Gold R H, Bassett L W, Fox S A
Radiol Clin North Am. 1987 Sep;25(5):1039-46.
Deterrents to the use of screening mammography include perceived risks of radiation, perceived "unnecessary" biopsies and overdiagnosis, and high cost. In addition, physicians and patients have attitudinal barriers that do not reflect objective realities. Professional and public education efforts are needed to enable women and their physicians to develop a more sophisticated understanding of the usefulness of screening mammography and the role played by the radiologist. As part of their efforts to increase the implementation of screening mammography, the American College of Radiology has developed a Mammography Accreditation Program for radiological facilities and has produced a free Mammography Resource Kit for radiologists, while the American Cancer Society has undertaken the support of local and national campaigns to establish screening programs at reduced cost. Both organizations continue to strive in partnership to increase the acceptance of screening throughout the United States.
乳腺钼靶筛查的阻碍因素包括对辐射风险的认知、认为存在“不必要”的活检和过度诊断，以及成本高昂。此外，医生和患者存在态度上的障碍，这些障碍并未反映客观现实。需要开展专业和公众教育活动，以使女性及其医生对乳腺钼靶筛查的有用性以及放射科医生所起的作用有更深入的理解。作为增加乳腺钼靶筛查实施率努力的一部分，美国放射学会为放射设施制定了乳腺钼靶认证计划，并为放射科医生制作了免费的乳腺钼靶资源工具包，而美国癌症协会则支持开展地方和全国性活动，以降低成本建立筛查项目。这两个组织继续携手努力，以提高全美国对筛查的接受度。
