发展中国家乳腺 X 射线移动筛查的挑战与前景综述

N.V. Manukyan, G.N. Tamamyan
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引用次数: 0

摘要

摘要 乳腺癌是全世界妇女最常见的癌症,约占女性癌症病例总数的 25%。鉴于乳腺癌对发展中国家的影响越来越大,早期发现和及时治疗对于降低该疾病的发病率和死亡率至关重要。乳房 X 射线照相筛查是一种行之有效的早期检测方法,因为它可以在早期阶段发现乳腺癌,此时成功治疗的几率更高。在发展中国家,移动乳房 X 射线照相筛查有可能大大提高乳腺癌的早期发现率并降低相关死亡率。然而,各种挑战仍然阻碍着其效益的充分实现。这篇综述文章旨在确定和探讨在发展中国家实施移动乳腺 X 射线照相筛查项目所面临的挑战和前景,并就如何克服这些障碍提出建议。总体而言,发展中国家的移动乳腺 X 光造影筛查前景广阔,技术进步、全球合作的加强以及持续的研究都为进一步提高这些项目的有效性提供了机遇。抓住这些机遇,应对与可及性、可负担性、人力资源、文化和社会因素以及基础设施相关的挑战,流动乳腺 X 光造影筛查就能对发展中国家妇女的生活产生重大影响,并为缩小全球乳腺癌治疗的差距做出贡献。几个在中低收入国家成功开展的移动乳腺 X 射线照相筛查项目展示了此类项目在改善早期检测服务、提高乳腺癌意识以及最终降低乳腺癌死亡率方面的潜力。通过借鉴这些项目的最佳实践和经验教训,其他中低收入国家也可以根据自身的独特国情和资源限制,制定并实施移动乳腺 X 光造影筛查项目。
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A REVIEW OF CHALLENGES AND PROSPECTS OF MOBILE MAMMOGRAPHY SCREENING IN DEVELOPING COUNTRIES
Abstract Breast cancer is the most common cancer among women worldwide, accounting for approximately 25% of all female cancer cases. Given the increasing impact of breast cancer in developing countries, early detection and timely treatment are crucial in reducing morbidity and mortality associated with the disease. Mammography screening is a well-established method for early detection, as it can identify breast cancer at an early stage when the chances of successful treatment are higher. Mobile mammography screening has the potential to significantly improve early detection and reduce mortality rates associated with breast cancer in developing countries. However, various challenges still impede the full realization of its benefits. This review article aims to identify and explore the challenges and prospects of implementing mobile mammography screening programs in developing countries, and to provide recommendations on how to overcome these obstacles. Overall, the future of mobile mammography screening in developing countries can be promising, with opportunities for technological advancements, increased global cooperation, and ongoing research to further enhance the effectiveness of these programs. By seizing these opportunities and addressing the challenges related to accessibility, affordability, human resources, cultural and social factors, and infrastructure, mobile mammography screening can make a significant impact on the lives of women in developing countries and contribute to reducing global disparities in breast cancer care. Several successful mobile mammography screening projects in low- and middle-income countries showcase the potential for such programs to improve access to early detection services, raise breast cancer awareness, and ultimately reduce breast cancer mortality rates. By adapting best practices and lessons learned from these projects, other low- and middle-income countries can develop and implement mobile mammography screening programs tailored to their unique contexts and resource constraints.
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