乳腺癌多学科诊疗的现状、挑战与创新模式  

Current status,challenges and innovative approaches of multidisciplinary treatment for breast cancer

作　　者：余之刚[1] 郑超 YU Zhigang;ZHENG Chao(Breast Disease Diagnosis and Treatment Center,The Second Hospital of Shandong University,Jinan 250033,Shandong,China)

机构地区：[1]山东大学第二医院乳腺疾病诊疗中心,山东济南250033

出　　处：《山东大学学报(医学版)》2025年第1期1-9,共9页Journal of Shandong University:Health Sciences

基　　金：国家自然科学基金(82072914)。

摘　　要：多学科诊疗(multidisciplinary treatment,MDT)模式已成为当前优化乳腺癌诊疗的重要策略。本述评从山东省乳腺癌诊疗的现状出发,全面分析优化MDT乳腺癌诊疗的实施情况及面临的主要挑战,包括亚专业不完善、数据共享能力不足、资源配置不均以及医务人员积极性和患者参与度较低的困境。通过梳理山东省乳腺癌诊疗MDT模式本地化实践中的经验,提出一系列适合国情的创新模式,包括规范化诊疗流程、构建高效的信息共享平台、强化患者随访与支持系统以及深化专科联盟和区域合作网络。并进一步结合乳腺癌分子生物学、影像组学和人工智能等领域的最新研究,探讨多学科协作与现代技术在乳腺癌诊疗中的应用前景,指出数字医疗转型和精准医学对个体化治疗的推动作用,旨在为国内的乳腺癌诊疗工作提供理论支持和实践借鉴。With the rising incidence of breast cancer,the multidisciplinary treatment(MDT)mode has become an important strategy for optimizing breast cancer diagnosis and treatment.This article analyzes the current status of breast cancer diagnosis and treatment in Shandong Province and comprehensively examines the implementation of MDT and the major challenges it faces,including the inadequacy of subspecialties,insufficient data sharing capabilities,uneven resource allocation,and the low enthusiasm of medical staff and patient participation.By summarizing Shandong Province's experiences in the localized practice of the MDT mode,a series of innovative pathways suitable for national conditions are proposed,including standardizing treatment processes,building efficient information sharing platforms,strengthening patient follow-up and support systems,and deepening professional alliances and regional cooperation networks.Furthermore,by integrating the latest research in the fields of molecular biology,radiomics,and artificial intelligence in breast cancer,the prospects of multidisciplinary collaboration and modern technology in breast cancer diagnosis and treatment are explored,highlighting the role of digital healthcare transformation and precision medicine in promoting personalized treatment,aiming to provide theoretical support and practical references for breast cancer diagnosis and treatment in our country.

关 键 词：乳腺癌 多学科诊疗 精准医学 信息共享平台 数字医疗 

分 类 号：R737.9[医药卫生—肿瘤]