Smith R, Osuch J R, Linver M N
Cancer Detection and Treatment Department, American Cancer Society, Atlanta, Georgia, USA.
Radiol Clin North Am. 1995 Nov;33(6):1247-57.
The medical audit of technical and interpretive aspects of mammography has been recommended by a number of expert panels and as part of some regulations that govern the oversight of mammography. The value of the medical audit is to aid practitioners in the performance evaluation of mammography in their facilities. Collection and analysis of audit data at a regional or national level have the potential to allow for the comparison of practice-level performance with regional and national-level performance and to provide a public health tool for the evaluation and improvement of breast cancer detection. In addition, a regional and national-level breast cancer database has the potential for allowing monitoring and tracking of women participating in a screening program. Prior to establishing such a database, data must be protected from discovery and disclosure, and patient and physician confidentiality must be ensured.
一些专家小组已建议对乳腺钼靶检查的技术和解读方面进行医学审核，这也是一些管理乳腺钼靶检查监督的法规的一部分。医学审核的价值在于帮助从业者对其机构内的乳腺钼靶检查进行性能评估。在区域或国家层面收集和分析审核数据，有可能将实践层面的表现与区域和国家层面的表现进行比较，并提供一个用于评估和改善乳腺癌检测的公共卫生工具。此外，区域和国家层面的乳腺癌数据库有可能对参与筛查项目的女性进行监测和跟踪。在建立这样一个数据库之前，必须保护数据不被发现和披露，并确保患者和医生的保密性。
