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首页> 外文期刊>Journal of Cancer >Can high school students help to improve breast radiologists in detecting missed breast cancer lesions on full-field digital mammography?
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Can high school students help to improve breast radiologists in detecting missed breast cancer lesions on full-field digital mammography?

机译：高中生能否在全视野数字化X线摄影术上帮助提高乳房放射科医生发现乳腺癌遗漏的病灶？

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Aim: To investigate whether full-field digital mammography (FFDM) and contrast-enhanced mammography (CEM), evaluated by non-experienced high school students, improves detection of missed breast cancer lesions on FFDM, in the same cohort of patients. Methods: Non-experienced first- and second year high school students examined fourteen cases of patients diagnosed with breast cancer. These cases consisted of missed breast cancer lesions on FFDM by a breast radiologist. Sensitivity of assessment of the students on FFDM and CEM was analysed and compared with the initial results of the breast radiologists. Results: A total of 134 high school students participated in this study. Mean age was 12.8 years (range 10-14). Based on FFDM, mean overall sensitivity of the students was 29.2% (18.9 - 39.6%). When recombined CEM images were used, mean overall sensitivity of students improved to 82.6% (74.0 - 91.2%) (p=0.001). Mean overall sensitivity of FFDM exams evaluated by radiologists was 75.7% (64.2 - 87.3%), which was lower when compared to student's evaluations on recombined CEM exams, yet not statistically significant (p=0.098). Conclusions: Contrast-enhanced mammography evaluated by non-experienced high school students might improve detection rate of breast cancer when compared to evaluations of only full-field digital mammography by radiologists.
机译：目的：研究由未经验的高中生评估的全视野数字化乳腺X线摄影术（FFDM）和对比增强型乳腺X线摄影术（CEM）是否能改善同一患者队列中FFDM漏诊的乳腺癌病变的检测率。方法：无经验的一年级和二年级高中生检查了十四例确诊为乳腺癌的患者。这些病例由乳腺放射科医生在FFDM上漏诊的乳腺癌损害组成。分析了对学生进行FFDM和CEM评估的敏感性，并将其与乳腺放射科医生的初步结果进行了比较。结果：共有134名高中生参加了这项研究。平均年龄为12.8岁（范围10-14）。根据FFDM，学生的平均总体敏感度为29.2％（18.9-39.6％）。当使用重组的CEM图像时，学生的平均总体敏感度提高到82.6％（74.0-91.2％）（p = 0.001）。放射科医生评估的FFDM考试的平均总体敏感性为75.7％（64.2-87.3％），与学生对复合CEM考试的评估相比较低，但无统计学意义（p = 0.098）。结论：与仅由放射线医师进行的全视野数字化乳腺X线摄影评估相比，没有经验的高中生进行的对比增强乳腺X线摄影可能会提高乳腺癌的检出率。

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