乳腺影像报告数据系统对乳腺疾病的诊断价值

Diagnostic Value of Breast Diseases with BI-RADS Lexicon

目的:探讨BI-RADS(breast imaging reporting and data system)乳腺影像报告数据系统对乳腺疾病的诊断价值。方法:采用彩色多普勒超声对75例乳腺占位性病变患者(均为女性)进行双侧乳腺探查,并采用BI-RADS乳腺影像报告数据系统进行评价。选取患者BI-RADS 3类、4类、5类的94枚病灶进行研究,以组织病理学诊断结果为金标准,来探讨其关系。结果:在94个病灶中BI-RADS诊断为3类32枚,病理学结果证明良性30枚(93.75%),恶性2枚(6.25%);BI-RADS诊断为4类的36枚,病理学结果证明良性24枚(66.67%),恶性12枚(33.33%);BI-RADS诊断为5类的26枚,病理学结果证明良性2枚(7.69%),恶性24枚(92.31%)。结论:BI-RADS乳腺影像报告数据系统可用来对各级病灶进行描述、评估,有利于提高乳腺病变影像诊断的特异性,为临床医生提供了明确的病变信息,为其进行下一步治疗措施起着重要的指导价值。

Objective： To explore the diagnostic value of breast diseases with BI-RADS lexicon.Methods： We use color Doppler ultrasound on 75 cases of breast space-occupying lesions.The patients,all females,had bilateral breast exploration,and used BI-RADS grading and diagnosis criteria for evaluation.The foci of the research was a selection of 94 patients with BI-RADS grade 3,4,5.The re-sulting histopathological diagnosis was considered the gold standard,when discussing their relationship.Results： Of the 94 lesions using BI-RADS diagnosis 32 were grade 3.Histopathological findings proved30 were benign（93.75%） and 2 were malignant（6.25%）.BI-RADS Diagnosis 36 were grade 4.Histopathological findings proved 24 were benign（66.67%） and 12 were malignant（33.33%）.BI-RADS diagnosis 24 were grade 5.Histopathological findings proved 2 were benign（7.69%） and 22 were malignant（92.31%）.Conclusion： BI-RADS diagnostic criteria can be used to describe various lesions.Imaging diagnosis assessment of breast lesions is helpful to improve the specificity,allowing clinicians to provide clear information for pathological changes,and playing an important guiding value for the next step of treatment.