农村学术卫生系统的肺癌查显示,虚假阳性率较低
Kayla A Fay1, Karen E Schifferdecker2, Linda M Kinney2
1Dartmouth Health, Department of Surgery, Lebanon New Hampshire.
The Journal of surgical research
|January 30, 2026
概括
肺癌查 (LCS) 具有较低的错误阳性率,与哺乳镜相提并论. 这些证据应该鼓励更多的患者和临床医生使用这个拯救生命的查工具.
科学领域:
- 放射学 放射学是一门学科.
- 肺部病理学 肺部病理学
- 在瘤学瘤学.
背景情况:
- 肺癌查 (LCS) 的普及受到高错误阳性率的担忧所限制.
- 准确量化LCS中错误阳性发现对于患者和临床医生的信心至关重要.
研究的目的:
- 评估肺癌查结果和量化假阳性率.
- 解决关于LCS发现可靠性的误解.
主要方法:
- 从2017年1月到2022年3月接受LCS的1708名患者的回顾性评估.
- 肺报告和数据系统 (肺-RADS) 评分和后续数据的分析.
- 使用肺RADS 3+和单独使用肺RADS 4B/4X标准计算假阳性率.
主要成果:
- 89.9%的扫描是肺RADS 1或2,表明没有或很少的发现.
- 假阳性率为9.4% (肺-RADS 3+) 和显著低于1.6% (肺-RADS 4B/4X).
- 很大一部分最初阳性扫描 (Lung-RADS 3或4A) 在随访时被降级,允许恢复年度查.
结论:
- 肺-RADS得分分布与国家数据一致.
- 虚假阳性LCS的风险与乳房检查相似.
- 调查结果支持增加LCS的使用,作为一种拯救生命的查方式.
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