Early Uptake of Breast Magnetic Resonance Imaging in a Community-Based Medical Practice, 2000-2004
Early Uptake of Breast Magnetic Resonance Imaging in a Community-Based Medical Practice, 2000-2004
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DOI：
10.1089/jwh.2010.2159
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发表时间：
2011-04-01
影响因子：
3.5
通讯作者：
Nekhlyudov, Larissa
中科院分区：
文献类型：
--
作者：
Stout, Natasha K.;Nekhlyudov, Larissa
背景：在过去的十年中，乳房磁共振成像（MRI）的临床应用已经扩展到乳腺癌的检测和控制范围。尽管支持或反对其使用的证据仍在不断积累，但其使用量似乎正在增长。方法：使用电子健康计划和医疗记录数据，我们记录了2000年至2004年在一个大型社区实践环境中大约82,000名符合条件的女性患者中乳房MRI使用的早期趋势。在研究期间，225名女性接受了至少一次乳房MRI检查；其中64例随后进行核磁共振（共333例核磁共振）。结果：磁共振成像的使用率从2000年的6台增加到2004年的112台，越来越多地用于筛查、诊断、疾病分期/治疗和监测目的。诊断用途占乳腺mri的近一半（333例中的164例）。在这种以社区为基础的实践中，尽管缺乏有关其使用的证据，但这种新技术得到了迅速采用。结论：随着新证据的产生，需要对该技术的使用进行监测，以尽量减少过度使用的风险和意想不到的下游后果。
Background: Clinical applications of magnetic resonance imaging (MRI) of the breast have expanded across the breast cancer detection and control spectrum over the past decade. Use appears to be growing, although evidence for or against its use is still accumulating.Methods: Using electronic health plan and medical record data, we documented early trends in breast MRI use from 2000 through 2004 in a large community practice setting with approximately 82,000 eligible female patients. During the study period, 225 women received at least one breast MRI; of those, 64 had subsequent MRI (for a total of 333 MRIs).Results: Utilization grew from 6 MRIs in 2000 to 112 in 2004, with increasing use for screening, diagnosis, disease staging/treatment, and surveillance purposes. Diagnostic use accounted for nearly half of the breast MRIs (164 of 333). In this community-based practice, there was rapid uptake of this new technology despite paucity of evidence about its uses.Conclusions: As new evidence is generated, use of this technology will need to be monitored to minimize the risk of overuse and unintended downstream consequences.