Psychological impact of recall in high-risk breast MRI screening

被引：17

作者：

O'Neill, Suzanne M. ^{[1
,2
]}

Rubinstein, Wendy S. ^{[1
,2
]}

Sener, Stephen F. ^{[3
]}

Weissman, Scott M. ^{[1
,2
]}

Newlin, Anna C. ^{[1
,2
]}

West, Daniel K. ^{[4
]}

Ecanow, David B. ^{[4
]}

Rademaker, Alfred W. ^{[5
]}

Edelman, Robert R. ^{[4
]}

机构：

[1] Evanston NW Healthcare, Ctr Med Genet, Evanston, IL 60201 USA

[2] Northwestern Univ, Dept Med, Feinberg Sch Med, Chicago, IL 60611 USA

[3] Northwestern Univ, Dept Surg, Feinberg Sch Med, Chicago, IL 60611 USA

[4] Northwestern Univ, Dept Radiol, Feinberg Sch Med, Chicago, IL 60611 USA

[5] Northwestern Univ, Dept Prevent Med, Feinberg Sch Med, Chicago, IL 60611 USA

来源：

BREAST CANCER RESEARCH AND TREATMENT | 2009年 / 115卷 / 02期

关键词：

Psychological stress; Breast neoplasms/genetics; Magnetic resonance imaging/adverse effects; Sensitivity and specificity; BRCA1; genes; BRCA2; FALSE-POSITIVE RECALL; INTERVAL FOLLOW-UP; HIGH FAMILIAL RISK; EVENT SCALE; PSYCHOMETRIC PROPERTIES; GENETIC PREDISPOSITION; CANCER; WOMEN; MAMMOGRAPHY; SURVEILLANCE;

D O I：

10.1007/s10549-008-0140-0

中图分类号：

R73 [肿瘤学];

学科分类号：

100214 ;

摘要：

Purpose To address the widespread concern that false-positive results during breast MRI screening may have adverse psychological effects. Methods Impact of Event Scale measurements in 103 high-risk women enrolled in a longitudinal MRI screening study and comparison of subjects with normal results vs. those with prior recall events. Results Of 189 MRI scans performed, 64 (34%) prompted further evaluation. Subjects with previously abnormal results had significantly higher Avoidance scores at the time of their second MRI. Multivariate analysis showed this was driven by the greater number of BRCA1/2 carriers in that group but was not related to screening recall. Conclusions Practitioners' concerns about the high false positive rate of breast MRI may not be matched by actual psychological effects in most high-risk women.

引用

页码：365 / 371

页数：7

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