Di Maggio Cosimo
Diagnostic Breast Unit, University of Padua, 35128 Padua, Italy.
Eur J Nucl Med Mol Imaging. 2004 Jun;31 Suppl 1:S56-69. doi: 10.1007/s00259-004-1527-8. Epub 2004 Apr 15.
With the availability of numerous diagnostic techniques comes the possible risk of the unjustified use of such techniques and a lack of rational clinical application. Clearly, errors of this nature would affect the diagnostic accuracy and therefore reduce the possibilities for treatment. It is not uncommon for women and also for general practitioners to be misinformed about which is the most suitable technique or rather, which is the best combination of the various techniques. For this reason, inappropriate tests are often requested or, conversely, there is failure to request tests which would in fact make a useful contribution to safeguarding the patient's health. This work has the following aims: (a) to set out precisely the real diagnostic contribution of each method, both radiological and otherwise, and suggest methods of application and indications consistent with the state of the art, and (b) to suggest the most effective and rational combinations of the various techniques and organisation of diagnostic activities.
随着众多诊断技术的出现,可能存在不合理使用这些技术的风险以及缺乏合理的临床应用。显然,这种性质的错误会影响诊断准确性,从而降低治疗的可能性。女性以及全科医生对哪种是最合适的技术,或者更确切地说,各种技术的最佳组合被错误告知的情况并不少见。因此,经常会要求进行不适当的检查,或者相反,未能要求进行实际上对保障患者健康有帮助的检查。这项工作有以下目标:(a) 精确阐述每种方法(包括放射学方法及其他方法)的实际诊断贡献,并提出与当前技术水平相一致的应用方法和适应症,以及 (b) 建议各种技术的最有效和合理组合以及诊断活动的组织方式。