在接受放射科医生推的患者中,肺癌两年发生率为胸部CT,部CT和MRI报告中的胸部CT
Masoud Hassanzadeh1, Hanjoo Lee1, Ronilda Lacson1
1Center for Evidence-Based Imaging, Department of Radiology, Brigham and Women's Hospital, Harvard Medical School, Boston, MA.
Journal of the American College of Radiology : JACR
|December 12, 2025
概括
放射科医生推胸部CT在部扫描很少检测肺癌. 一项研究在270多项建议中只发现了一例惰性肺癌病例,这表明需要减少其频率.
科学领域:
- 放射学 放射学是一门学科.
- 在瘤学瘤学.
- 公共卫生 公共卫生
背景情况:
- 胸部计算机断层扫描 (CT) 的放射科医生建议在部成像报告中很常见.
- 这些推用于检测肺癌的实际收益尚未得到充分确立.
- 了解这种产量对于优化诊断途径和资源配置至关重要.
研究的目的:
- 为了估计肺癌的两年发病率,根据放射科医生推的胸部CT在部CT和MRI报告中诊断出肺癌.
- 评估推的胸部CTs执行的速度,并分析影响其实现的因素.
主要方法:
- 在一个多机构医疗保健系统中进行了一项追溯观察队列研究.
- 在2021年6月至2022年5月期间的部成像报告中,包括没有先前肺癌病史的患者,胸部CT推.
- 使用人时计算肺癌发病率,并通过逻辑回归分析胸部CT满足率.
主要成果:
- 在22,173名患者中,有273名 (1.2%) 的报告建议进行胸部CT,其中1.0%的报告包含了此类建议.
- 一名患者 (估计两年发病率:0.40%) 被诊断出患有偶发性,无效的肺腺癌.
- 推的胸部CTs在62.6%的病例中进行,与其他异常相比,肺结节的可能性较小 (OR=0.46).
结论:
- 在部成像报告中对胸部CT进行推,结果在一年内只发现了一例惰性肺癌.
- 这些发现表明,可能需要减少此类建议的频率.
- 需要更大的数据集来确定关于偶然发现和后续成像的最佳实践.
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