Narayan Anand K, Al-Naemi Huda, Aly Antar, Kharita Mohammad Hassan, Khera Ruhani Doda, Hajaj Mohamad, Rehani Madan M
Massachusetts General Hospital, Boston, MA, USA.
Hamad Medical Corporation, Doha, Qatar.
Eur J Breast Health. 2020 Apr 1;16(2):124-128. doi: 10.5152/ejbh.2020.5115. eCollection 2020 Apr.
Compared with other countries in the Middle East, Qatar has one of the highest breast cancer incidence and mortality rates. Poor quality mammography images may be associated with advanced stage breast cancer, however there is limited information about the quality of breast imaging in Qatar. Our purpose was to evaluate the clinical image quality of mammography examinations performed at a tertiary care center in Doha, Qatar using a standardized assessment tool.
Bilateral mammograms from consecutive patients from a tertiary care cancer center in Doha, Qatar were obtained. Proportions of examinations deemed adequate for interpretation were estimated. Standardized clinical image quality assessment form was utilized to evaluate image quality components. For each image, image quality components were given grades on a 1-5 scale (5-excellent, 4-good, 3-average, 2-fair, 1-poor). Mean scores with 95% confidence intervals were estimated for each component.
Consecutive sample of 132 patients was obtained representing 528 mammographic images. Overall, 99.2% of patients underwent examinations rated as acceptable for interpretation. Mean scores for each image quality component ranged from 4.045 to 5.000 (lowest score for inframammary fold). Image quality component scores were 93.0% excellent, 5.2% good, 1.1% average, 0.6% fair, and 0.1% poor.
Overall image quality at a tertiary care center in Doha, Qatar was acceptable for interpretation with minimal areas identified for improvement.
与中东其他国家相比，卡塔尔的乳腺癌发病率和死亡率位居前列。乳腺钼靶图像质量不佳可能与晚期乳腺癌有关，然而关于卡塔尔乳腺成像质量的信息有限。我们的目的是使用标准化评估工具，评估在卡塔尔多哈一家三级护理中心进行的乳腺钼靶检查的临床图像质量。
获取了卡塔尔多哈一家三级护理癌症中心连续患者的双侧乳腺钼靶图像。估计了被认为适合解读的检查比例。使用标准化临床图像质量评估表来评估图像质量组成部分。对于每张图像，图像质量组成部分按1 - 5分制评分（5分 - 优秀，4分 - 良好，3分 - 中等，2分 - 尚可，1分 - 差）。估计每个组成部分的平均得分及其95%置信区间。
获得了132例患者的连续样本，代表528张乳腺钼靶图像。总体而言，99.2%的患者接受的检查被评为适合解读。每个图像质量组成部分的平均得分在4.045至5.000之间（乳房下皱襞得分最低）。图像质量组成部分得分中，93.0%为优秀，5.2%为良好，1.1%为中等，0.6%为尚可，0.1%为差。
卡塔尔多哈一家三级护理中心的总体图像质量适合解读，仅有极小部分需要改进。
