这是一项采用计算机模拟分析高风险乳腺癌女性行核磁共振扫描成本效益的研究。虽然核磁共振相比乳房X线摄影检查具有更高的灵敏性,因此被推荐用于高风险乳腺癌女性的检查,但其价格昂贵,而且在该类人群中的特异性较低,从而导致较多假阳性报告的产生。
这是一项采用计算机模拟分析高风险乳腺癌女性行核磁共振扫描成本效益的研究。虽然核磁共振相比乳房X线摄影检查具有更高的灵敏性,因此被推荐用于高风险乳腺癌女性的检查,但其价格昂贵,而且在该类人群中的特异性较低,从而导致较多假阳性报告的产生。
对于高风险乳腺癌女性而言,采用核磁共振联合X-摄影检查的方式会更加经济有效。
British Journal of Cancer
Cost-Effectiveness of Alternative Strategies for Integrating MRI Into Breast Cancer Screening for Women at High Risk
Br. J. Cancer 2014 Aug 19;[EPub Ahead of Print], CH Ahern, Y-CT Shih, W Dong, G Parmigiani, Y Shen
This abstract is available on the publisher's site.
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Copyright © 2014 Elsevier Inc. All rights reserved
This computer simulation study was a cost-effectiveness analysis of MRI screening in women at high risk for breast cancer. Although MRI has been suggested for high-risk women because it is more sensitive than mammography, it is expensive and may have lower specificity in this population, leading to increased false-positive reports.
Among women at high risk for developing breast cancer, a combination approach of staggering MRI with mammography and clinical breast examination could be potentially cost-effective.
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