在宣传运动中偶然发现乳腺癌：沙特阿拉伯塔伊夫的一项多中心乳房x光检查研究

IF 2.5 4区综合性期刊 Q2 MULTIDISCIPLINARY SCIENCES

Journal of Radiation Research and Applied Sciences Pub Date : 2025-08-26 DOI:10.1016/j.jrras.2025.101897

Sahal Alotaibi , Reem Kalakattawi , Adel Alshehri , Shatha Alshehri , Hanadi Alshahrani , Ashwaq Alotabi , Futun Alqahtani , Bayan Mohammed , Hamid Osman , Abdulrahman Algarni , Mayeen Uddin Khandaker

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引用次数: 0

摘要

乳腺癌是全球女性中最常见的癌症，也是癌症相关死亡的主要原因。在沙特阿拉伯，它占女性癌症病例的近三分之一。虽然宣传活动促进早期发现，但筛查的偶然发现往往没有得到充分研究。目的本研究评估沙特阿拉伯塔伊夫乳腺癌宣传活动期间通过乳房x光检查偶发乳腺癌的患病率，检查年龄、乳腺密度和BI-RADS分类，以优化筛查策略。方法：回顾性分析四家塔伊夫医院（2023-2024年活动）4519张乳房x线照片。每个乳房被视为一个单独的病例。采用描述性统计、卡方独立检验和logistic回归分析BI-RADS评分、年龄组和乳腺密度。结果大多数参与者年龄在40-59岁之间，BI-RADS 1（阴性）和2（良性）最为常见。老年妇女（60岁以上）有较高的可疑/恶性发现率（BI-RADS 4-6）。致密的乳房与BI-RADS相关，分别为0（不完全）和4（可疑），提示诊断困难。年龄和乳腺密度显著影响BI-RADS结果（p < 0.0001）。logistic回归分析显示，年龄和乳腺密度是BI-RADS类别较高的显著预测因子。结论宣传活动筛查对早期发现至关重要。需要个性化的方法，特别是对于60岁以上的女性和乳房致密的女性，可能会结合辅助成像来提高准确性。

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Incidental breast cancer detection during awareness Campaigns: A multicentre mammography study from Taif, Saudi Arabia

Background

Breast cancer is the most common cancer among women globally and a leading cause of cancer-related deaths. In Saudi Arabia, it accounts for nearly one-third of female cancer cases. While awareness campaigns promote early detection, incidental findings from screenings are often understudied.

Aim

This study assessed the prevalence of incidental breast cancer findings via mammography during Breast Cancer Awareness Campaigns in Taif, Saudi Arabia, examining age, breast density, and BI-RADS classifications to optimize screening strategies.

Method

ology: A retrospective analysis of 4519 mammograms from four Taif hospitals (2023–2024 campaigns) was conducted. Each breast was treated as a separate case. BI-RADS scores, age groups, and breast density were analyzed using descriptive statistics and Chi-Square Tests of Independence and logistic regression analysis.

Results

Most participants were aged 40–59, with BI-RADS 1 (Negative) and 2 (Benign) being most common. Older women (60+) had higher rates of suspicious/malignant findings (BI-RADS 4–6). Dense breasts correlated with BI-RADS 0 (Incomplete) and 4 (Suspicious), indicating diagnostic challenges. Age and breast density significantly influenced BI-RADS outcomes (p < 0.0001). The logistic regression analysis showed that both age and breast density were significant predictors of higher BI-RADS categories.

Conclusion

Awareness campaign screenings are vital for early detection. Personalized approaches, especially for women over 60 and those with dense breasts, are needed, potentially incorporating adjunct imaging to enhance accuracy.

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来源期刊

Journal of Radiation Research and Applied Sciences MULTIDISCIPLINARY SCIENCES-

自引率

5.90%

发文量

130

审稿时长

16 weeks

期刊介绍： Journal of Radiation Research and Applied Sciences provides a high quality medium for the publication of substantial, original and scientific and technological papers on the development and applications of nuclear, radiation and isotopes in biology, medicine, drugs, biochemistry, microbiology, agriculture, entomology, food technology, chemistry, physics, solid states, engineering, environmental and applied sciences.