背景:由于其高灵敏度,正如在乳腺超声试验(BUST)中得出的结论,靶向超声(US)现在似乎是诊断性评估乳腺疾病的一种有前景的、准确的独立模式.这种方法意味着在具有明显良性US发现的女性中省略了双侧数字乳腺断层合成(DBT)。在BUST内,放射科医生从美国开始,然后是DBT。这项边研究调查了女性使用DBT的经历,他们接受诊断成像的主要动机,以及他们对美国作为独立模式的看法。方法:一部分BUST参与者完成了一份关于他们DBT经历的问卷,接受诊断评估的原因,并查看仅限美国的诊断。采用描述性统计和logistic回归分析。结果:总的来说,838名妇女中的778名(缓解率92.8%)被包括在内(M=47,SD=11.16)。其中,16.8%报告没有DBT负担,33.5%轻微负担,31.0%中度,和12.7%的严重负担。此外,13%报告没有疼痛,35.3%轻微疼痛,33.2%中度,和11.3%严重疼痛。此外,88.3%表示乳房评估的最重要原因是解释他们的抱怨和排除乳腺癌,而3.2%的人想“检查”两个乳房。82.4%的人报告仅在非恶性肿瘤的情况下对美国感到满意。结论:我们的研究表明,大多数女性在诊断环境中经历至少轻度至中度的DBT相关负担和疼痛,对他们症状的解释是他们的主要兴趣。此外,大多数报告仅在非恶性发现的情况下对美国表示满意。然而,我们需要在本研究之外探索女性的观点,因为我们的参与者都接受了这两项检查。
Background: Owing to its high sensitivity, as concluded in the Breast UltraSound
Trial (BUST), targeted ultrasound (US) now seems a promising accurate stand-alone modality for diagnostic evaluation of breast complaints. This approach implies omission of bilateral digital breast tomosynthesis (DBT) in women with clearly benign US findings. Within BUST, radiologists started with US followed by DBT. This side-
study investigates women\'s experiences with DBT, their main motivation to undergo diagnostic imaging, and their view on US as a stand-alone modality. Methods: A subset of BUST participants completed a questionnaire on their DBT experiences, reason for undergoing diagnostic assessment, and view on US-only diagnostics. Responses were analyzed with descriptive statistics and logistic regression analyses. Results: In total, 778 of 838 women (response rate 92.8%) were included (M = 47, SD = 11.16). Of them, 16.8% reported no burden of DBT, 33.5% slight burden, 31.0% moderate, and 12.7% severe burden. Furthermore, 13% reported no pain, 35.3% slight pain, 33.2% moderate, and 11.3% severe pain. Moreover, 88.3% indicated that the most important reason for breast assessment was explanation of their complaint and to rule out breast cancer, whereas 3.2% wanted to \"check\" both breasts. And 82.4% reported satisfaction with US only in case of a nonmalignancy. Conclusions: Our
study shows that most women in the diagnostic setting experience at least slight-to-moderate DBT-related burden and pain, and that explanation for their symptoms is their main interest. Also, the majority report satisfaction with US only in case of nonmalignant findings. However, exploration of women\'s perspectives outside this
study is needed as our participants all underwent both examinations.