National trends and practices in breast MRI
National trends and practices in breast MRI
复制标题
DOI：
10.2214/ajr.07.3207
复制
发表时间：
2008-08-01
影响因子：
5
通讯作者：
Sayre, James W.
中科院分区：
文献类型：
--
作者：
Bassett, Lawrence W.;Dhaliwal, Sonia G.;Sayre, James W.
目标。我们研究的目的是报告目前美国放射科医生参与乳腺MRI检查和解释的实践。我们邀请了乳房成像学会的1696名活跃的医生成员参与一项调查，调查他们是否以及如何进行乳房核磁共振检查和解释。受访者被要求从他们的诊所中选择一名成员来完成调查。共完成了754项调查。结果：在754例患者中，有557例(73.8%)接受了增强乳腺MRI检查。其中，553人中有346人(62.6%)每周至少进行五次乳腺MRI检查，而553人中只有56人(10.1%)每周进行20次检查。根据乳房摄影质量标准法案获得资格的放射科医生在大多数设施中监督乳房核磁共振的性能和解释。在552例被调查者中，280例(50.7%)被解释为带有计算机辅助检测(CAD)的软拷贝，261例(47.3%)被解释为无CAD的软拷贝，11例(2.0%)被解释为硬拷贝。在551名受访者中，256名(46.5%)从未解释过乳腺MRI，207名(37.6%)很少在没有乳房X光检查或超声检查结果的情况下解释乳腺MRI。大多数受访者从未(269/561，48.0%)或很少(165/561，29.4%)解释在外部机构进行的乳腺MRI检查。在561例中，有359例(64.0%)提供了乳房MRI筛查。在进行对比增强检查的实践中，557人中有173人(31.1%)没有进行MRI引导的介入操作。结论：对比增强乳腺MRI目前在美国得到了广泛应用。从这项调查中获得的信息应该为制定专业实践准则提供合理的方法。
OBJECTIVE. The objective of our study was to report on the current practices of radiologists involved in the performance and interpretation of breast MRI in the United States.MATERIALS AND METHODS. We invited the 1,696 active physician members of the Society of Breast Imaging to participate in a survey addressing whether and how they performed and interpreted breast MRI. Respondents were asked to select one member of their practice to complete the survey. A total of 754 surveys were completed. Every respondent did not reply to every question.RESULTS. Contrast-enhanced breast MRI was offered at 557 of 754 (73.8%) practices. Of these, 346 of 553 (62.6%) performed at least five breast MRI examinations per week, and only 56 of 553 (10.1%) performed > 20 per week. Radiologists qualified under the Mammography Quality Standards Act supervised the performance of and interpreted breast MRI in the majority of facilities. Of 552 respondents, breast MRI was interpreted as soft copy with computer-aided detection (CAD) in 280 practices (50.7%), as soft copy without CAD in 261 (47.3%), and as hard copy in 11 (2.0%). Of 551 respondents, 256 (46.5%) never and 207 (37.6%) rarely interpreted breast MRI without correlating mammography or sonography findings. The majority of respondents never (269/561, 48.0%) or rarely (165/561, 29.4%) interpreted breast MRI performed at an outside facility. Screening breast MRI was offered at 359 of 561 (64.0%) practices. Of the practices performing contrast-enhanced examinations, 173 of 557 (31.1%) did not perform MRI-guided interventional procedures.CONCLUSION. Contrast-enhanced breast MRI is now widely used in the United States. The information gained from this survey should provide reasonable approaches for the development of professional practice guidelines.