School of Radiology, University of Genoa, Department of Health Sciences DISSAL, Via Antonio Pastore 1, 16132, Genoa, Italy.
Diagnostic Senology, IRCCS - Policlinico San Martino, Largo Rosanna Benzi 10, 16132, Genoa, Italy.
Eur Radiol Exp. 2020 Feb 10;4(1):12. doi: 10.1186/s41747-019-0136-z.
Our aim was to compare women's experience with automated breast ultrasound (ABUS) versus breast hand-held ultrasound (HHUS) and to evaluate their acceptance rate.
After ethical approval, from October 2017 to March 2018, 79 consecutive patients were enrolled in this prospective study. On the same day, patients underwent HHUS followed by ABUS. Each patient's experience was assessed using the modified testing morbidities index (TMI) (the lower the score, the better is the experience). Nine items were assessed for both techniques: seven directly related to the examination technique (pain or discomfort immediately before (preparation), during and after testing, fear or anxiety immediately before (preparation) and during testing, physical and mental function after testing) and two indirectly related to the examination technique (embarrassment during testing and overall satisfaction). Finally, we asked patients to choose between the two techniques for a potential next breast examination. Wilcoxon signed ranks test was used.
The median TMI score for the seven items was found to be significantly better for HHUS (8, interquartile range [IQR] 7-11) compared to ABUS (9, IQR 8-12) (p = 0.003). The item 'pain/discomfort during the test' (p < 0.001) was significantly higher for ABUS compared to HHUS. Instead, the item 'fear/anxiety before the test' was higher for HHUS (p = 0.001). Overall, 40.5% of the patients chose HHUS, 29.1% chose ABUS, and 30.4% were unable to choose.
ABUS and HHUS exams were well tolerated and accepted. However, HHUS was perceived to be less painful than ABUS.
本研究旨在比较女性对自动乳腺超声（ABUS）和手动乳腺超声（HHUS）的体验，并评估其接受率。
在获得伦理批准后，于 2017 年 10 月至 2018 年 3 月，连续纳入 79 例患者进行前瞻性研究。当日，患者依次接受 HHUS 和 ABUS 检查。采用改良的检测不适指数（TMI）评估每位患者的体验（得分越低，体验越好）。两种技术均评估 9 项：7 项与检查技术直接相关（检查前（准备）、检查中和检查后即刻的疼痛或不适、检查前（准备）和检查中即刻的恐惧或焦虑、检查后的身心功能），2 项与检查技术间接相关（检查过程中的尴尬和总体满意度）。最后，我们询问患者在潜在的下一次乳房检查中对两种技术的选择。采用 Wilcoxon 符号秩检验。
HHUS 检查的 TMI 得分中位数为 8（四分位距 [IQR] 7-11），显著低于 ABUS 检查的 9（IQR 8-12）（p = 0.003）。ABUS 检查时的“检查过程中的疼痛/不适”明显高于 HHUS（p<0.001）。而 HHUS 检查时的“检查前的恐惧/焦虑”较高（p = 0.001）。总体而言，40.5%的患者选择 HHUS，29.1%选择 ABUS，30.4%无法选择。
ABUS 和 HHUS 检查均耐受良好且被接受。然而，HHUS 被认为比 ABUS 引起的疼痛更小。
