目前使用和感知合成乳腺造影的调查
Kristen Coffey1, Katerina Dodelzon1, Vandana Dialani2
1Department of Radiology, Weill Cornell Medicine, New York, NY, USA.
Journal of breast imaging
|August 19, 2024
概括
合成乳腺造影 (SM) 已经取代了数字乳腺造影在数字乳腺断层合成 (DBT) 查超过一半的美国乳腺放射科医生. 增加MS经验与更高的信心相关,并且在解释乳房镜检测结果时感知到的不利因素更少.
科学领域:
- 放射学 放射学是一门学科.
- 医疗成像医学成像
- 乳房成像技术 乳房成像技术
背景情况:
- 数字乳腺图莫合成 (DBT) 越来越多地用于乳腺癌查.
- 合成乳房造影 (SM) 是用于DBT的2D图像重建技术,有可能减少辐射剂量并改善工作流程.
- 了解放射科医生利用和SM的看法对于其采用和优化至关重要.
研究的目的:
- 评估美国乳腺放射科医生当前使用2D合成乳房显微镜 (SM) 与数字乳房图解合成 (DBT) 结合的情况.
- 评估放射科医生的信心和对使用SM进行乳房镜解读的优缺点的看法.
主要方法:
- 一个匿名的23个问题调查分发给美国乳腺成像学会 (SBI) 成员.
- 该调查收集了有关放射科医生人口统计,查方案,信任度以及SM的优缺点的数据.
- 进行了统计分析,以确定与更高的信心和更少的劣势相关的因素.
主要成果:
- 实现了13.4% (371/2771) 的响应率.
- 56.1%的受访者目前正在使用DBT/SM进行查,这表明其被广泛采用.
- 放射科医生报告在评估质量,不对称性和SM扭曲方面有很高的信心,但对化有混合的信心.
- 较低的辐射剂量是最常被引用的优势 (81.2%),而重建算法假阳性是最常被引用的缺点 (57.4%).
- 更大的SM经验,使用DBT/SM选和使用特定供应商设备 (Hologic) 与更高的信心和更少的感知缺点有关.
结论:
- 合成乳腺造影 (SM) 已成为大多数接受调查的美国乳腺放射科医生的DBT查中主要的2D成像模式.
- 有更多经验的放射科医生和那些在当前工作流程中使用SM的放射科医生报告说,他们的信心增加了,担心更少.
- SM提供了减少辐射剂量的潜在好处,尽管从重建算法管理虚假阳性仍然是一个考虑因素.
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