主题：【原创】乳房X线摄影 -- GraceUSA

授了一下，发现美国卫生部（US Dept of Health and Human Services) 下属的 AHRQ（Agency for Healthcare Research and Quality)的建议。

http://www.ahrq.gov/clinic/uspstf/uspsbrca.htm#summary

The USPSTF recommends biennial screening mammography for women aged 50 to 74 years.

50-74岁妇女每两年做一次乳腺X线摄影

The decision to start regular, biennial screening mammography before the age of 50 years should be an individual one and take patient context into account, including the patient's values regarding specific benefits and harms.

对50岁以下的妇女，是否开始两年一次的乳腺X线摄影应根据个人的情况，包括考虑个人对乳腺X线摄影风险的认识。

The USPSTF concludes that the current evidence is insufficient to assess the additional benefits and harms of screening mammography in women 75 years or older.

对75岁以上的妇女，目前无充足的证据来说明乳腺X线摄影的好坏。

The USPSTF recommends against teaching breast self-examination (BSE).

不建议教授乳腺自体检查。（注：这个比较奇怪。查了一下具体的报告。主要是两个随机试验发现做自体检查的人群和不做的人群发病率相似，死亡率也相似，还带来大量误诊）

The USPSTF concludes that the current evidence is insufficient to assess the additional benefits and harms of clinical breast examination (CBE) beyond screening mammography in women 40 years or older.

对40岁以上的妇女，目前无充足的证据来说明除乳腺X线摄影外的临床检查的好坏。

The USPSTF concludes that the current evidence is insufficient to assess the additional benefits and harms of either digital mammography or magnetic resonance imaging (MRI) instead of film mammography as screening modalities for breast cancer.

目前无充足的证据来说明数字乳腺X线摄影和MRI来代替胶片X线摄影的好坏。

注意，以上的建议是针对一般风险的美国（主要是白人）妇女说的。