[1]黄英亮.超声BI-RADS分类在鉴别乳腺肿块性质中的价值研究[J].医学信息,2024,37(24):137-139,147.[doi:10.3969/j.issn.1006-1959.2024.24.037]
　HUANG Yingliang.Value of Ultrasound BI-RADS Classification in Identifying the Breast Masses[J].Journal of Medical Information,2024,37(24):137-139,147.[doi:10.3969/j.issn.1006-1959.2024.24.037]
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超声BI-RADS分类在鉴别乳腺肿块性质中的价值研究()
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医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
37卷
期数:
2024年24期
页码:
137-139,147
栏目:
诊疗技术
出版日期:
2024-12-15

文章信息/Info

Title:
Value of Ultrasound BI-RADS Classification in Identifying the Breast Masses
文章编号:
1006-1959（2024）24-0137-04
作者:
黄英亮
景德镇市乐平大连医院超声科，江西 景德镇 333300
Author(s):
HUANG Yingliang
Department of Ultrasound,Jingdezhen Leping Dalian Hospital,Jingdezhen 333300,Jiangxi,China
关键词:
彩色多普勒超声; 乳腺肿块; BI-RADS分类; 鉴别诊断; 预测价值
Keywords:
Color Doppler ultrasound; Breast mass; BI-RADS classification; Differential diagnosis; Predictive value
分类号:
R445
DOI:
10.3969/j.issn.1006-1959.2024.24.037
摘要:
目的 研究超声乳腺影像报告数据系统（BI-RADS）分类在鉴别乳腺肿块性质中的价值。方法 以2021年8月-2023年8月景德镇市乐平大连医院收治的60例乳腺肿块患者为研究对象，行超声检测获取其影像学信息，参照美国放射学会（ACR）2013年出版的第5版BI-RADS标准进行分类，以病理结果为金标准，分析超声BI-RADS分类对乳腺肿块性质的鉴别诊断效能，统计不同BI-RADS分类的肿块良、恶性分布情况，分析超声BI-RADS分类对乳腺肿块恶性病变的评估价值。结果 超声BI-RADS分类诊断乳腺肿块性质的准确性为95.00%，敏感度为85.71%，特异度为96.23%。以病理结果为金标准，超声BI-RADS分类诊断乳腺肿块良、恶性的误诊率为5.00%，其中，2例良性乳腺肿块被误诊为恶性，1例恶性乳腺肿块被误诊为良性。ROC曲线显示，以BI-RADS 4B分类为截断值，超声BI-RADS分类对乳腺肿块恶性病变具有确切预测价值（AUC=0.715）。结论 超声BI-RADS分类在乳腺肿块良恶性鉴别中具有较高的诊断效能，对其恶性病变风险具有确切预测作用。
Abstract:
Objective To study the value of breast imaging reporting and data system (BI-RADS) classification in differentiating thebreast masses.Methods From August 2021 to August 2023, 60 patients with breast masses admitted to Jingdezhen Leping Dalian Hospital were selected as the research objects, and their imaging information was obtained by ultrasound detection. The classification was carried out according to the fifth edition of BI-RADS standard published by American College of Radiology (ACR) in 2013. The pathological results were used as the gold standard to analyze the differential diagnostic efficacy of ultrasound BI-RADS classification on the breast masses. The distribution of benign and malignant masses with different BI-RADS classifications was counted, and the evaluation value of ultrasound BI-RADS classification on malignant lesions of breast masses was analyzed.Results The accuracy of ultrasound BI-RADS classification in the diagnosis of breast mass was 95.00%, the sensitivity was 85.71%, and the specificity was 96.23%. With pathological results as the gold standard, the misdiagnosis rate of ultrasound BI-RADS classification in the diagnosis of benign and malignant breast masses was 5.00%. Among them, 2 cases of benign breast masses were misdiagnosed as malignant, and 1 case of malignant breast masses was misdiagnosed as benign. The ROC curve showed that with BI-RADS 4B classification as the cut-off value, ultrasound BI-RADS classification had a definite predictive value for malignant lesions of breast masses (AUC=0.715).Conclusion Ultrasound BI-RADS classification has a high diagnostic efficiency in the differential diagnosis of benign and malignant breast masses, and has a definite predictive effect on the risk of malignant lesions.

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更新日期/Last Update: 1900-01-01