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首页> 外文期刊>AJR: American Journal of Roentgenology : Including Diagnostic Radiology, Radiation Oncology, Nuclear Medicine, Ultrasonography and Related Basic Sciences >Incidental findings and the need for a revised informed consent process
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Incidental findings and the need for a revised informed consent process

机译：偶然发现和修订知情同意程序的必要性

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OBJECTIVE. The current clinical practice with regard to incidental findings (IFs) is sub-optimal in the domains of informed consent and patient education. We argue that a more robust informed consent process is needed to enable patients to anticipate incidentalomas and to correctly perceive the associated risks. CONCLUSION. Given that IFs are very common in high-resolution imaging, patients should be provided information about the possibility of an IF as part of radiologic informed consent. The frequency of IFs, the very high rates of false-positives among incidentalomas, the very low rates of malignancies among incidentalomas, and the potential financial and emotional costs to both patients and the health care system of monitoring IFs necessitate a thorough informed consent process. Further, because radiologists are the most knowledgeable professionals regarding the nature of IFs, they should be the specialists who conduct the informed consent discussion with patients.
机译：目的。在知情同意和患者教育方面，有关偶然发现（IFs）的当前临床实践并不理想。我们认为，需要更强大的知情同意程序，以使患者能够预料偶发瘤并正确感知相关风险。结论。鉴于IF在高分辨率成像中非常普遍，应向患者提供有关IF可能性的信息，作为放射学知情同意的一部分。 IF的发生频率，偶发瘤之间的假阳性率很高，偶发瘤之间的恶性率非常低，以及对患者和监视IF的医疗系统的潜在财务和情感成本，都需要进行全面的知情同意程序。此外，由于放射科医生是有关IFs性质的最知识丰富的专业人员，因此他们应该是与患者进行知情同意讨论的专家。

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