qualidade da interpretação do diagnóstico mamográfico quality of the interpretation of diagnostic mammographic images

جودة تفسير التشخيص الشعاعي للثدي، جودة تفسير الصور الشعاعية التشخيصية للثدي

Clicks: 83
ID: 212255
2010
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Abstract
OBJETIVO: Demonstrar o conhecimento mamográfico dos médicos interpretadores que trabalham na rede de saúde pública do Estado do Rio de Janeiro e avaliar o conhecimento adquirido após um curso elaborado com o objetivo de capacitar profissionais médicos no diagnóstico precoce do câncer de mama. MATERIAIS E MÉTODOS: Foram convidados 53 médicos que laudam exames mamográficos para o treinamento. Esses médicos eram submetidos a um pré-teste, no qual se avaliava o grau de conhecimento inicial. Depois, foram lecionadas aulas previamente elaboradas por mamografistas experientes, e para conclusão do curso esses médicos eram submetidos a um pós-teste para avaliação do conhecimento adquirido. RESULTADOS: O curso de capacitação de profissionais médicos, com ênfase em aulas teóricas, não mostrou aumento significativo na qualidade da interpretação mamográfica, destacando-se a persistência do erro na descrição morfológica das lesões fundamentais da mama, erro da classificação pelo sistema de padronização das lesões mamárias (BI-RADS®), falta de coerência entre a classificação BI-RADS adotada e a recomendação de conduta, tanto no pré-teste como no pós-teste. CONCLUSÃO: Concluiu-se que os médicos interpretadores mostram conhecimento insuficiente em relação ao diagnóstico precoce por imagem do câncer de mama e que o curso teórico não mostrou aumento significativo na qualidade da interpretação mamográfica.
OBJECTIVE: To demonstrate the knowledge of mammogram readers working in the public healthcare system in the State of Rio de Janeiro, RJ, Brazil, and to evaluate their progress in the early diagnosis of breast cancer after a training course specifically developed for medical professionals . MATERIALS AND METHODS: A group of 53 physicians with experience in mammography reports were invited. A pre-test was given to assess their initial knowledge level. Afterwards, they were trained by experts mammographers, and for final conclusion, requested to take a post-test for comparison and evaluation of gained knowledge. RESULTS: The course, with emphasis on theoretical classes, has not resulted in a significant improvement on the quality of mammogram reading, highlighting the persistence of errors in morphological description of fundamental lesions of the breast, in the classification of such lesions according to the BI-RADS®, besides the lack of coherence between the BI-RADS classification and follow-up recommendation as observed in both the pre- and post-test. CONCLUSION: The authors conclude that the mammogram readers have demonstrated insufficient knowledge in relation to early imaging diagnosis of breast cancer, and that the theoretical training has not resulted in a significant improvement on the quality of mammogram reading.
الهدف: تحديد مدى إلمام الأطباء المختصين بقراءة صور الثدي الشعاعية (الماموغرام) العاملين في شبكة الصحة العامة بولاية ريو دي جانيرو بالبرازيل، وتقييم المعرفة المكتسبة بعد خضوعهم لدورة تدريبية أُعِدّت لتأهيل الكوادر الطبية في التشخيص المبكر لسرطان الثدي. المواد والطرائق: وُجِّهت الدعوة إلى 53 طبيباً من محرري تقارير تصوير الثدي الشعاعي للمشاركة في التدريب. خضع الأطباء لاختبار قبلي لتقييم مستوى معارفهم الأولية، تلت ذلك محاضرات أعدّها مسبقاً اختصاصيون متمرسون في تصوير الثدي الشعاعي، وفي ختام الدورة خضع المشاركون لاختبار بعدي لتقييم المعرفة المكتسبة وإجراء المقارنة. النتائج: لم تُسفر الدورة التأهيلية، التي ركزت على المحاضرات النظرية، عن تحسن ملحوظ ذي دلالة إحصائية في جودة قراءة صور الثدي الشعاعية؛ حيث لوحظ استمرار الخطأ في الوصف المورفولوجي لآفات الثدي الأساسية، والخطأ في التصنيف وفق نظام توثيق بيانات تصوير الثدي (®BI-RADS)، بالإضافة إلى غياب الاتساق بين تصنيف BI-RADS المعتمد والتوصيات الإجرائية، سواء في الاختبار القبلي أو البعدي. الخلاصة: خَلُصت الدراسة إلى أن الأطباء الذين يتولون قراءة الفحوص يفتقرون إلى المعرفة الكافية فيما يخص التشخيص الشعاعي المبكر لسرطان الثدي، وأن التدريب النظري لم يؤدِّ إلى تحسن ذي دلالة في جودة تفسير صور الثدي الشعاعية.
Reference Key
koch2010radiologiaqualidade Use this key to autocite in the manuscript while using SciMatic Manuscript Manager or Thesis Manager
Authors Hilton Koch, Melissa Vieira Koch e Castro
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Journal india international conference on information processing, iicip 2016 - proceedings
Year 2010
DOI
10.1590/S0100-39842010000200009
URL
http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0100-39842010000200009
Keywords
quality nuclear medicine medical radiology

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