超越BI-RADS:乳房超声波上的非质量异常
Hiroko Tsunoda1, Woo Kyung Moon2
1Department of Radiology, St. Luke's International Hospital, Tokyo, Japan.
Korean journal of radiology
|January 18, 2024
概括
乳房超声波上的非质量病变是不符合质量标准的异常. 为了将它们纳入乳腺成像报告和数据系统 (BI-RADS) 准则中,需要标准化术语和证据.
科学领域:
- 放射学 放射学是一门学科.
- 在瘤学瘤学.
- 医疗成像医学成像
背景情况:
- 乳房超声波 (美国) 上的非质量病变是常见的发现.
- 目前美国放射学学院 (ACR) 乳腺成像报告和数据系统 (BI-RADS) 美国第五版不包括"非质量"一词.
- 亚洲研究人员已经研究了这些特征,但临床采用需要标准化.
研究的目的:
- 讨论乳房超声波中非质量病变的概念.
- 强调对BI-RADS纳入标准化术语和证据的需要.
- 审查当前的分类和潜在恶性瘤指标.
主要方法:
- 审查现有的文献和指导方针,包括日本乳腺和甲状腺声学协会.
- 对非质量损伤亚型及其特征的分析.
- 讨论恶性瘤和诊断影响的标准.
主要成果:
- 非质量异常被分为五种子类型:管道异常,低声区,结构扭曲,小囊和回声焦点.
- 焦点/细分分布和化可能表明恶性瘤.
- 导管内,侵入性导管和叶片癌可能呈现为非质量病变.
结论:
- 非质量概念需要标准化术语,解释算法和基于结果的证据来实现BI-RADS集成.
- 更广泛的临床接受需要强大的数据,用于查和诊断美国.
- 进一步的研究对于准确诊断和管理非质量病变至关重要.
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