Faculty of Science, School of Dentistry & Health Sciences, Charles Sturt University, Wagga Wagga, New South Wales, Australia.
J Med Radiat Sci. 2020 Jun;67(2):102-110. doi: 10.1002/jmrs.374. Epub 2020 Jan 24.
This study seeks to document the imaging series used in contemporary Australian practice for imaging the augmented breast, with a secondary focus on differences in practice and opinion between BreastScreen Australia and diagnostic imaging services.
A SurveyMonkey link was distributed through the Australian Society of Medical Imaging and Radiation Therapy (ASMIRT) and was assessable during December 2017 and January 2018. The questionnaire investigated: years of experience, facility type and location, image acquisition systems, appointment times, patients imaged per week, technique and imaging series used, use of limited compression views, rationale for variation in imaging series and the use of ultrasound. Descriptive statistics were produced for all variables with chi-squared tests used for comparisons between categorical variables.
The most frequently used series was the eight-image Eklund ID technique 64% and 59% (submuscular) and 68% and 58% (subglandular) for BSA and diagnostic services, respectively. Eighteen different combinations of projections were reported with eight combinations common to both subglandular and submuscular imaging. The majority of participants attributed imaging series preferences to dose reduction and radiologist preference.
This research has demonstrated varied approaches to the routine imaging of women with breast implants and identified the need for the establishment of dedicated evidence-based imaging protocols to ensure that regardless of which setting a woman attends that they receive standardised imaging with minimal dose and maximum breast coverage. This is a reassurance that is not applicable to current practice.
本研究旨在记录当代澳大利亚增强乳房成像中使用的成像系列，重点关注 BreastScreen Australia 和诊断成像服务之间的实践和观点差异。
通过澳大利亚医学影像学和放射治疗学会（ASMIRT）分发了 SurveyMonkey 链接，可在 2017 年 12 月至 2018 年 1 月期间进行评估。该问卷调查了：从业年限、机构类型和位置、图像采集系统、预约时间、每周检查的患者数量、使用的技术和成像系列、有限压缩视图的使用、成像系列变化的理由以及超声的使用。对所有变量进行描述性统计，使用卡方检验比较分类变量。
最常使用的系列是 8 图像 Eklund ID 技术，BSA 和诊断服务分别为 64%和 59%（胸肌下）和 68%和 58%（乳腺后）。报告了 18 种不同的投影组合，其中 8 种组合在乳腺后和胸肌下成像中都有。大多数参与者将成像系列偏好归因于剂量减少和放射科医生偏好。
本研究表明，对有乳房植入物的女性进行常规成像的方法存在差异，并确定需要制定专门的基于证据的成像方案，以确保无论女性就诊于哪个机构，她们都能接受标准化的成像，剂量最小，乳房覆盖范围最大。这是当前实践无法保证的。
