Application value analysis of BI-RADS grading standard in breast lesions
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摘要:
目的通过分析乳腺病变的声像图特征,并与病理诊断结果比较,探讨BI-RADS-US分级标准在乳腺病变检查中的应用价值。 方法对2014年1月~2015年6月在本院进行乳腺超声检查的412例BI-RADS分级结果及随访做一回顾性分析。 结果412例乳腺病变BI-RADS分级病理结果中,良性病变367例,恶性病变45例。BI-RADS-US分级对乳腺病变诊断的敏感性为88.89%,特异度为85.83%,准确度为86.17%,其中,Ⅲ~Ⅴ中,PPV逐步增高。 结论BI-RADS分级对于乳腺病变的诊断具有重要的临床指导价值,实施BI-RADS分级可为乳腺病变的规范化及标准化诊断提供参考。 Abstract:Objective To investigate the value of BI-RADS-US classification in the diagnosis of breast lesions by analyzing the ultrasonographic characteristics of breast lesions and to compare with the pathological diagnosis. Methods A retrospective analysis was made on 412 cases of grade BI-RADS grade of breast ultrasound in our hospital from January 2014 to June 2015. Results In 412 cases of breast lesions, 367 cases of benign lesions, 45 cases of malignant lesions, cases of malignant lesions, cases of malignant lesions. The sensitivity of BI-RADS-US classification to the diagnosis of breast lesions was 88.89%, specificity was 85.83%, accuracy was 86.17%, and the PPV was gradually increased by III~V. Conclusion BI-RADS classification has important clinical value in the diagnosis of breast lesions. The implementation of BI-RADS grading can provide a reference for the standardization and standardization of breast lesions. -
Key words:
- breast lesion /
- color Doppler /
- pathology /
- biopsy
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表 1 412例乳腺病变BI-RADS-US分级病理结果(n,%)
组别 Ⅱ级 Ⅲ级 Ⅳ级 Ⅴ级 ⅣA ⅣB ⅣC 良性(n=367) 65 232 18 38 12 2 恶性(n=45) 1 2 2 12 13 15 PPV 1.15 0.96 9.09 24.14 51.52 86.96 BI-RADS-US分级为II、III及IVA为良性病变;ⅣB~Ⅴ分级为恶性病变. -
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