Patterns of breast magnetic resonance imaging use in community practice.
Patterns of breast magnetic resonance imaging use in community practice.
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DOI：
10.1001/jamainternmed.2013.11963
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发表时间：
2014-01
影响因子：
39
通讯作者：
Yankaskas, Bonnie C.
中科院分区：
文献类型：
--
作者：
Wernli, Karen J.;DeMartini, Wendy B.;Ichikawa, Laura;Lehman, Constance D.;Onega, Tracy;Kerlikowske, Karla;Henderson, Louise M.;Geller, Berta M.;Hofmann, Mike;Yankaskas, Bonnie C.
乳腺磁共振成像（MRI）越来越多地用于乳腺癌筛查、诊断评估和监测。然而，我们缺乏关于乳腺MRI在社区实践中使用的国家模式的数据。描述2005-2009年美国社区实践中乳腺磁共振成像（MRI）的使用模式。2005-2009年从5个国家乳腺癌监测联盟登记处收集的乳腺MRI和乳腺X射线摄影的观察性队列研究数据。数据包括8931例乳腺MRI检查和1，288，924例18-79岁女性的筛查乳房X线照片。我们计算了同一年内每1000名接受乳腺成像的女性进行乳腺MRI检查的比率，并按年龄和年龄描述了乳腺MRI检查的临床指征。我们比较了接受乳腺MRI筛查的女性和仅接受乳房X线摄影筛查的女性的患者特征和终生乳腺癌风险。从2005年到2009年，乳腺MRI的总体比率几乎增加了两倍，从每1000名妇女4.2次检查增加到11.5次检查，其中2005-2007年增长最快（p=0.02）。最常见的临床适应症是诊断评估（40.3%），其次是筛选（31.7%）。与仅接受筛查性乳腺X线摄影的女性相比，接受筛查性乳腺MRI的女性更可能是<50岁、非西班牙裔白色、未经产、乳腺组织极致密、有乳腺癌家族史和乳腺癌个人史。在研究期间，通过乳腺MRI筛查的乳腺癌终身高风险（>20%）妇女的比例从2005年的9%增加到2009年的29%。乳腺MRI用于筛查高危女性的使用正在增加。然而，我们的研究结果表明，有必要提高适当的利用率，包括可能受益于筛查乳腺MRI的女性。
Breast magnetic resonance imaging (MRI) is increasingly used for breast cancer screening, diagnostic evaluation, and surveillance However, we lack data on national patterns of breast MRI use in community practice. To describe 2005–2009 patterns of breast magnetic resonance imaging (MRI) use in U.S. community practice. Observational cohort study Data collected from 2005–2009 on breast MRI and mammography from five national Breast Cancer Surveillance Consortium registries. Data included 8931 breast MRI examinations and 1,288,924 screening mammograms from women aged 18–79 years. We calculated the rate of breast MRI examinations per 1000 women with breast imaging within the same year and described the clinical indications for the breast MRI examinations by year and age. We compared women screened with breast MRI to women screened with mammography alone for patient characteristics and lifetime breast cancer risk. The overall rate of breast MRI from 2005 through 2009 nearly tripled from 4.2 to 11.5 examinations per 1000 women with the most rapid rise from 2005–2007 (p=0.02). The most common clinical indication was diagnostic evaluation (40.3%), followed by screening (31.7%). Compared to women who received screening mammography alone, women who underwent screening breast MRI were more likely to be <50 years, white non-Hispanic, nulliparous, and have extremely dense breast tissue, a family history of breast cancer, and a personal history of breast cancer. The proportion of women screened by breast MRI at high lifetime risk for breast cancer (>20%) increased during the study period from 9% in 2005 to 29% in 2009. Use of breast MRI for screening in high-risk women is increasing. However, our findings suggest there is a need to improve appropriate utilization, including among women who may benefit from screening breast MRI.
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影响因子：
120.7
作者：
Bluemke, DA;Gatsonis, CA;Schnall, MD
通讯作者：
Schnall, MD
影响因子：
3.8
作者：
Ozanne, Elissa M.;Drohan, Brian;Hughes, Kevin S.
通讯作者：
Hughes, Kevin S.
影响因子：
3.5
作者：
Stout, Natasha K.;Nekhlyudov, Larissa
通讯作者：
Nekhlyudov, Larissa
影响因子：
5.7
作者：
Haas, JS;Kaplan, CP;Des Jarlais, G
通讯作者：
Des Jarlais, G
影响因子：
3.8
作者：
Miller, Jacqueline W.;Sabatino, Susan A.;Ballard-Barbash, Rachel
通讯作者：
Ballard-Barbash, Rachel