大脑成像查转移性乳腺癌:患者和医生的观点
Leonor Matos1, Mette van Ramshorst2, Volkmar Müller3
1Breast Unit, Champalimaud Clinical Center, Champalimaud Foundation, Lisbon, Portugal.
Breast (Edinburgh, Scotland)
|August 23, 2025
概括
即使没有症状, 转移性乳腺癌患者也希望了解大脑转移的情况. 医生经常要求进行脑成像查, 但很少与患者讨论脑转移的风险.
科学领域:
- 癌症学
- 医学成像
- 患者的经验
背景情况:
- 由于未经证实的益处,对于无症状转移性乳腺癌 (BC) 患者,常规脑图像查 (BIS) 并非标准.
- 医生和患者对BIS的看法在很大程度上仍未被探索.
研究的目的:
- 调查医生和患者对转移性乳腺癌常规脑部成像查 (BIS) 的态度和看法.
主要方法:
- 在2023年5月至2024年2月期间进行了一项国际跨部门在线调查.
- 符合条件的参与者包括诊断为BC的患者和治疗BC患者的医生.
主要成果:
- 在接受调查的医生中,有65%的医生订购了BIS,特别是在脑外进展的HER2+和三阴性BC (TNBC) 中.
- 85% 的患者希望使用BIS,不论其临床益处如何,他们都对大脑转移 (BM) 的发展有着强烈的兴趣.
- 只有13%的医生经常与患者讨论肌肉检查,尽管有91%的医生愿意在临床效益被证明的情况下进行肌肉检查.
结论:
- 患者表示愿意了解潜在的大脑转移的情况.
- 患者对信息的渴望与医生对肌肉病的常规讨论之间存在分歧.
- 需要进一步的研究来确定常规BIS在转移性乳腺癌的临床效用.
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