高危筛查环境下对比增强光谱乳腺摄影（CESM）与MRI的比较：患者偏好和态度
Contrast-enhanced spectral mammography (CESM) versus MRI in the high-risk screening setting: patient preferences and attitudes.
作者信息
Phillips Jordana, Miller Matthew M, Mehta Tejas S, Fein-Zachary Valerie, Nathanson Audrey, Hori Wendy, Monahan-Earley Rita, Slanetz Priscilla J
机构信息
Department of Radiology, Beth Israel Deaconess Medical Center and Harvard Medical School, 330 Brookline Avenue, Boston, MA 02215, USA.
Clinical Research Center, Gryzmish 800, Beth Israel Deaconess Medical Center and Harvard Medical School, 330 Brookline Avenue, Boston, MA 02215, USA.
出版信息
Clin Imaging. 2017 Mar-Apr;42:193-197. doi: 10.1016/j.clinimag.2016.12.011. Epub 2016 Dec 28.
PURPOSE
Our study evaluates patient preferences toward screening CESM versus MRI.
MATERIALS AND METHODS
As part of a prospective study, high-risk patients had breast MRI and CESM. Patients completed an anonymous survey to evaluate preferences regarding the two modalities.
RESULTS
88% of participants completed the survey. 79% preferred CESM over MRI if the exams had equal sensitivity. 89% would be comfortable receiving contrast as part of an annual screening test.
CONCLUSION
High-risk populations may accept CESM as a screening exam and may prefer it over screening MRI if ongoing trials demonstrate screening CESM to be clinically non-inferior MRI.
目的
我们的研究评估了患者对乳腺对比增强谱乳腺X线摄影（CESM）与磁共振成像（MRI）筛查的偏好。
材料与方法
作为一项前瞻性研究的一部分，高危患者接受了乳腺MRI和CESM检查。患者完成了一项匿名调查，以评估对这两种检查方式的偏好。
结果
88%的参与者完成了调查。如果两种检查具有相同的敏感性，79%的人更喜欢CESM而非MRI。89%的人愿意接受作为年度筛查检查一部分的造影剂。
结论
如果正在进行的试验表明筛查CESM在临床上不劣于MRI，高危人群可能会接受CESM作为一种筛查检查，并且可能更喜欢它而不是筛查MRI。
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