在老年女性中,监视性乳房造影的诊断产量
Ilana B Richman1,2, Meghan E Lindsay1,2, Jessica B Long1,2
1Section of General Internal Medicine, Department of Internal Medicine, Yale School of Medicine, New Haven, CT, USA.
Journal of the National Cancer Institute
|September 26, 2025
概括
在有乳腺癌病史的老年妇女中,监视性乳腺造影可以检测出新的癌症,但会导致更多的成像. 在老年人中持续监测的好处仍然不确定.
科学领域:
- 在瘤学瘤学.
- 放射学 放射学是一门学科.
- 老年医学 老年医学
背景情况:
- 乳房摄影监测通常用于有乳腺癌史的老年女性.
- 我们对这种特定患者群体的成像结果知之甚少.
研究的目的:
- 描述老年妇女监视性乳房造影后的短期结果.
- 分析随后的成像使用,癌症诊断率和积极的预测值.
主要方法:
- 一个使用SEER-Medicare数据的纵向队列研究.
- 追踪67岁以上被诊断患有乳腺癌的妇女 (2003-2007) 直到第二次初级乳腺癌诊断,死亡或随访结束 (2019).
- 使用索赔数据识别的监视乳房造影和随后的结果,按年龄和诊断后的时间分层.
主要成果:
- 这项研究包括33,607名妇女和160,637名乳房图片,平均时间为12.1年.
- 随后的成像是在115/1000次乳腺造影后发生的;第二次原发性乳腺癌是在7.1/1000次乳腺造影后被诊断出来的.
- 阳性预测值在3.7-9.2%之间;大多数第二次原发性乳腺癌是在现场或I期.
结论:
- 监视性乳房造影可以在初始诊断几年后检测出乳腺癌,但也导致了随后的重大测试.
- 在老年妇女中,持续监视性乳房造影对整体健康结果的益处仍然不确定.
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