中国病案
中國病案
중국병안
CHINESE MEDICAL RECORD
2013年
4期
75-76
,共2页
乳腺超声影像报告数据系统(BI-RADS)%超声检查%穿刺活检%乳腺
乳腺超聲影像報告數據繫統(BI-RADS)%超聲檢查%穿刺活檢%乳腺
유선초성영상보고수거계통(BI-RADS)%초성검사%천자활검%유선
BI-RADS%Ultrasonography%Aspiration biopsy%Breast
目的探讨乳腺超声影像报告数据系统(BI-RADS)分级对超声引导下乳腺穿刺活检的临床应用价值.方法190例超声评价为BI-RADS 3、4、5级的乳腺病变患者,结合穿刺活检术后病理结果,分析BI -RADS分级的敏感度、特异度、准确度、阳性和阴性预测值,以及各分级的阳性预测值.结果190例穿刺活检病理结果:良性病变105例,恶性病变85例.BI-RADS分级的敏感度、特异度、准确度、阳性及阴性预测值分别为91.8%、68.5%、78.9%、70.3%、91.1%.3级、4a级、4b级、4c级和5级的PPV值分别为0、14.6%、41.7%、72.5%、97.1%,各级别之间比较均有统计学差异( P<0.05).结论 BI -RADS分级对乳腺病灶具有良好的诊断与鉴别诊断的能力,对超声引导下穿刺具有重要的指导意义.
目的探討乳腺超聲影像報告數據繫統(BI-RADS)分級對超聲引導下乳腺穿刺活檢的臨床應用價值.方法190例超聲評價為BI-RADS 3、4、5級的乳腺病變患者,結閤穿刺活檢術後病理結果,分析BI -RADS分級的敏感度、特異度、準確度、暘性和陰性預測值,以及各分級的暘性預測值.結果190例穿刺活檢病理結果:良性病變105例,噁性病變85例.BI-RADS分級的敏感度、特異度、準確度、暘性及陰性預測值分彆為91.8%、68.5%、78.9%、70.3%、91.1%.3級、4a級、4b級、4c級和5級的PPV值分彆為0、14.6%、41.7%、72.5%、97.1%,各級彆之間比較均有統計學差異( P<0.05).結論 BI -RADS分級對乳腺病竈具有良好的診斷與鑒彆診斷的能力,對超聲引導下穿刺具有重要的指導意義.
목적탐토유선초성영상보고수거계통(BI-RADS)분급대초성인도하유선천자활검적림상응용개치.방법190례초성평개위BI-RADS 3、4、5급적유선병변환자,결합천자활검술후병리결과,분석BI -RADS분급적민감도、특이도、준학도、양성화음성예측치,이급각분급적양성예측치.결과190례천자활검병리결과:량성병변105례,악성병변85례.BI-RADS분급적민감도、특이도、준학도、양성급음성예측치분별위91.8%、68.5%、78.9%、70.3%、91.1%.3급、4a급、4b급、4c급화5급적PPV치분별위0、14.6%、41.7%、72.5%、97.1%,각급별지간비교균유통계학차이( P<0.05).결론 BI -RADS분급대유선병조구유량호적진단여감별진단적능력,대초성인도하천자구유중요적지도의의.
@@@@Objective To discuss the clinical application value of breast imaging reporting and data system (BI-RADS) in ultra-sound-guided breast aspiration biopsy .Methods 190 cases of breast lesions patients were diagnosed as BI -RADS categories 3 ,4 ,5 by ultrasound .Combined with the histopathological results ,the sensitivity ,specificity ,diagnostic accuracy ,positive predictive value (PPV) and negative predictive value (NPV) for BI-RADS classification of benign and malignant breast lesions were analyzed .Re-sults In all of 190 lesions ,105 were confirmed benign and 85 were confirmed malignant by histopathology .The sensitivity ,specifici-ty ,PPV ,NPV and accuracy of BI -RADS category were 91 .8% ,68 .5% ,78 .9% ,70 .3% and 91 .1% .All of the category 3 were benign by histopathology .The PPV of BI -RADS category 4a ,4b ,4c ,5 were 14 .6% ,41 .7% ,72 .5% and 97 .1% ,respective-ly ,with statistically significant difference between the categories ( P<0 .05) .Conclusions The BI -RADS classification has high clinical application value in the diagnosis and differential diagnosis of benign and malignant breast lesions ,and it has important guiding value in ultrasound-guided aspiration biopsy of breast lesions .
