Cost-effective screening for breast cancer worldwide: current state and future directions.
Cost-effective screening for breast cancer worldwide: current state and future directions.
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DOI：
10.4137/bcbcr.s774
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发表时间：
2008
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中科院分区：
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医疗保健的可负担性受到其飞涨的成本的高度限制。在发展中国家，大多数人口无法充分获得筛查和诊断医疗设备和药品。全世界都非常需要在乳腺癌的最早阶段进行检测。这些需求必须与各国向其人口提供乳腺癌筛查技术的能力相平衡。我们回顾了目前可用的乳腺筛查和诊断技术的诊断准确性，手术成本和成本效益，包括临床乳腺检查，乳腺X线摄影，超声，磁共振成像，活检和一种新的癌症诊断方式称为弹性成像，在过去的十年中出现。临床结果表明，弹性成像，即使在其最简单和最不复杂的版本，如触觉成像，具有显着的诊断潜力可比，并超过传统的成像技术。鉴于许多国家资源有限，必须在全世界考虑采用有效但费用较低的筛查模式。触觉成像是一种有潜力提供具有成本效益的乳腺癌筛查和诊断的方法。
Affordability of healthcare is highly limited by its skyrocketing cost. Access to screening and diagnostic medical equipment and medicine in developing countries is inadequate for the majority of the population. There is a tremendous worldwide need to detect breast cancer at its earliest stage. These needs must be balanced by the ability of countries to provide breast cancer screening technology to their populations. We reviewed the diagnostic accuracy, procedure cost and cost-effectiveness of currently available technique for breast screening and diagnosis including clinical breast examination, mammography, ultrasound, magnetic resonance imaging, biopsy and a new modality for cancer diagnostics termed elasticity imaging that has emerged in the last decade. Clinical results demonstrate that elasticity imaging even in its simplest and least sophisticated versions, like tactile imaging, has significant diagnostic potential comparable and exceeding that of conventional imaging techniques. In view of many countries with limited resources, effective yet less expensive modes of screening must be considered worldwide. The tactile imaging is one method that has the potential to provide cost-effective breast cancer screening and diagnostics.