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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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  2. [GetPortalCommentsPageByObjectIdResponse(id=2029506, encodeId=c6c52029506c4, content=<a href='/topic/show?id=c4222014ff' target=_blank style='color:#2F92EE;'>#ADS#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=65, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=2014, encryptionId=c4222014ff, topicName=ADS)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=38232500109, createdName=1249898am15暂无昵称, createdTime=Sun Jul 08 10:54:00 CST 2018, time=2018-07-08, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1792980, encodeId=c07d1e92980fa, content=<a href='/topic/show?id=6d7e150911e' target=_blank style='color:#2F92EE;'>#RADS#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=89, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=15091, encryptionId=6d7e150911e, topicName=RADS)], attachment=null, authenticateStatus=null, createdAvatar=http://thirdwx.qlogo.cn/mmopen/vi_32/Q0j4TwGTfTK17mLkWpia3T92NlEWTkEhrhZa7XPNic2JqQumEicZXGYFG6Ww5SCIl0Uq62bhhPnibAqIZDHtRva92A/132, createdBy=e0752500025, createdName=江川靖瑶, createdTime=Sat Jan 05 16:54:00 CST 2019, time=2019-01-05, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1479627, encodeId=92f114e9627a0, content=<a href='/topic/show?id=9754338920' target=_blank style='color:#2F92EE;'>#BI-RADS#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=87, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=3389, encryptionId=9754338920, topicName=BI-RADS)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=0e167558155, createdName=108807375_62823129, createdTime=Thu Feb 01 12:54:00 CST 2018, time=2018-02-01, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=283977, encodeId=267a2839e7f3, content=不错的文章值得推荐, beContent=null, objectType=article, channel=null, level=null, likeNumber=94, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=04f22055142, createdName=131****2916, createdTime=Wed Jan 31 22:37:58 CST 2018, time=2018-01-31, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=283643, encodeId=18372836432c, content=不错的文章.值得拥有, beContent=null, objectType=article, channel=null, level=null, likeNumber=82, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=eff51996281, createdName=1e1b8538m79(暂无匿称), createdTime=Tue Jan 30 22:50:25 CST 2018, time=2018-01-30, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=283629, encodeId=8f8b2836297d, content=学习了.很好的文章., beContent=null, objectType=article, channel=null, level=null, likeNumber=78, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=82311653708, createdName=医者仁心5538, createdTime=Tue Jan 30 22:11:06 CST 2018, time=2018-01-30, status=1, ipAttribution=)]
    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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