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腋下淋巴结影像参与BI-RADS系统分级的应用价值 被引量：1

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摘要 目的探讨腋下淋巴结影像参与BI-RADS系统对乳腺病变分级的应用价值。方法选取乳腺CR片内显示腋下淋巴结影像者78例,将该组CR片由两组医师按双肓法分别进行BI-RADS分级评估,试验组医师评估时将腋下淋巴结影像(形态、密度及大小)列入BI-RADS分级系统中按新标准进行分级评估。对照组医师仍按照第四版乳腺影像报告和数据系统(breast imaging reporting and data system,BI-RADS)进行分级评估(即不将腋下淋巴结影像列入BI-RADS分级系统中)。将两组分级评估结果分别与手术病理结果进行对照研究。结果两组结果相对比,BI-RADS分级为5级的评估例数有统计学差异。结论将腋下淋巴结影像(形态、密度及大小)列入BI-RADS分级系统中进行分级评估,极大地提高了BI-RADS分级为5级的病例中乳腺癌的检出率及与病理结果对照的符合率,使病例分级评估结果与手术病理结果更加接近,从而极大的减少了乳腺癌的误诊及漏诊率,特别是减少了隐匿性乳腺癌的漏诊。
作者 刘歆军 吴秀丽
机构地区 甘肃省张掖市人民医院
出处 《中国医药指南》 2008年第23期395-396,共2页 Guide of China Medicine
关键词 腋下淋巴结 乳腺影像报告和数据系统 分级评估
分类号 R816.4 [医药卫生—放射医学]
  • 相关文献

参考文献10

  • 1王雪,李建国,张艳华.乳腺癌腋窝淋巴结转移的超声特征与病理对比分析[J].实用肿瘤学杂志,2007,21(3):273-275. 被引量：6
  • 2顾雅佳,吴斌,张帅,杨天锡.使用乳腺影像报告和数据系统诊断乳腺疾病的体会[J].中华放射学杂志,2004,38(9):931-936. 被引量：27
  • 3燕山.浅表淋巴结的超声诊断[J].中国超声医学杂志,2000,16(3):230-233. 被引量：112
  • 4American College of Radiology.Breast i maging reporting and datasystem(BI-RADS). . 2003
  • 5Mendelson EM,Baum JK,Berg WA,et al.Breast imaging reporting and dat a system:ultrasound. . 2003
  • 6Varas,X,Leborgne,JH,Leborgne,F.Revisiting the mammographic follow-up of BI-RADS category 3 lesions. American Journal of Roentgenology . 2002
  • 7Vizcaino I,Gadea L,Sandreo L,et al.Short-term follow-up results in 795 nonpalpable probably benign lesions detected at screening mammography. Radiology . 2001
  • 8Liberman L,Abramson AF,Squires FB,et al.The breast imaging reporting and data system: positive predictive value of mammographic features and final assessment categories. American Journal of Roentgenology . 1998
  • 9Orel SG,Kay N,Reynolds C,et al.BI-RADS categorization as a predictor of malignancy. Radiology . 1999
  • 10Lacquement MA,Mitchell D,Hollingsworth AB.Positive predictive value of the Breast Imaging Reporting and Data System. Journal of the American College of Surgeons . 1999

二级参考文献36

  • 1王永栋,田绍荣,李松年.超声对乳癌淋巴结转移的探讨[J].中国医学影像技术,1995,11(1):32-34. 被引量：8
  • 2侯新燕 张武.彩色多普勒超声在浅表淋巴结病变诊断中应用[J].中国超声医学杂志,1996,12(1):189-189.
  • 3American College of Radiology (ACR). Breast imaging reporting and data system (BI-RADS). 3th ed. Reston: Am College Radiol, 1998.1-90.
  • 4Taplin SH, Rutter CM, Finder C, et al. Screening mammography: clinical image quality and the risk of interval breast cancer. AJR,2002,178:797-803.
  • 5Berg WA, Campassi C, Langenberg P, et al. Breast imaging reporting and data system: inter-and intraobserver variability in feature analysis and final assessment. AJR, 2000, 174:1769-1777.
  • 6Baker JA, Kornguth PJ, Floyd CE Jr. Breast imaging reporting and data system standardized mammography lexicon: observer variability in lesion description. AJR, 1996, 166:773-778.
  • 7Liberman L, Abramson AF, Squires FB, et al. The breast imaging reporting and data system: positive predictive value of mammographic features and final assessment categories. AJR, 1998, 171:35-40.
  • 8DeLong ER, DeLong DM, Clarke-Pearson DL. Comparing the areas under two or more correlated receiver operating characteristic curves: a nonparametric approach. Biometrics, 1988, 44:837-845.
  • 9Svanholm H, Starklint H, Gundersen HJ, et al. Reproducibility of histomorphologic diagnoses with special reference to the kappa statistic. APMIS, 1989, 97:689-698.
  • 10Landis JR, Koch GG. The measurement of observer agreement for categorical data. Biometrics, 1977, 33:159-174.

共引文献142

同被引文献3

  • 1顾雅佳,吴斌,张帅,杨天锡.使用乳腺影像报告和数据系统诊断乳腺疾病的体会[J].中华放射学杂志,2004,38(9):931-936. 被引量：27
  • 2Irwig L,Houssami N,Vliet Van C.New Technoloies in Screening for Breast Cancer:a Systematic Review of Their Accuracy[J].Br J Cancer,2004,90(11):2118～2122.
  • 3Mendelson EB,Bamn J K,Berg WA,et al.Breast imaging reporting and date system:ultrasound[M].1st ed.reston:American College of Radiology,2003:1～81.

引证文献1

中国医药指南
2008年 第23期

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