Sullivan Courtney L, Pandya Ankur, Min Robert J, Drotman Michele, Hentel Keith
Weill Cornell Imaging Consultation and Radiologic Expertise (WiCare), Weill Cornell Medical College at NewYork-Presbysterian Hospital, 525 E. 68th Street Box 141, New York, NY 10065.
Department of Healthcare Policy and Research, Weill Cornell Medical College, 425 East 61st., 3rd Floor, 319, New York, NY 10065.
Clin Imaging. 2015 Sep-Oct;39(5):731-4. doi: 10.1016/j.clinimag.2015.01.007. Epub 2015 Jan 14.
Increasingly, states are mandating notification to patients if they are found to have dense breast tissue. Information describes the increased risk of cancer and limitations of mammography for this patient group. Such notification often creates anxiety and results in uncertainty as no evidence-based guidelines for additional screening of dense breasts are available. Through an organized consultation service, patients and physicians were provided consultations with radiologists in order to ensure an appropriate screening plan based on individualized histories and preferences. This manuscript describes our dense breast consultation program, examines initial data, and provides lessons for practices interested in providing similar service.
越来越多的州规定，如果发现患者有致密乳腺组织，需通知患者。相关信息描述了该患者群体患癌风险的增加以及乳腺钼靶检查的局限性。由于没有基于证据的致密乳腺额外筛查指南，这种通知往往会引发焦虑并导致不确定性。通过一个有组织的咨询服务，为患者和医生提供了与放射科医生的会诊，以确保根据个人病史和偏好制定合适的筛查计划。本文描述了我们的致密乳腺咨询项目，检查了初始数据，并为有兴趣提供类似服务的医疗机构提供经验教训。
