การถ่ายภาพรังสีเต้านมแมมโมแกรมต่อเนื่องในช่วงเวลา 5 ปี ในผู้หญิงที่มารับบริการแมมโมกราฟี ปีพุทธศักราช 2551 โรงพยาบาลสรรพสิทธิประสงค์ อุบลราชธานี

Abstract

          Mammography is the only method of screenings to reduce mortality rate of breastcancer. To provide effective screening, it should be performed subsequently. The aim of this retrospective descriptive study was to determine the prevalence of follow-up mammograms during five- year interval in women underwent mammography in 2008 at Sanpasitthiprasong Hospital and its associated factors. The parameters of mammography were also determined. By collecting data from HOMC Radiology System it was found that of 356 eligible women underwent mammography in 2008 , mean age 49.3 (SD=6.6) years, ranging from 40 to 69 years, there were 78 (21.9%) women underwent follow-up mammography, mammographic use in average 2.72 (SD=1.0) times from 2-6 times over a 5-year period. By logistic regression analysis, factors associated with follow-up mammograms included recommendation to follow-up in mammographic reports by radiologists, and current years to receive medical care at hospital (p <0.001). For those whom advised to follow-up by radiologist, women who had seen surgeons, which was the largest group appeared to have the lowest rate of follow-up mammograms (29%, p=0.047). From mammograms, most parameters were decreased at follow-up mammography. However, the radiological technologists should select mode of fixing higher kVp to reduce exposure time. To promote public health by mammographic screening for breast cancer, follow-up mammograms should be enhanced. Recommendation to follow-up by radiologist can be helpful and seeking the cooperation of surgeon to advise these women to return for follow-up mammograms subsequently will keep breast cancer under surveillance over time.