在第三级护理中心的多种乳腺病变中,基因病理学和放射学发现的相关性
Ranjani Mohan1, Sathish Selvakumar A1, Ragupathy S2
1Pathology, ESIC Medical College and Hospital, Chennai, IND.
Cureus
|February 12, 2024
概括
这项研究发现,像乳房影像和超声波这样的成像测试在检测乳腺块方面非常准确,与病理学结果相对应. 这些成像方式,以及BI-RADS得分,可用于初始乳腺癌查.
科学领域:
- 放射学和病理学 放射学和病理学
- 在瘤学瘤学.
- 医学诊断 医学诊断 医学诊断
背景情况:
- 乳腺块需要谨慎评估,以排除恶性瘤.
- 三重测试 (临床检查,成像,组织采样) 是乳腺癌查的标准.
- 准确的诊断依赖于连续的诊断步骤之间的一致性.
研究的目的:
- 在乳腺病变中关联组织病理学和放射学发现.
- 为了描述所遇到的乳腺病变的范围.
- 评估成像模式的诊断性能.
主要方法:
- 在400名患者的追溯观察研究,持续了三年 (2020年1月至2022年12月).
- 包括接受超声波,乳房影像,细针吸血细胞学 (FNAC),核心针活检或手术切除的患者.
- 对成像和病理学结果之间的一致性和不一致性进行数据分析.
主要成果:
- 发现了59.5%的良性和40.5%的恶性乳腺病变.
- 对成像方式的高诊断精度:灵敏度95.06%,特异性94.96%,PPV 92.77%,NPV 96.58%,整体精度95%.
- BI-RADS评分显示了损伤评估的可靠性.
结论:
- 超声波和乳房扫描显示乳腺损伤诊断的高灵敏度和特异性.
- BI-RADS评分是指导后续和干预的宝贵工具.
- 病理诊断仍然至关重要;不一致的病例可能需要重复活检或切除以进行准确的管理.
相关概念视频
Radiological Investigation III: Pulmonary Angiogram and PET Scan
92
Radiological investigations are paramount in the diagnosis and management of various pulmonary diseases. Two essential investigations are the Pulmonary Angiogram and the Positron Emission Tomography (PET) Scan.
Pulmonary Angiogram
A Pulmonary Angiogram is an invasive procedure involving injecting a contrast medium through a catheter threaded into the pulmonary artery or the right side of the heart to visualize the pulmonary vasculature. Computed Tomography (CT) scans have mainly replaced this...
Pulmonary Angiogram
A Pulmonary Angiogram is an invasive procedure involving injecting a contrast medium through a catheter threaded into the pulmonary artery or the right side of the heart to visualize the pulmonary vasculature. Computed Tomography (CT) scans have mainly replaced this...
92
Radiological Investigation I: X-ray and CT
238
Radiological investigations, including X-rays and computed tomography (CT) scans, are critical for diagnosing and evaluating various medical conditions. These imaging techniques provide valuable insights into the body's internal structures, aiding in the detection of abnormalities, assessment of disease progression, and development of treatment strategies. This article delves into two primary radiological investigations, chest X-rays and CT scans, outlining their purpose, procedures, and...
238


