查詢結果分析
來源資料
頁籤選單縮合
題 名 | 使用Microsoft[feb9] Office開發乳房攝影之BI-RADS[feb9]資料監測系統=Using Microsoft[feb9] Office in BI-BADS[feb9] Mammographic Outcome Monitoring |
---|---|
作 者 | 陳勁宇; 麥志輝; 陳佳慧; 陳俊寰; 曾文盛; | 書刊名 | 中華放射線醫學雜誌 |
卷 期 | 30:6 民94.12 |
頁 次 | 頁341-346 |
分類號 | 416.226 |
關鍵詞 | 乳癌篩檢; 乳房攝影; 醫學資料監測; 電腦應用; Breast cancer screening; Mammography; Medical auditing; Computer application; |
語 文 | 中文(Chinese) |
中文摘要 | 乳房攝影資料監測是一個品質管理的重要工作,在美國,已被規定在乳房攝影品質標準法案(MQSA)之中;在台灣,衛生署也開始逐步要求各大醫學中心執行這項工作。但是,處理大量的檢查資料是非常耗時且費工的,更遑論許多的計算。因此,使用一個大眾化的軟體工具來幫助我們,會是一個理想且節省預算的方法。我們使用常見的微軟辦公室軟體(Microsoft(上標 ®) Office)來開發這套系統。首先利用Microsoft(上標 ®) Access建立一個資料庫,用以記錄每項乳房攝影檢查的資料,至少必須包含檢查種類(篩檢或診斷)、日期、BI-RADS(上標 ®)的診斷分類、以及病患基本資料等等。進行監測作業時,則使用資料庫的功能,搜尋出所有診斷分類為0、4或5的個案,並利用醫院的檢查結果查詢系統,追蹤每位個案的後續確診結果,再將其輸入我們的資料庫中。資料收集完成後,進入最後計算階段,所有BI-RADS(上標 ®)所建議的計算數據,會逐一產生,將其填入我們依照公式所設計的Microsoft(上標 ®) Excel表格中,所有的最終監測數據即可完成。使用這個軟體設計,我們的乳房攝影監測資料可以很容易的產生,並且符合BI-RADS(上標 ®)的要求,包括有PPV1、PPV2、PPV3、cancer screened、minimal cancer percentage以及recall rate等等數據。使用大眾化的軟體來處理乳房攝影資料監測的工作,比起其他專業的乳攝監測系統而言,是一個非常節省成本的方法,這個工具幫我們避免了很多費時又困難的大量人工資料處理,但是,維護資料庫的安全及完整性是必須注意的,經常性的備份資料庫是很重要的工作。 |
英文摘要 | Mammography audit is an important issue for a breast imaging center to fit the MQSA (Mammographic Quality Standard Act) in the United States. In Taiwan, this regulation is also deployed by DOH (Department of Health) and already applied in several medical centers. However, the data management is time-consuming and much effort to do. Using popular software to help us doing the job is an ideal and low-cost solution for this problem. A popular software "Microsoft(superscript ®) Office" is used to develop the system. Initially, a database created in the Microsoft(superscript ®) Access for recording each mammographic study. Every study should be recorded with its nature (screen or diagnosis), date, BI-RADS(superscript ®) assessment category as well as patient demographic data. The accession number could be the key to identify each record. While doing audit, use the search function to query the database for all records with category of 0, 4 and 5. After reviewing the cases, a proper result should be filled into the record, e.g. true positive, false positive, etc. In final calculation, case numbers of each BI-RADS(superscript ®) auditing item will be counted by the software. Transfer these data into Microsoft(superscript ®) Excel, based on the screening case numbers, the data could be easily generated according to the BI-RADS(superscript ®) guideline. With this software design, our mammographic data audit could be easily generated and follow the requirement of BI-RADS(superscript ®) outcome monitoring. The items include PPV1, PPV2, PPV3, cancer screened, minimal cancer percentage, and recall rate, etc. Use the popular software for mammographic data audit will cost much less than any mammographic tracking system in the market. This also helps us to avoid time- consuming traditional paper works. However, the data integrity and maintenance should be kept an eye watching. Frequently back up the database will be mandatory for data safety. |
本系統中英文摘要資訊取自各篇刊載內容。