有可能) 来表示csPCa风险.
- 这些PI-RADS类别与美国泌尿病学协会指南中的特定风险 (11%,37%,70%).
研究的目的:
- 评估男性如何看待与标准化PI-RADS语言相关的风险.
- 评估不同报告背景对风险感知的影响.
主要方法:
- 对1,204名美国男性进行了一项众包调查.
- 参与者的风险感知被查询在四个背景:单词,PI-RADS句子,完整的报告,和数字估计的完整报告.
- 对AUA标准进行了比较,对AUA标准进行了比较,对AUA标准进行了比较,对AUA标准进行了比较.
主要成果:
- 在所有PI-RADS类别和背景中,男性始终高估了csPCa风险.
- 在PI-RADS 3 (+39%) 和PI-RADS 4 (+38%) 病变中,高估是最明显的.
- 包括数值估计在内,准确的风险感知从3%提高到11% (P < .001),特别是在具有较高数值能力的男性中.
结论:
- 根据标准化的PI-RADS语言,男性显著高估了csPCa风险.
- 背景,特别是包含数值估计,影响风险感知准确度.
- 应该考虑修改PI-RADS语言或图像报告的数据共享政策.
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