乳腺密度状态变化:频率,序列和实践影响
Caitlin M Maloney1, Shirlene Paul2, Jordan L Lieberenz2
1Rush Medical College, Chicago, Illinois, USA.
Journal of breast imaging
|September 3, 2024
概括
乳腺密度状态的变化可能会影响癌症风险评估. 许多观察到的变化可能是由于放射科医生的变化,而不是真正的密度变化,这表明需要自动评估.
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:
- 乳腺密度是癌症风险评估和查建议的关键因素.
- 乳腺密度状态的变化可以显著改变患者的风险概况.
- 连续性乳房造影用于随着时间的推移监测乳房密度.
研究的目的:
- 分析经过连续性乳腺造影的患者乳腺密度状态变化的频率和序列.
- 调查视觉乳腺密度评估随时间推移的可靠性.
主要方法:
- 在58,895名患者的回顾性队列研究中,在8年内至少进行了两次乳房图片.
- BI-RADS密度类别 (A-D) 被二分为非密度 (A/B) 和密度 (C/D).
- 进行了纵向乳腺密度状态变化的序列分析.
主要成果:
- 大多数患者 (87.35%) 保持相同的BI-RADS类别,93.35% 保持相同的密度状态.
- 在那些有状态变化的患者中,97%的组织分散或异质密集.
- 超过一半 (57%) 的病患在状态变化时,多次在密集和非密集之间交替.
结论:
- 观察到的乳腺密度状况变化通常可能是放射学家内和放射学家间变化的结果.
- 这种变化可能会影响癌症风险评估和查建议.
- 自动化乳腺密度评估需要考虑,以提高一致性.
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