Hollada Jacqueline, Speier William, Oshiro Thomas, Marzan-McGill Roslynn, Ruehm Stefan G, Bassett Lawrence W, Wells Colin
1 Department of Radiology, UCLA David Geffen School of Medicine, 10945 LeConte Ave, Peter V. Ueberroth Bldg, Ste 3371, Los Angeles, CA 90095.
2 UCLA Medical Imaging Informatics, Los Angeles, CA.
AJR Am J Roentgenol. 2015 Jul;205(1):215-21. doi: 10.2214/AJR.14.13650.
Radiation associated with breast imaging is a sensitive issue, particularly for women who undergo mammography as a screening measure to detect breast cancer. Misinformation and misunderstanding regarding the risks associated with ionizing radiation have created heightened public concern and fear, which may result in avoidance of diagnostic procedures. The objectives of this study were to ascertain patients' knowledge and opinion of ionizing radiation as a whole and specifically in mammography, as well as to determine common misunderstandings and points of view that may affect women's decisions about whether to have a mammogram.
Over a 9-month period, a total of 1725 patients presenting for a mammogram completed a 25-point questionnaire focused on the following: general knowledge of radiation dose in common imaging modalities, the amount of radiation associated with a mammogram relative to five radiation benchmarks, and patients' opinions of the involvement of radiation in their health care.
Although 65% of the women receiving a mammogram responded that they had been informed of the risks and benefits of the examination, 60% overestimated the radiation in a mammogram.
Efforts should be made to accurately inform women of the risks and benefits of mammography, specifically highlighting the low dose of mammographic ionizing radiation and providing objective facts to ensure that they are making an informed decision regarding screening.
与乳腺成像相关的辐射是一个敏感问题，对于接受乳腺钼靶检查作为检测乳腺癌筛查手段的女性来说尤其如此。关于电离辐射相关风险的错误信息和误解引发了公众更多的关注和恐惧，这可能导致她们回避诊断程序。本研究的目的是确定患者对电离辐射整体的了解和看法，特别是对乳腺钼靶检查中电离辐射的了解和看法，以及确定可能影响女性决定是否进行乳腺钼靶检查的常见误解和观点。
在9个月的时间里，共有1725名前来进行乳腺钼靶检查的患者完成了一份25分的问卷，问卷重点关注以下方面：常见成像方式中辐射剂量的一般知识、与乳腺钼靶检查相关的辐射量相对于五个辐射基准的情况，以及患者对辐射在其医疗保健中所起作用的看法。
尽管65%接受乳腺钼靶检查的女性表示她们已被告知该检查的风险和益处，但60%的女性高估了乳腺钼靶检查中的辐射量。
应努力准确告知女性乳腺钼靶检查的风险和益处，特别强调乳腺钼靶电离辐射剂量低，并提供客观事实，以确保她们在做出关于筛查的决定时是基于充分了解的。
