BI-RADS报告系统在乳腺钼靶影像诊断中的应用价值  

Application value of breast imaging reporting and data system in the diagnosis of mammography

作　　者：郝丽霞[1] 刘铁峰[1] 

机构地区：[1]珠海市妇幼保健院放射科,广东珠海519000

出　　处：《现代医药卫生》2014年第15期2243-2245,共3页Journal of Modern Medicine & Health

摘　　要：目的：探讨乳腺影像报告及数据系统（BI-RADS）在女性乳腺钼靶诊断中的应用价值。方法收集2013年9月至2014年2月该院行乳腺钼靶检查的1551例女性患者临床资料，以组织病理结果为“金标准”，将BI-RADS评估分类与病理结果比较，计算其敏感度、特异度、阳性预测值（PPV）和阴性预测值（NPV）。结果1551例受检女性进行BI-RADS评估分类，Ⅰ～Ⅴ级分别为604、1287、421、112、57例，其中行手术或活检635个，包括恶性病变111个，良性病变524个，BI-RADS评估分类的敏感度为82.9%（92/111），特异度为81.5%（427/524）。BI-RADS总体PPV为64.3%（92/143），Ⅳ、Ⅴ级PPV分别为46.7%（43/92）、96.1%（49/51），Ⅱ、Ⅲ级NPV分别为97.2%（103/106）、95.6%（324/339）。结论 BI-RADS描述术语规范了乳腺影响报告书写，并有较高的PPV、NPV，在乳腺良、恶性病变的诊断中有重要价值。Objective To explore the application value of breast imaging reporting and data system （BI-RADS） in the diagnosis of mammography of Chinese female. Methods The clinical data of 1 551 women with mammography from September 2013 to February 2014 in the hospital were collected ,the results of histopathology as golden standard ,the classification of BI-RADS and pathological results were compared to calculate the sensitivity,specificity,positive predictive value（PPV） and the nega-tive predictive value （NPV）. Results The 1 551 women with mammography were classified by BI-RADS：gradeⅠ,604 cases;gradeⅡ,1 287 cases;gradeⅢ,421 cases;gradeⅣ,112 cases;and gradeⅤ,57 case. 635 cases were treated by operation or biopsy,including 111 cases of malignant lesions and 524 cases of benign lesions. The sensitivity and specificity of BI-RADS were 82.9%（92/111） and 81.5%（427/524） respectively. The overall PPV of BI-RADS was 64.3%（92/143）,and the overall PPV of gradeⅣandⅤwere 46.7%（43/92） and 96.1%（49/51） respectively,while the overall PPV of gradeⅡandⅢNPV were 97.2%（103/106） and 95.6%（324/339） respectively. Conclusion BI-RADS standardize the report with higher PPV and NPV,and it has important value in the diagnosis of benign and malignant breast lesions.

关 键 词：乳房X线摄影术 乳腺肿瘤/放射摄影术 钼/诊断应用 BI-RADS 

分 类 号：R730.44[医药卫生—肿瘤]