超声与X线摄影BI-RADS分级对乳腺浸润性导管癌的诊断价值  

Diagnostic value of sonography and mammography in breast invasive ductal carcinoma using BI-RADS

作　　者：宋丽君[1,2] 张家君[2] 卢川[1,2] 

机构地区：[1]泰山医学院放射学院,山东泰安271016 [2]泰山医学院附属医院超声科,山东泰安271000

出　　处：《医学影像学杂志》2017年第8期1483-1486,共4页Journal of Medical Imaging

摘　　要：目的探讨超声、X线摄影BI-RADS分级以及两者联合对乳腺浸润性导管癌(IDC)的诊断准确性,以及超声与X线摄影对不同年龄组IDC的诊断价值。方法回顾性分析171病理证实的IDC患者术前BI-RADS超声与X线摄影分级的资料,比较超声、X线摄影BI-RADS分级及两者联合对IDC的诊断准确性。并将所有患者按照年龄将其分为高年龄组(50岁以上)、低年龄组(50岁及以下),分析超声与X线摄影BI-RADS分级诊断准确性。结果超声、X线摄影及两者联合诊断的准确率分别为86.5%、78.9%、95.3%。对IDC的诊断准确性,BI-RADS分级超声与X线摄影两者之间有统计学意义(P<0.05);两者联合诊断准确性高于单一方法(P<0.05)。在低年龄组中,超声诊断的准确率大于X线摄影;高年龄组中,X线摄影诊断的准确率大于超声。结论超声与X线摄影联合应用BI-RADS分级提高了IDC的诊断准确性。低年龄组IDC患者的超声诊断的准确性大于X线摄影;高年龄组IDC患者X线摄影诊断准确性大于超声诊断。Objective To investigate the diagnostic accuracy of sonography and mammography as well as their combination for detecting breast invasive ductal carcinoma by using BI-RADS 5th edition and also to explore the diagnostic value of sonography and mammography on breast invasive ductal carcinoma in different age groups of patients. Methods We retrospectively reviewed 171 cases of breast invasive duetal carcinoma. The tumors were evaluated both mammographieally and sonographically and their mammographic and sonographic images were interpreted using BI-RADS 5th edition. The diagnostic accuracy of sonograpby and mammography as well as their combination were compared for detecting breast invasive ductal carcinoma. Data were divided into two cohorts, patients ≤50 years and patients 〉 50 years. The diagnostic accuracy of sonography and mammography were compared on breast invasive ductal carcinoma in two groups. Results The diagnostic accuracy of sonography and mammography and the combination were 86.5%, 78.9% , 95.3% respectively. The difference of sonography, mammography for detecting breast invasive ductal carcinoma was statistically significant （ P 〈 0.05 ）. A combination of sonography and mammography exhibited higher diagnostic accuracy compared with that of sonography or mammography alone （ P 〈 0.05 ）. The diagnostic accuracy of sonography for the patients ≤50 years was significantly higher than that of mammography （ P 〈 0.05 ）. The diagnostic accuracy Of mammography for the patients 〉 50 years was significantly higher than that of sonography （ P 〈 0. 05）. Conclusion The combination of sonography and mammography greatly improved the diagnostic accuracy of breast invasive ductal carcinoma by using BI-RADS. The di- agnostic accuracy of sonography for the patients ≤50 years was significantly better than that of mammography. The diagnostic accuracy of mammography for the patients 〉 50 years was significantly better than that of sonography.

关 键 词：乳腺影像报告与数据系统 超声 X线摄影 浸润性导管癌 

分 类 号：R737.9[医药卫生—肿瘤] R445.1[医药卫生—临床医学]