Improving breast imaging quality standards

Improving breast imaging quality standards
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提高乳腺成像质量标准

DOI:
10.17226/11308
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发表时间:
2005
影响因子:
--
通讯作者:
J. Ball
J. Ball
中科院分区:
医学4区
文献类型:
--
作者:
S. Nass;J. Ball

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乳腺X线摄影是早期发现乳腺癌的重要工具。如果再加上适当的治疗,早期发现可以降低乳腺癌死亡率。应国会的要求,美国食品和药物管理局(FDA)委托进行了一项研究,以检查乳房X光检查和乳腺癌检测的现行做法,重点是FDA通过乳房X光检查质量标准法案(MQSA)进行的监督,以确定需要改进的领域。1993年颁布的《乳房X线检查质量管理法》提供了一个总体框架,以确保进行乳房X线检查的设施达到国家质量标准,要求每个乳房X线检查设施都得到认可和认证,并规定设施必须接受年度检查。本书推荐了在保证乳腺X线摄影质量方面取得持续进展的策略,包括MQSA法规的变化,以及不属于MQSA范围的方法。具体而言,本书提供了旨在改善乳腺X线摄影解释的建议;修订MQSA法规,检查和执法;确保乳腺癌筛查和诊断的足够劳动力;以及提高乳腺X线摄影以外的乳腺成像质量。
Mammography is an important tool for detecting breast cancer at an early stage. When coupled with appropriate treatment, early detection can reduce breast cancer mortality. At the request of Congress, the Food and Drug Administration (FDA) commissioned a study to examine the current practice of mammography and breast cancer detection, with a focus on the FDAa (TM)s oversight via the Mammography Quality Standards Act (MQSA), to identify areas in need of improvement. Enacted in 1993, MQSA provides a general framework for ensuring national quality standards in facilities performing screening mammography, requires that each mammography facility be accredited and certified, and mandates that facilities will undergo annual inspections. This book recommends strategies for achieving continued progress in assuring mammography quality, including changes to MQSA regulation, as well as approaches that do not fall within the purview of MQSA. Specifically, this book provides recommendations aimed at improving mammography interpretation; revising MQSA regulations, inspections, and enforcement; ensuring an adequate workforce for breast cancer screening and diagnosis; and improving breast imaging quality beyond mammography.
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