日本のマンモグラフィ検診のゆき方、来し方、今後の方向性
国立病院機構東名古屋病院乳腺外科
NPO法人日本乳がん検診精度管理中央機構
遠藤登喜子
マンモグラフィを中心とした検診により早期乳癌が増加してきているが、その背景には、関連学会の代表からなるNPO法人日本乳がん検診精度管理中央機構の医師・診療放射線技師・画像に対する日本独特の精度管理法の存在がある。しかし、現在、マンモグラフィのモニタ診断化や、検診のもつharmへの積極的な取り組みなどの課題に直面している。
In Japan, many early cancers have been found by mammographic screening. The Japan Central Organization on Quality Assurance of Breast Cancer Screening, organized with nine societies concerned with breast cancer examinations or treatments, rendered many services to the cause of quality control of mammographic quality and education to the physicians or radiological technologists. The education and training system is peculiar to Japan, over17 thousand physicians and over 17 thousand radiological technologists have attended and over 13 thousand were certified in the each course. Now, we are confronted with some assignment. One is the rapid change of the interpretation methods with hard copy to with soft copy, and second is the notion of the over-diagnosis ,a new concept of the harm.
