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作 者:张颖俏[1] 周洋[1] 巴志昌[1] 胡宝茹[1] 国飞[1] 郑建[1] 高桂芬[1] 张修石[1]
机构地区:[1]哈尔滨医科大学附属第三医院放射诊断科,哈尔滨150081
出 处:《实用肿瘤学杂志》2013年第1期69-73,共5页Practical Oncology Journal
摘 要:目的探讨BI—RADS3—4级乳腺x线表现与病理诊断的相关性。方法回顾分析75例患者共88个病灶的x线钼靶评估为BI—RADS3—4级病灶的影像征象,分别统计各影像征象与良恶性之间的关系,运用Logistic回归进一步分析。结果病变类型、边缘、形态、钙化形态及淋巴结情况与病变良恶性之间均有统计学差异(P〈0.05)。腺体型、密度、毛刺、病灶最大径、钙化有无和钙化分布与病变良恶性之间均无统计学意义(P〉0.05)。Logistic回归分析进一步得出边缘的OR(1.859)取值最大,95%可信区间(95%CI)1.032~3.347,P=0.039,差异有统计学意义。结论BI—RADS3—4级x线表现中病灶的类型、边缘、形态、钙化形态及淋巴结情况对于良恶性的鉴别有意义,其中病灶边缘与良恶性分组显著相关。Objective To investigate the relationship of marnmographic features and histological findings in BI - RADS 3 and 4. Methods 75 patients with 88 cases were studied, which were categorized as BI - RADS 3 and 4, retrospectivly. The correlation between mammographic features and pathological findings was analyzed statistically, logistic regression was used to improve the analytical results. Results There was difference between benign and malignant tumors :lesion type, margin, form, calcification morphologic and lymph node status. Logistic regression further showed that there was significant difference of margin with the odds ratio ( OR ) 1. 859,95 % confidence interval( 95 % CI) 1. 032 - 3. 347, and confidence coefficient ( P = 0. 039 ). But, no difference was found in different mammary gland type, density, spiculation, different diameter groups, calcification and its distribution (all with P 〉0.05). Conclusion BI - RADS category 3 and 4:differences exist in category,margin,form,calcification morphologic and lymph node status between benign and malignant tumors, especially in the margin of a lesion.
关 键 词:BI—RADS 3—4级 乳腺X线 病理 LOGISTIC回归
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