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首页> 外文期刊>Academic radiology >Follow-up Frequency and Compliance in Women with Probably Benign Findings on Breast Magnetic Resonance Imaging
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Follow-up Frequency and Compliance in Women with Probably Benign Findings on Breast Magnetic Resonance Imaging

机译：可能对乳腺磁共振成像有良性发现的女性的随访频率和依从性

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Rationale and Objectives: Six-month short-interval follow-up is recommended for probably benign findings on breast magnetic resonance imaging (MRI). We wanted to examine patient adherence to follow-up recommendation for Breast Imaging-Reporting and Data System (BI-RADS) category 3 lesions at a tertiary care medical center. Materials and Methods: We performed a retrospective review of frequency and adherence rates to follow-up recommendation for women with an initial BI-RADS 3 breast MRI between 2005 and 2007. Results: A total of 132 women with BI-RADS 3 breast MRI recommendations were included. Ninety-six of 132 (72.7%) women adhered to the first follow-up recommendation or elected to have tissue diagnosis; 78/132 (59.1%) had follow-up MRI and 18/132 (13.6%) had tissue diagnosis. Thirty-six of 132 (27.3%) women did not return for follow-up. Nine of nine (100%) of BRCA carriers returned for follow-up or had tissue diagnosis, compared to 87/123 (70.7%) of non-BRCA carriers. A total of 35/41 (85.4%) of patients with a prior history of breast cancer returned for follow-up or had tissue diagnosis, compared to 61/91 (67%) of patients without a history of breast cancer. Only 5/15 (33%) of patients undergoing MRI for symptom alone adhered to follow-up recommendations. Conclusion: Adherence to BI-RADS category 3 follow-up recommendation is often low. Women with a history of breast cancer or who were BRCA carriers were significantly more likely to adhere to follow-up recommendation than women without a history of breast cancer or women undergoing MRI for symptoms alone. Strategies to improve adherence should be developed.
机译：原理和目的：对于乳腺磁共振成像（MRI）的良性发现，建议进行六个月的短间隔随访。我们想在三级医疗医疗中心检查患者对乳腺癌影像报告和数据系统（BI-RADS）3类病变的随访建议的依从性。材料和方法：我们对2005年至2007年间首次进行BI-RADS 3乳房MRI的女性进行频率和依从率的随访建议。结果：总共132例接受BI-RADS 3乳房MRI的女性被包括在内。 132位女性中有96位（72.7％）坚持首次随访建议或被选为组织诊断对象; 78/132（59.1％）有随访MRI，18/132（13.6％）有组织诊断。 132名妇女中有36名（27.3％）没有回来接受随访。 9例（100％）BRCA携带者中有9例返回随访或进行了组织诊断，而非BRCA携带者为87/123例（70.7％）。共有35/41（85.4％）有乳腺癌先前病史的患者返回随访或进行了组织诊断，而无乳腺癌史的患者中有61/91（67％）。仅5/15（33％）的仅因症状而接受MRI的患者坚持随访建议。结论：对BI-RADS 3类随访建议的依从性通常较低。有乳腺癌史或BRCA携带者的女性比没有乳腺癌史的女性或仅因症状接受MRI的女性更有可能遵循随访建议。应该制定改善依从性的策略。

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