新时代多学科诊疗模式中放射科医生的价值
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摘要
伴随着医疗体系的改革,放射科医生的工作模式正在发生变化,由既往仅书写大量的放射影像报告转变为多学科诊疗团队的核心成员,在患者安全和医疗质量、教育、科普宣传、临床科学研究及卫生经济学等层面均发挥着重要作用。多学科诊疗模式为放射科医生提供了向临床各科室、患者、医疗机构和社会展现自我价值的重要机会。
In response to the reform of the healthcare system,necessary evolution of the mode of radiologists' work has shifted from writing large amounts of reports to becoming the core-component of the multidisciplinary team( MDT). Radiologists play an important role in the quality and safety of medical care,education,advocacy,research,and economics. MDT provides a critical opportunity for radiologists to demonstrate their value to their clinical colleagues,patients,administration,and society.
In response to the reform of the healthcare system,necessary evolution of the mode of radiologists' work has shifted from writing large amounts of reports to becoming the core-component of the multidisciplinary team( MDT). Radiologists play an important role in the quality and safety of medical care,education,advocacy,research,and economics. MDT provides a critical opportunity for radiologists to demonstrate their value to their clinical colleagues,patients,administration,and society.
引文
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[28] Hendrick RE,Helvie MA. United States Preventive Services Task Force screening mammography recommendations:science ignored[J]. AJR Am J Roentgenol,2011,196:W112-W116.
[29] American Board of Radiology,Society of Breast Imaging,American Society of Breast Disease. Mammography facts[EB/OL]. http://www. mammographysaveslives. org/Facts.
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[31] Malmgren JA,Parikh J,Atwood MK,et al. Impact of mammography detection on the course of breast cancer in women aged 40-49 years[J]. Radiology,2012,262:797-806.
[32] Greenberg JS, Javitt MC, Katzen J, et al. Clinical performance metrics of 3D digital breast tomosynthesis compared with 2D digital mammography for breast cancer screening in community practice[J]. AJR Am J Roentgenol,2014,203:687-693.
[33] Silverstein MJ,Recht A,Lagios MD,et al. Special report:consensus conferenceⅢ. Image-detected breast cancer:state-of-the-art diagnosis and treatment[J]. J Am Coll Surg,2009,209:504-520.
[34] Clarke-Pearson EM,Jacobson AF,Boolbol SK,et al. Quality assurance initiative at one institution for minimally invasive breast biopsy as the initial diagnostic technique[J]. J Am Coll Surg,2009,208:75-78.
[35] Linebarger JH,Landercasper J,Ellis RL,et al. Core needle biopsy rate for new cancer diagnosis in an interdisciplinary breast center:evaluation of quality of care 2007-2008[J].Ann Surg,2012,255:38-43.
[2] Boland GW,Duszak R Jr,McGinty G,et al. Delivery of appropriateness,quality,safety,efficiency and patient satisfaction[J]. J Am Coll Radiol,2014,11:7-11.
[3] Boland GW,Duszak R Jr. A roadmap for value-based payments[J]. J Am Coll Radiol,2016,13:170-172.
[4] Burwell SM. Setting value-based payment goals:HHS efforts to improve U. S. health care[J]. N Engl J Med,2015,372:897-899.
[5] Centers for Medicare and Medicaid Services. Medicare Accountable Care Organizations 2015 Performance Year Quality and Financial Results[EB/OL]. https://www. cms. gov/newsroom/fact-sheets/medicare-accountable-care-organizations-2015-performance-year-quality-and-financial-results.
[6] Lesslie MD,Parikh JR. Multidisciplinary Tumor Boards:An Opportunity for Radiologists to Demonstrate Value[J]. Acad Radiol,2017,24:107-110.
[7] Parikh JR,Yang WT. Breast imaging:a paradigm for accountable care organizations[J]. AJR Am J Roentgenol,2016,206:270-275.
[8] Glastonbury CM,Bhosale PR,Choyke PL,et al. Do radiologists have stage fright? Tumor staging and how we can add value to the care of patients with cancer[J]. Radiology,2016,278:11-12.
[9] Lane DL,Adeyefa MM,Yang WT. Role of sonography for the locoregional staging of breast cancer[J]. AJR Am J Roentgenol,2014,203:1132-1141.
[10] Lee SC,Jain PA,Jethwa SC,et al. Radiologist's role in breast cancer staging:providing key information for clinicians[J]. Radiographics,2014,34:330-342.
[11] Newman EA,Guest AB,Helvie MA,et al. Changes in surgical management resulting from case review at a breast cancer multidisciplinary tumor board[J]. Cancer, 2006, 107:2346-2351.
[12] Chang JH,Vines E,Bertsch H,et al. The impact of a multidisciplinary breast cancer center on recommendations for patient management:the University of Pennsylvania experience[J]. Cancer,2001,91:1231-1237.
[13] Parikh J,Tickman R. Image-guided tissue sampling:where radiology meets pathology[J]. Breast J, 2005, 11:403-409.
[14] Imschweiler T,Haueisen H,Kampmann G,et al. MRIguided vacuumassisted breast biopsy:comparison with stereotactically guided and ultrasound-guided techniques[J].Eur Radiol,2014,24:128-135.
[15] Krishnamurthy S,Bevers T,Kuerer H,et al. Multidisciplinary considerations in the management of high-risk breast lesions[J]. AJR Am J Roentgenol,2012,198:W132-W140.
[16] Parikh JR. Delayed migration of gel mark ultra clip within 15days of 11-gauge vacuum-assisted stereotactic breast biopsy[J]. AJR Am J Roentgenol,2005,185:203-206.
[17] Bourke AG,Peter P,Jose CL. The disappearing clip:an unusual complication in MRI biopsy[J]. BMJ Case Rep,2014,pii:bcr2014204092.
[18] Seifi A,Axelrod H,Nascimento T,et al. Migration of guidewire after surgical breast biopsy:an unusual case report[J].Cardiovasc Intervent Radiol,2009,32:1087-1090.
[19] Brook OR,Kruskal JB,Eisenberg RL,et al. Root cause analysis:learning from adverse safety events[J]. Radiographics,2015,35:1655-1667.
[20] Stein MA,Karlan M. Immediate postoperative mammogram for failed surgical excision of breast lesions[J]. Radiology,1991,178:159-162.
[21] Bevers TB,Anderson BO,Bonaccio E,et al. NCCN clinical practice guidelines in oncology:breast cancer screening and diagnosis[J]. J Natl Compr Canc Netw, 2009, 7:1060-1096.
[22] Donnelly LF,Mathews VP,Laszakovits DJ,et al. Recent changes to ABR maintenance of certification part 4(PQI):acknowledgment of radiologists'activities to improve quality and safety[J]. J Am Coll Radiol,2016,13:184-187.
[23] Mainiero MB,Lourenco A,Mahoney MC,et al. ACR appropriateness criteria breast cancer screening[J]. J Am Coll Radiol,2013,10:11-14.
[24] Siu AL,U. S. Preventive Services Task Force. Screening for breast cancer:U. S. Preventive Services Task Force recommendation statement[J]. Ann Intern Med, 2016, 164:279-296.
[25] Oeffinger KC,Fontham ET,Etzioni R,et al. Breast cancer screening for women at average risk:2015 guideline update from the American Cancer Society[J]. JAMA,2015,314:1599-1614.
[26] Alexander FE,Anderson TJ,Brown HK,et al. 14 years of follow-up from the Edinburgh randomised trial of breastcancer screening[J]. Lancet,1999,353:1903-1908.
[27] Tabar L,Vitak B,Chen TH,et al. Swedish two-county trial:impact of mammographic screening on breast cancer mortality during 3 decades[J]. Radiology,2011,260:658-663.
[28] Hendrick RE,Helvie MA. United States Preventive Services Task Force screening mammography recommendations:science ignored[J]. AJR Am J Roentgenol,2011,196:W112-W116.
[29] American Board of Radiology,Society of Breast Imaging,American Society of Breast Disease. Mammography facts[EB/OL]. http://www. mammographysaveslives. org/Facts.
[30] Plecha D,Salem N,Kremer M,et al. Neglecting to screen women between 40 and 49 years old with mammography:what is the impact on treatment morbidity and potential risk reduction?[J]. AJR Am J Roentgenol,2014,202:282-288.
[31] Malmgren JA,Parikh J,Atwood MK,et al. Impact of mammography detection on the course of breast cancer in women aged 40-49 years[J]. Radiology,2012,262:797-806.
[32] Greenberg JS, Javitt MC, Katzen J, et al. Clinical performance metrics of 3D digital breast tomosynthesis compared with 2D digital mammography for breast cancer screening in community practice[J]. AJR Am J Roentgenol,2014,203:687-693.
[33] Silverstein MJ,Recht A,Lagios MD,et al. Special report:consensus conferenceⅢ. Image-detected breast cancer:state-of-the-art diagnosis and treatment[J]. J Am Coll Surg,2009,209:504-520.
[34] Clarke-Pearson EM,Jacobson AF,Boolbol SK,et al. Quality assurance initiative at one institution for minimally invasive breast biopsy as the initial diagnostic technique[J]. J Am Coll Surg,2009,208:75-78.
[35] Linebarger JH,Landercasper J,Ellis RL,et al. Core needle biopsy rate for new cancer diagnosis in an interdisciplinary breast center:evaluation of quality of care 2007-2008[J].Ann Surg,2012,255:38-43.