乳腺成像误诊:欧洲乳腺成像学会(EUSOBI)声明文件--第 1 部分:放射学常见错误在乳腺癌漏诊中的作用以及误诊的影响。

IF 4.7 2区 医学 Q1 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING European Radiology Pub Date : 2024-11-15 DOI:10.1007/s00330-024-11128-1
Isabelle Thomassin-Naggara, Fleur Kilburn-Toppin, Alexandra Athanasiou, Gabor Forrai, Miruna Ispas, Mihai Lesaru, Elisabetta Giannotti, Katja Pinker-Domenig, Chantal Van Ongeval, Fiona Gilbert, Ritse M Mann, Federica Pediconi
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引用次数: 0

摘要

重要性:乳腺成像误诊会对患者、医疗服务提供者和整个医疗系统产生重大影响:乳腺成像误诊的一些潜在影响包括诊断延迟或错误的保证,这可能会导致治疗延迟,并有可能导致预后恶化。误诊还可能导致不必要的手术,给患者带来身体不适、焦虑和情绪困扰,并增加医疗费用。所有这些事件都会削弱患者对医疗系统和医疗服务提供者的信任。这会对患者遵从筛查和治疗建议以及整体健康结果产生负面影响。此外,误诊还会给医疗服务提供者带来法律后果,包括医疗事故诉讼和执照委员会的纪律处分:为了将乳腺成像中的误诊风险降至最低,医疗服务提供者必须使用适当的成像技术,并准确、一致地解读图像。这需要对放射科医生和其他医疗服务提供者进行持续的培训和教育,以及医疗服务提供者之间的合作和沟通,以确保患者得到适当和及时的治疗。如果确实发生误诊,医疗服务提供者必须与患者沟通并提供适当的后续护理,以尽量减少误诊的潜在影响。这可能包括重复成像、额外活检或其他程序,以及转诊至专科医生进行进一步评估和管理:问题 造成乳腺成像误诊的主要因素是什么?研究结果 放射科医生和其他医疗服务提供者的持续培训和教育以及跨学科合作与交流至关重要。临床意义 乳腺成像误诊会对患者、医疗服务提供者和整个医疗系统产生重大影响。
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Misdiagnosis in breast imaging: a statement paper from European Society Breast Imaging (EUSOBI)-Part 1: The role of common errors in radiology in missed breast cancer and implications of misdiagnosis.

Importance: Misdiagnosis in breast imaging can have significant implications for patients, healthcare providers, and the healthcare system as a whole.

Observations: Some of the potential implications of misdiagnosis in breast imaging include delayed diagnosis or false reassurance, which can result in a delay in treatment and potentially a worse prognosis. Misdiagnosis can also lead to unnecessary procedures, which can cause physical discomfort, anxiety, and emotional distress for patients, as well as increased healthcare costs. All these events can erode patient trust in the healthcare system and in individual healthcare providers. This can have negative implications for patient compliance with screening and treatment recommendations, as well as overall health outcomes. Moreover, misdiagnosis can also result in legal consequences for healthcare providers, including medical malpractice lawsuits and disciplinary action by licensing boards.

Conclusion and relevance: To minimize the risk of misdiagnosis in breast imaging, it is important for healthcare providers to use appropriate imaging techniques and interpret images accurately and consistently. This requires ongoing training and education for radiologists and other healthcare providers, as well as collaboration and communication among healthcare providers to ensure that patients receive appropriate and timely care. If a misdiagnosis does occur, it is important for healthcare providers to communicate with patients and provide appropriate follow-up care to minimize the potential implications of the misdiagnosis. This may include repeat imaging, additional biopsies or other procedures, and referral to specialists for further evaluation and management.

Key points: Question What factors most contribute to and what implications stem from misdiagnosis in breast imaging? Findings Ongoing training and education for radiologists and other healthcare providers, as well as interdisciplinary collaboration and communication, is paramount. Clinical relevance Misdiagnosis in breast imaging can have significant implications for patients, healthcare providers, and the entire healthcare system.

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来源期刊
European Radiology
European Radiology 医学-核医学
CiteScore
11.60
自引率
8.50%
发文量
874
审稿时长
2-4 weeks
期刊介绍: European Radiology (ER) continuously updates scientific knowledge in radiology by publication of strong original articles and state-of-the-art reviews written by leading radiologists. A well balanced combination of review articles, original papers, short communications from European radiological congresses and information on society matters makes ER an indispensable source for current information in this field. This is the Journal of the European Society of Radiology, and the official journal of a number of societies. From 2004-2008 supplements to European Radiology were published under its companion, European Radiology Supplements, ISSN 1613-3749.
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