1 Department of Radiology, New York University Langone Health, 765 Stewart Ave, Garden City, NY 11530.
2 Northwestern University, Feinberg School of Medicine, Chicago, IL.
AJR Am J Roentgenol. 2018 Feb;210(2):241-245. doi: 10.2214/AJR.17.18704. Epub 2017 Oct 18.
The purposes of this article are to summarize breast cancer screening recommendations and discuss their differences and similarities and to explain the differences between two national databases to aid in interpretation of their benchmarks.
The American College of Radiology, American Cancer Society, and U.S. Preventive Services Task Force all agree that annual mammography beginning at age 40 saves the most lives, and all acknowledge a woman's right to choose when to begin and stop screening. The National Mammography Database (NMD) differs from the Breast Cancer Surveillance Consortium database in that it acquires data using the same approach used by almost all mammography facilities in the United States. Therefore, NMD benchmarks, which include standard metrics, provide more meaningful comparisons to help mammography facilities and radiologists improve performance.
本文旨在总结乳腺癌筛查建议，并讨论它们的异同，同时解释两个国家数据库之间的差异，以帮助解释其基准。
美国放射学院、美国癌症协会和美国预防服务工作组都认为，从 40 岁开始每年进行乳房 X 光筛查可以挽救最多的生命，并且都承认女性有权选择何时开始和停止筛查。国家乳房 X 光数据库（NMD）与乳腺癌监测联盟数据库不同，因为它使用美国几乎所有乳房 X 光设施都使用的相同方法来获取数据。因此，NMD 基准包括标准指标，可以提供更有意义的比较，以帮助乳房 X 光设施和放射科医生提高绩效。
