2013版超声BI-RADS分类对乳腺3-5类病灶的诊断准确性评估

发布时间：2018-03-14 12:06

本文选题：乳腺　切入点：超声　出处：《中山大学学报(医学科学版)》2017年04期 　论文类型：期刊论文

【摘要】：【目的】评估2013版乳腺影像报告及资料系统(BI-RADS)分类在临床诊断性超声检查中的准确性。【方法】回顾中山大学孙逸仙纪念医院2014年6月-2016年6月因临床症状至乳腺中心行乳腺超声检查的成年女性病例,筛选最终分类3-5类且接受活检有最终病理诊断者进行分析,计算各类的阳性预测值(PPV),与美国放射学院(ACR)所提供的参考范围进行比较分析。【结果】共有来自4428例女性病人的4 428个病灶纳入本研究。1198(27.1%)例被诊断为病理恶/交界性;余3230(72.9%)例被诊断为病理良性。各BI-RADS分类的PPV均在2013年ACR所推荐的参考范围内。恶性病灶中,随着BI-RADS分类的升高,腋窝淋巴结阳性的比例增加。病理学诊断为浸润性导管癌或浸润性小叶癌的病例,其在BI-RADS分类中的分布呈现出从3类到5类的渐增趋势。【结论】本研究表明,2013版超声BI-RADS分类在临床工作中有着良好的诊断效能,但仍需进一步的多中心研究来证实。
[Abstract]:[objective] to evaluate the accuracy of 2013 breast image report and data system (BI-RADS) classification in clinical diagnostic ultrasonography. [methods] retrospective review of Sun Yat-sen Memorial Hospital of Sun Yat-sen University from June 2014 to June 2016 due to clinical symptoms to the mammary gland. Center for breast ultrasound examination of adult female cases, Screening the final classification of 3-5 categories and receiving biopsies with final pathological diagnoses for analysis, The reference range provided by the American College of Radiology (ACR) was compared and analyzed. [results] A total of 4428 lesions from 4428 female patients were included in this study. The PPV of each BI-RADS classification was within the reference range recommended by ACR in 2013. In malignant lesions, with the increase of BI-RADS classification, The positive rate of axillary lymph nodes increased. Pathological diagnosis of invasive ductal carcinoma or invasive lobular carcinoma, Its distribution in BI-RADS classification showed an increasing trend from three to five categories. [conclusion] this study shows that the 2013 ultrasonic BI-RADS classification has good diagnostic efficacy in clinical work, but further multi-center research is needed to confirm it.
【作者单位】：中山大学孙逸仙纪念医院乳腺肿瘤中心;
【基金】：国家自然科学基金(81672619;81372817)
【分类号】：R445.1;R655.8

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