MRI筛查女性乳腺癌的有效性:一项系统综述

IF 0.4 Q4 ONCOLOGY Breast Cancer Management Pub Date : 2022-06-01 DOI:10.2217/bmt-2021-0016
R. Ahmad, B. Ahmed, B. Ahmed
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引用次数: 0

摘要

用于疾病诊断的人工智能技术持续快速发展。这篇综述文章系统地确定了乳腺MRI作为50岁以下女性筛查工具的增量准确性和现有方法的其他参数,包括敏感性、特异性、阳性预测值和阴性预测值。文章从2000年至2019年卫生技术评价机构的数据库中纳入,使用各种医学主题标题术语。共纳入23项符合条件的研究,共纳入11688例患者,其中2项为多中心研究,4项为准确性研究,7项为前瞻性研究,4项为回顾性研究。MRI筛查显示浸润性癌、癌前病变和浸润性癌前病变的充分检测,提示MRI是一种检测高危人群癌症的强大监测工具。这些发现表明MRI对乳腺癌的诊断具有特殊的敏感性和特异性。普洛斯彼罗注册号:CRD42020158372。
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Effectiveness of MRI in screening women for breast cancer: a systematic review
Artificial intelligence techniques for the diagnosis of disease continue to develop with rapid pace. This review article systematically determines incremental accuracy and other parameters of current methods, including sensitivity, specificity, positive predictive value and negative predictive value with regard to breast MRI as a screening tool for women under 50 years. Articles were included from the databases of health technology assessment agencies from 2000 to 2019, using various medical subject heading terms. A total of 23 eligible studies were included incorporating a total of 11,688 patients out of which two were multicentered, four were accuracy studies, seven were prospective studies and four were retrospective studies. MRI screening showed an adequate detection of invasive cancers, premalignant lesions and pre-invasive cancers, suggesting that MRI is a powerful surveillance tool to detect cancer in high-risk populations. These findings have indicated that MRI has particular sensitivity and specificity for the diagnosis of breast cancer. PROSPERO Registration Number: CRD42020158372.
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来源期刊
CiteScore
0.60
自引率
0.00%
发文量
5
审稿时长
13 weeks
期刊介绍: Breast Cancer Management (ISSN: 1758-1923) addresses key issues in disease management by exploring the best patient-centered clinical research and presenting this information both directly, as clinical findings, and in practice-oriented formats of direct relevance in the clinic. The journal also highlights significant advances in basic and translational research, and places them in context for future therapy. Breast Cancer Management provides oncologists and other health professionals with the latest findings and opinions on reducing the burden of this widespread disease. Recent research findings and advances clinical practice in the field are reported and analyzed by international experts. The journal presents this information in clear, accessible formats. All articles are subject to independent review by a minimum of three independent experts. Unsolicited article proposals are welcomed and authors are required to comply fully with the journal’s Disclosure & Conflict of Interest Policy as well as major publishing guidelines, including ICMJE and GPP3. Coverage includes: Diagnosis and imaging, Surgical approaches, Radiotherapy, Systemic therapies, Cancer clinical trials, Genetic aspects of disease, Personalized medicine, Translational research and biomarker studies, Management of psychological distress, Epidemiological studies, Pharmacoeconomics, Evidence-based treatment guidelines.
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