Promoting an ethical approach to unproven screening imaging tests.
Promoting an ethical approach to unproven screening imaging tests.
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DOI：
10.1016/j.jacr.2004.09.012
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发表时间：
2005-04-01
期刊：
影响因子：
--
通讯作者：
Chan, Evelyn C Y
中科院分区：
文献类型：
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作者：
Chan, Evelyn C Y
使用筛查成像技术，如电子束计算机断层扫描和计算机断层扫描，以早期发现冠状动脉疾病，肺癌和其他疾病正在上升，即使它们还没有被证明可以降低疾病的死亡率。在随机对照试验评估这些测试作为筛查测试的有效性之前，它们仍将存在争议。目前尚不清楚这些筛查测试的潜在益处是否超过风险。在公众对筛查的需求和热情很高的实践环境中，放射科医生可以认识到与未经证实的筛查成像测试相关的伦理问题;了解当前国家对专业化和知情和共享的筛查决策的政策;从另一种未经证实的筛查测试，前列腺特异性抗原血液测试的扩散中吸取教训。并与卫生保健系统中的其他人合作，促进筛查成像测试的道德方法。
The use of screening imaging technology such as electron beam computed tomography and computed tomographic scans for the early detection of coronary artery disease, lung cancer, and other diseases is rising, even though they have not been proven to reduce disease-specific mortality. Until randomized, controlled trials assess the efficacy of these tests as screening tests, they will remain controversial. It is unclear whether the potential benefits of these screening tests outweigh the risks. In a practice environment in which public demand and enthusiasm for screening is high, radiologists can recognize the ethical issues associated with unproven screening imaging tests; understand current national policies toward professionalism and informed and shared decision making for screening; draw on the lessons learned from the proliferation of another unproven screening test, the prostate-specific antigen blood test for prostate cancer; and work with others in the health care system to promote an ethical approach to screening imaging tests.