乳腺实质X线分型法与BI-RADS分类法在农村妇女乳腺癌筛查中的相关性研究  

The ralationship of mammographic parenchymal X-ray and BI-RADS classification for breast screening in countryside women

作　　者：李洪德[1,2] 李霞[2] 刘维娜[3] 王宏[2] 王振光[1] 王美霞[2] 

机构地区：[1]青岛大学医学院附属医院PET/CT中心,山东青岛266100 [2]山东省淄博市齐都医院影像科,山东淄博255400 [3]山东农业大学食品科学与工程学院,山东泰安271000

出　　处：《中国中西医结合影像学杂志》2013年第6期630-632,共3页Chinese Imaging Journal of Integrated Traditional and Western Medicine

摘　　要：目的：探讨乳腺实质X线分型法（mammographic parenchymal patterns,MPP）与乳腺影像报告和数据系统法（breast imaging reporting and data system,BI-RADS）在农村妇女乳腺癌筛查中分类结果的相关性及应用意义.方法：2 619例本地区农村妇女,其X线检查结果行MPP分型和BI-RADS分类法分类,将MPP的Ⅲc、Ⅳc型及BI-RADS分类法Ⅲ～Ⅴ类定为高危患者.对BI-RADS分类Ⅰ、Ⅱ类的MPP高危妇女,随访2年后重新行BI-RADS分类,比较2种分类方法的关联性及随访差异.结果：2 619例农村妇女MPP所得各型结果及其包含BI-RADS分类法高危结果：Ⅰa 66例/5例,Ⅰb 189例/3例;Ⅱa 354例/6例,Ⅱb 96例/1例;Ⅲa 153例/6例,Ⅲb 132例/1例,Ⅲc 93例/6例;Ⅳa 474例/14例,Ⅳb 564例/45例,Ⅳc 66例/9例.2种分类方法关联分析有意义（P＜0.05）,Spearman秩相关分析无意义（P＞0.05）.207例BI-RADS分类非高危的MPP高危妇女,随访有6例BI-RADS分类评价为高危（P＜0.05）.结论：MPP用于农村妇女乳腺癌筛查有意义,与BI-RADS分类法所得结果有关联,但不密切.Objective：To explore the relationship and significance of mammographic parenchymal patterns（MPP）and BI-RADS （breast imaging reporting and data system）classification for breast screening in countryside women. Methods：2619 local countryside women underwent breast screening including mammography. The results were classified with MPP and BI-RADS classification of mammography（MAM）. Women with class Ⅲ - Ⅴ of BI-RADS or class Ⅲ c, Ⅳ c of MPP were regarded to be in high risk. Following up 20 months,women who were classified to be class 1 and 2 with BI-RADS classification and regarded further to be in high risk of breast carcinoma with MMP should be classed with BI-RADS classification again. The relationship and follow-up difference of two classification methods were compared. Results： 2619 women were classed with MPP and BI RADS. The result of each MPP class including high risk with BI-RADS class was： Ⅰ a 66/5, Ⅰb 189/3, Ⅲa 354/6, Ⅱb 96/1, Ⅲa 153/6, Ⅲb 132/1,Ⅲ c 93/6, Ⅳ a 474/14, Ⅳ b 564/45, Ⅳc 66/9. The two methods had statistically significance with association analysis （P〈0.05） ,and no statistically significance with Spearman rank correlation（P〉0.05）. 207 cases were to be class 1 and 2 with BI-RADS classification and regarded further to be in high risk of breast carcinoma with MMP,there were 6 cases were regarded to be in high risk with BI-RADS classification again（P〈0.05）. Conclusion： It has significance of MPP be used to breast screening in countryside women. The results of MPP and BI RADS classification has association for breast screening in countryside women,but they could not replacement each other.

关 键 词：乳房X线摄影术 乳腺肿瘤 

分 类 号：R737.9[医药卫生—肿瘤] R814[医药卫生—临床医学]