...
  • 主题
高级搜索  >
历史搜索 清空历史
首页> 外文期刊>Anticancer Research: International Journal of Cancer Research and Treatment >Reducing the Number of Unnecessary Percutaneous Biopsies: The Role of Second Opinion by Expert Breast Center Radiologists
【24h】

Reducing the Number of Unnecessary Percutaneous Biopsies: The Role of Second Opinion by Expert Breast Center Radiologists

机译：减少不必要的经皮活检的数量：专家乳房中心放射科医生的第二意见的作用

获取原文
获取原文并翻译 | 示例
           
页面导航
  • 摘要
  • 著录项
  • 相似文献
  • 相关主题

摘要

Background/Aim: The research objectives of this study were the estimation of the number of misdiagnosed breast lesions by non-expert-center-breast-radiologists (NEBR) and the investigation of the discordant rate (DR) calculated between initial and second opinion. Moreover, this study evaluated the impact of second opinion and the factors associated with DR. Materials and Methods: A total of 399 patients were sent to our Tertiary Breast Cancer (BC) Center to perform fine needle aspiration/core needle biopsy (FNAC/CNB) after external examination. Lesions were reclassified according to Breast Imaging-Reporting and Data System (BI-RADS). External examinations were classified as breast-expert, not-breast-expert and physicians as expert-center-breast-radiologists (EBR), NEBR, and non-radiologists (NR). Personal/family history of breast cancer (BC), breast-density and presence of prior imaging were collected. Results: DR was 74.3%. After second opinion, FNAC/CNB was proposed in 25.7% of cases and 2 additional cancers were detected. About 59.5% of unnecessary FNAC/CNB were avoided. Dense breast, no prior imaging examination and BC family-history were associated with higher DR (p-value<0.001); personal BC-history was associated in NEBR evaluations (p-value=0.0383). Conclusion: Second opinion review of outside examinations at expert BC Center may decrease unneeded biopsy, reducing health-care costs.
机译：背景/目的：本研究的研究目标是估计非专家中心 - 乳房放射科学家（NEBR）的误诊乳腺病变的数量，以及在初始和第二意见之间计算的不和答率（DR）的调查。此外，该研究评估了第二种意见的影响和与博士相关的因素。材料和方法：将399名患者送到我们的第三乳腺癌（BC）中心，在外部检查后进行细针抽吸/芯针活检（FNAC / CNB）。根据乳房成像报告和数据系统（BI-RAD）重新分类病变。外部考试被归类为母乳专家，非母乳专家和医生作为专家中心 - 乳房放射科医生（EBR），NEBR和非放射科医生（NR）。收集乳腺癌（BC）的个人/家族史，乳腺密度和现有影像的存在。结果：DR为74.3％。第二次意见后，在25.7％的病例中提出了FNAC / CNB，检测到另外2​​种癌症。避免了约59.5％的不必要的FNAC / CNB。密集的乳房，没有现有的成像检查和BC系列历史与更高的DR相关（P值<0.001）;个人BC历史在网格评估中有关（P值= 0.0383）。结论：对专家BC中心外部考试的第二次观点审查可能会降低不需要的活检，降低医疗保健费用。

著录项

相似文献

  • 外文文献
  • 中文文献
  • 专利
获取原文

客服邮箱：kefu@zhangqiaokeyan.com

京公网安备：11010802029741号 ICP备案号：京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有

  • 客服微信

  • 服务号