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• W2800185967 abstract "El sobrediagnóstico, más que un fallo en el diagnóstico, es un fallo en el pronóstico. Ignoramos qué consecuencias tendría para la vida del paciente que algunas de las lesiones que diagnosticamos por imagen no recibiesen tratamiento. Mientras no sea posible diferenciar por imagen siempre qué lesiones tendrán un curso indolente y cuáles van a tener un comportamiento agresivo, existirá sobrediagnóstico. Las técnicas de imagen médica avanzadas, la radiómica y la radiogenómica en alianza con la inteligencia artificial prometen avances en este sentido. Mientras tanto, es prioritario que los radiólogos vigilemos que solo se realicen las pruebas de imagen estrictamente necesarias. Además, debemos participar en la toma multidisciplinar de decisiones diagnósticas y clínicas, compartida con el paciente. Y, por supuesto, hemos de seguir contribuyendo al avance tecnológico y científico de nuestra profesión, para continuar mejorando el diagnóstico y la detección precoz, en particular de las alteraciones que precisen tratamiento. Overdiagnosis, more than an error regarding the diagnosis, is an error regarding the prognosis. We cannot know what consequences some lesions that we detect by imaging would have on our patients’ lives if they were left untreated. As long as it is not possible for imaging techniques to differentiate between lesions that will have an indolent course from those that will have an aggressive course, there will be overdiagnosis. Advanced imaging techniques, radiomics, and radiogenomics, together with artificial intelligence, promise advances in this sense. In the meantime, it is important that radiologists be careful to ensure that only strictly necessary imaging tests are done. Moreover, we need to participate, together with patients, in making multidisciplinary decisions about diagnosis and clinical management. Finally, of course, we need to continue to contribute to the technological and scientific advance of our profession, so that we can continue to improve the diagnosis and early detection of abnormalities, especially those that require treatment." @default.
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• W2800185967 date "2018-09-01" @default.
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• W2800185967 title "Sobrediagnóstico por imagen" @default.
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• W2800185967 doi "https://doi.org/10.1016/j.rx.2018.03.002" @default.
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