乳腺动脉形的分类和报告:当前状态和持续挑战
Katherine Stephens1, Ronaé K McLin2, Rasha T Ismail3
1Department of Radiology, University Hospitals Cleveland Medical Center; Case Western Reserve University School of Medicine, Cleveland, OH, USA.
乳房动脉结 (BAC) 检测出在乳房扫描期间可以改善心血管疾病 (CVD) 风险评估在妇女中. 标准化BAC报告和AI量化对于临床整合至关重要.
科学领域:
- 心脏病学 心脏病学
- 放射学 放射学是一门学科.
- 妇女健康 妇女健康
背景情况:
- 心血管疾病 (CVD) 是女性的主要死亡原因,目前的风险评估由于缺乏女性特异性因素,因此效果不佳.
- 乳腺癌查工具 - - 乳腺扫描 (Mammography) 偶尔会捕获乳腺动脉化 (BAC) 的图像,这是潜在的心血管疾病风险指标.
- 由于报告不一致和缺乏标准化指南,BAC在临床实践中未得到充分利用.
研究的目的:
- 探索乳腺动脉化 (BAC) 检测到乳房造影的潜力,以改善女性心血管疾病 (CVD) 风险分层.
- 审查目前用于BAC分类的方法以及人工智能 (AI) 在量化中的新兴作用.
- 了解患者和临床医生对BAC报告及其临床实用性的态度.
主要方法:
- 对乳腺动脉化 (BAC) 和它们与心血管疾病 (CVD) 相关的现有文献的综述.
- 探索用于BAC分类的定性和定量技术.
- 讨论人工智能 (AI) 应用程序用于自动化BAC量化.
- 分析有关利益相关者对BAC报告的态度的调查数据.
主要成果:
- 乳腺动脉结 (BAC) 与女性心血管疾病 (CVD) 风险增加有关.
- 人工智能 (AI) 在自动化BAC的量化方面显示出希望.
- 目前的BAC报告实践和利益相关者的态度存在显著的变化.
结论:
- 将乳房扫描中的BAC评估整合起来,可以提高女性个性化的心血管疾病风险评估.
- 标准化报告准则,人工智能驱动的量化和成本效益分析是常规临床采用所需的.
- 需要进一步的研究,以建立明确的临床随访协议,以确定BAC.
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