乳腺密度通知对间隔癌症率的影响
Jennifer Stone1, Ross Marriott1, Marcela Orellana2
1School of Population and Global Health, University of Western Australia, Perth, Western Australia, Australia.
Journal of medical imaging and radiation oncology
|January 21, 2026
概括
被告知有密集乳房的女性,间隔乳腺癌检测率较高,特别是在查后的第一年内. 这表明需要完善查计划的指标,并可能使得早期的癌症诊断.
科学领域:
- 放射学和成像学 放射学和成像学
- 在瘤学瘤学.
- 公共卫生 公共卫生
背景情况:
- 增加乳腺密度是已知的乳腺癌风险因素之一.
- 在查之间诊断的间隔检测癌症是一个关键问题.
- 这项研究基于乳腺密度通知和诊断时间检查了间隔癌症检测率.
研究的目的:
- 为了比较通知女性密集乳房的间隔癌症检测率与未通知女性的间隔癌症检测率.
- 根据诊断时间 (查后0-12个月 vs. 13-24个月) 来分析检测率.
主要方法:
- 分析了来自西澳大利亚235,333名妇女的401,254份查记录 (2016-2019).
- 计算原始和年龄标准化间隔癌症率 (ASR) 每10,000个客户年.
- 按乳腺密度通知状态,查轮和诊断时间对比率的分层.
主要成果:
- 间隔癌症的发病率是2-6倍高的妇女通知密集的乳房.
- 年龄标准化率在第一年 (0-12个月) 与第二年 (13-24个月) 后查的通知妇女相比较高.
- 这一趋势在首次选者中尤为明显,并在不同的选轮中持续存在.
结论:
- 间隔癌症的发病率在查后12个月内类似或更高,对于那些被通知有密集乳房的女性来说,这挑战了国家研究结果.
- 查计划的性能指标,特别是间隔癌症率目标,可能需要对密度通知程序进行调整.
- 乳腺密度通知可能有助于更早地检测间隔癌.
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