Radiology: BI-RADS分类耳熟能详, 那亚分类呢?

2018-01-30 shaosai MedSci原创

为了验证ACR和BI-RADS 4分类在诊断学乳房X摄影的应用和阳性预测值(PPV)的价值,并将结果发表在Radiology上。

为了验证ACR和BI-RADS 4分类在诊断学乳房X摄影的应用和阳性预测值(PPV)的价值,并将结果发表在Radiology上。

本研究回顾性分析了诊断性乳房X线摄影数据。BI-RADS 4分类的使用率在每年、每个机构和检查中进行比较。计算整体或根据4分类比较PPV3。利用卡方检验检验显着性相关性。

结果为,共有1309950次诊断性乳房X线摄影检查,其中125447次检查为4分类,且有33.3% (41 841/125 447)进行了亚分类。在社区、城郊或膝部亚分类的使用率要明显较高(P < .001);对有乳腺癌病史的检查征象或形态学影像学表现。在进行亚分类的41 841例患者中,4A、4B、4C分别约占55.6% (23 258 、41 841)、31.8% (13 302、41 841) 、12.6% (5281、41 841)。共有91563例检查有病理学结果,4分类 PPV约占21.1% (19 285/91 563)。亚分类间PPV具有显着性差异:4A、4B、4C的PPV分别为7.6% (1274/16 784)、22% (2317 /10 408)、69.3% (2839/4099)。

本研究表,尽管BI-RADS显示亚分类应用较少,但基于其的稳定性和价值,进行亚分类有益于患者的更好地管理

原始出处:


10.1148/radiol.2017170770

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    2019-01-05 江川靖瑶
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    2018-01-31 131****2916

    不错的文章值得推荐

    0

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    2018-01-30 1e1b8538m79(暂无匿称)

    不错的文章.值得拥有

    0

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    2018-01-30 医者仁心5538

    学习了.很好的文章.

    0

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