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当前在进行和报告高级盆腔超声和 MRI 以探查子宫内膜异位症方面的实践模式、挑战和教育需求:加拿大放射学家协会子宫内膜异位症工作组的调查。

Current Practice Patterns, Challenges, and Need for Education in Performing and Reporting Advanced Pelvic US and MRI to Investigate Endometriosis: A Survey by the Canadian Association of Radiologists Endometriosis Working Group.

机构信息

Joint Department of Medical Imaging, University of Toronto, Toronto ON, Canada.

Department of Medical Imaging, University of British Columbia, Vancouver, BC, Canada.

出版信息

Can Assoc Radiol J. 2024 Feb;75(1):38-46. doi: 10.1177/08465371231179292. Epub 2023 Jun 19.

DOI:10.1177/08465371231179292
PMID:37336789
Abstract

The Canadian Association of Radiologists (CAR) Endometriosis Working Group developed a national survey to evaluate current practice patterns associated with imaging endometriosis using advanced pelvic ultrasound and MRI to inform forthcoming clinical practice guidelines for endometriosis imaging. The anonymous survey consisted of 36 questions and was distributed electronically to CAR members. The survey contained a mix of multiple choice, Likert scale and open-ended questions intended to collect information about training and certification, current practices and protocols associated with imaging endometriosis, opportunities for quality improvement and continuing professional development. Descriptive statistics were used to summarize the results. Canadian radiologists were surveyed about their experience with imaging endometriosis. A total of 89 responses were obtained, mostly from Ontario and Quebec. Most respondents were community radiologists, and almost 33% were in their first five years of practice. Approximately 38% of respondents reported that they or their institution performed advanced pelvic ultrasound for endometriosis, with most having done so for less than 5 years, and most having received training during residency or fellowship. 70% of respondents stated they currently interpret pelvic endometriosis MRI, with most having 1-5 years of experience. Many radiologists in Canada do not perform dedicated imaging for endometriosis. This may be due to a lack of understanding of the benefits and limited access to training. However, dedicated imaging can improve patient outcomes and decrease repeated surgeries. The results highlight the importance of developing guidelines for these imaging techniques and promoting a multidisciplinary approach to endometriosis management.

摘要

加拿大放射学家协会(CAR)子宫内膜异位症工作组制定了一项全国性调查,以评估使用先进的盆腔超声和 MRI 对子宫内膜异位症进行影像学检查的当前实践模式,为即将出台的子宫内膜异位症影像学临床实践指南提供信息。该匿名调查包含 36 个问题,并以电子方式分发给 CAR 成员。调查包含了多项选择题、李克特量表和开放式问题,旨在收集有关培训和认证、与子宫内膜异位症影像学相关的当前实践和方案、质量改进和继续专业发展机会的信息。使用描述性统计来总结结果。对加拿大放射科医生进行了子宫内膜异位症影像学检查经验的调查。共收到 89 份回复,主要来自安大略省和魁北克省。大多数受访者是社区放射科医生,近 33%的人在实践的头五年。大约 38%的受访者报告说他们或他们的机构为子宫内膜异位症进行了高级盆腔超声检查,大多数人进行这项检查不到 5 年,并且大多数人在住院医师或专科培训期间接受了培训。70%的受访者表示他们目前解读盆腔子宫内膜异位症 MRI,大多数人有 1-5 年的经验。加拿大许多放射科医生不为子宫内膜异位症进行专门的影像学检查。这可能是由于对这些影像学技术的益处缺乏了解,以及培训机会有限。然而,专门的影像学检查可以改善患者的治疗效果并减少重复手术。调查结果强调了为这些影像学技术制定指南和促进多学科方法管理子宫内膜异位症的重要性。

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