为了重新定义坚持:坚持定义对肺癌查计划基准的影响
Brett C Bade1, Amir Gandomi2, Eusha Hasan3
1Mayo Clinic, Rochester, Minnesota.
Journal of the American College of Radiology : JACR
|November 24, 2025
概括
肺癌查随访的坚持率根据坚持如何定义而有很大差异. 使用任何胸部CT,而不仅仅是低剂量CT (LDCT),并允许更长的随访时间,可以增加报告的坚持.
科学领域:
- 肺部医学 肺部医学
- 放射学 放射学是一门学科.
- 在瘤学瘤学.
背景情况:
- 建议每年使用低剂量CT (LDCT) 进行肺癌查 (LCS) 后续检查.
- 患者遵守推的随访成像是不一致的.
- 目前对坚持的定义因时间和成像类型 (LDCT与常规胸部CT) 而异.
研究的目的:
- 评估不同的坚持定义如何影响LCS随访率.
- 评估后续时间框架和成像类型对坚持的影响.
- 开发一种标准化方案,用于报告LCS遵守情况.
主要方法:
- 在医疗保健系统中对LCS随访的回顾性研究 (2016-2023年).
- 二元粘附被定义为随访胸部CT采集,使用六个定义进行评估.
- 分析包括三个时间框架 (15,24,无限月) 和两种CT类型 (仅LDCT与任何胸部CT).
- 开发并应用了一种新的四类合规方案.
主要成果:
- 仅在最不发达国家 (LDCT) 的合规率在35.6% (15个月) 到55.9% (无限月) 之间.
- 当包括任何胸部CT时,坚持增加到45.8% (15个月) - 68.4% (无限月).
- 较长的时间框架 (P < .001) 和包括任何胸部CT (P < .001) 的依从性显著更高.
- 四个类别的图表显示了按时,迟到,从未跟进和没有逾期类别的不同率,根据CT类型的包含而有所不同.
结论:
- 遵守定义显著影响报告的肺癌查随访率.
- 标准化定义对于比较LCS程序性能至关重要.
- 拟议的四类方案提供了一个全面的视图的病人的查状态在一个LCS计划.
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