放射学实践
放射學實踐
방사학실천
RADIOLOGIC PRACTICE
2014年
12期
1429-1433
,共5页
放射摄影术%数字化乳腺摄影术%乳腺影像报告和数据系统%乳腺疾病%乳腺肿瘤%鉴别诊断
放射攝影術%數字化乳腺攝影術%乳腺影像報告和數據繫統%乳腺疾病%乳腺腫瘤%鑒彆診斷
방사섭영술%수자화유선섭영술%유선영상보고화수거계통%유선질병%유선종류%감별진단
Breast diseases%Breast neoplasms%Radiography%Full field digital mammography%Breast imaging repor-ting and data system%Differential diagnosis
目的：探讨乳腺影像报告和数据系统（BI-RADS）在乳腺良恶性病变诊断中的应用价值。方法：586例患者行全数字化乳腺摄影（FFDM）检查，并根据第四版 BI-RADS 分类标准进行图像分析。将 BI-RADS 分类评估结果与病理结果进行比较。结果：586例患者的 FFDM 检查共发现601个病灶，其中良性病灶340个，恶性病灶261个。与病理结果比较，BI-RADS 分类评估对良、恶性乳腺病变的诊断符合率为82．9％，敏感度为92．0％，特异度75．9％，阳性预测值为74．5％，阴性预测值为92．5％；受试者工作特征曲线（ROC）下面积为0．871（P ＜0．001），95％可信区间为0．842～0．900。结论：BI-RADS 分类标准对乳腺良恶性病变的诊断和鉴别诊断有重要作用，同时也有利于指导临床制定合适的治疗方案。
目的：探討乳腺影像報告和數據繫統（BI-RADS）在乳腺良噁性病變診斷中的應用價值。方法：586例患者行全數字化乳腺攝影（FFDM）檢查，併根據第四版 BI-RADS 分類標準進行圖像分析。將 BI-RADS 分類評估結果與病理結果進行比較。結果：586例患者的 FFDM 檢查共髮現601箇病竈，其中良性病竈340箇，噁性病竈261箇。與病理結果比較，BI-RADS 分類評估對良、噁性乳腺病變的診斷符閤率為82．9％，敏感度為92．0％，特異度75．9％，暘性預測值為74．5％，陰性預測值為92．5％；受試者工作特徵麯線（ROC）下麵積為0．871（P ＜0．001），95％可信區間為0．842～0．900。結論：BI-RADS 分類標準對乳腺良噁性病變的診斷和鑒彆診斷有重要作用，同時也有利于指導臨床製定閤適的治療方案。
목적：탐토유선영상보고화수거계통（BI-RADS）재유선량악성병변진단중적응용개치。방법：586례환자행전수자화유선섭영（FFDM）검사，병근거제사판 BI-RADS 분류표준진행도상분석。장 BI-RADS 분류평고결과여병리결과진행비교。결과：586례환자적 FFDM 검사공발현601개병조，기중량성병조340개，악성병조261개。여병리결과비교，BI-RADS 분류평고대량、악성유선병변적진단부합솔위82．9％，민감도위92．0％，특이도75．9％，양성예측치위74．5％，음성예측치위92．5％；수시자공작특정곡선（ROC）하면적위0．871（P ＜0．001），95％가신구간위0．842～0．900。결론：BI-RADS 분류표준대유선량악성병변적진단화감별진단유중요작용，동시야유리우지도림상제정합괄적치료방안。
Objectire:To explore the application value of Breast Imaging Reporting and Data System (BI-RADS)clas-sification in the diagnosis of benign and malignant breast lesions.Methods:586 cases undergone full field digital mammogra-phy (FFDM)in our hospital were enrolled.All the images were analyzed and the lesions were categorized according to the BI-RADS (the fourth edition),and the diagnostic results were compared with pathological results.Results:601 lesions were detected in all 586 patients,including 340 benign lesions and 261 malignant lesions.Compared with pathological results,the accuracy,sensitivity,specificity,positive predictive value (PPV)and negative predictive value (NPV)of BI-RADS classifi-cation for diagnosis of benign lesions and malignant lesions were 82.9%,92.0%,75.9%,74.5% and 92.5% respectively;area under receiver operating characteristic curve (ROC)was 0.871 with statistic significance (P <0.001),the 95% confi-dence interval was 0.842~0.900.Conclusion:BI-RADS classification may be very useful for diagnosis and differential diag-nosis of benign and malignant breast lesions,and is helpful to guide the therapeutic plan.
