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提升放射師對判讀低劑量胸部電腦斷層影像結節的能力

Improved Nodule Evaluation in Low Dose Computed Tomography (LDCT) for Medical Radiation Technologist

摘要


近年來利用低劑量胸部電腦斷層進行初步肺癌篩檢有逐漸增加的趨勢,因此檢查量也大為提升。本研究比較不同年資的醫事放射師經由放射專科醫師訓練後,對於低劑量胸部電腦斷層影像上的結節的評估。研究結果發現,不同年資的醫事放射師經由教學後,對於肺部結節的評估皆有明顯的改善,特別是對於年輕醫事放射師,影像判讀的能力較資深醫事放射師進步還大。因此,我們認為若能有效的訓練醫事放射師在影像判讀的能力,將可有效縮短放射科醫師報告撰打時間,提高臨床的滿意度。

並列摘要


Lung cancer is the leading cause of cancer death in Taiwan for a long time. Therefore, lung cancer screening is important to find the lesion early. In the past, chest X-ray was considered as screening tool for early detection of lung cancer. Recently, noise reduction techniques enable CT to scan at a very low radiation dose, such as low-dose chest CT. This leads to increase the amount of LDCT for lung cancer screening in clinical practice. In this study, we aimed to compare the nodule evaluation in LDCT before and after training for medical radiation technologists in different working experiences. Our results demonstrated that both trained senior and junior technologists have improvement in nodule evaluation of LDCT and this improvement was more significantly found in junior technologist. We suggested that this training courses should be integrated into medical radiation technologist's Post Graduate Year program to improve the nodule evaluation in LDCT.

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