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在CEM和MRI中背景对细胞增强:总是有很高的一致性吗?

Francesca Ferrara¹, Ambra Santonocito², William Vogel²

¹Department of Radiology, Radiation Oncology and Hematology, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, Largo Agostino Gemelli 8, Rome 00168, Italy.

European journal of radiology

|December 30, 2024

概括

对比度增强的乳房扫描 (CEM) 和MRI对背景对酶体增强 (BPE) 的一致性是公平到中等的. 压缩力和乳腺密度等因素影响CEM BPE水平,两种方法的读者之间一致性很高.

科学领域:

放射学放射学是一门学科.
乳房成像乳房成像
瘤成像学成像学

背景情况:

背景辅酶增强 (BPE) 是对乳腺纤维腺组织的生理增强.
了解BPE对于准确的乳房成像解释至关重要.
在BPE评估中的变化可能会影响诊断的信心.

研究的目的:

评估对比度增强乳房扫描 (CEM) 和磁共振成像 (MRI) 在BPE评估中的一致性.
确定影响BPE评估的潜在混因素.
通过使用两种成像方式来评估BPE评分的互读器可靠性.

主要方法:

对343名接受了CEM和MRI的女性进行了回顾性分析.
使用BI-RADS标准对早期后对比 (EP) CEM和MRI以及晚期后对比 (LP) MRI进行评估.
收集和分析了更年期状态,乳腺厚度和压缩力数据.

主要成果:

在BPE评估中,CEM和MRI之间观察到相当或中等的一致性 (EP: κ=0.342-0.383; LP: κ=0.368-0.432).
在CEM上发现BPE和乳腺密度之间存在显著的相关性 (p<0.001).
在CEM上,BPE和压缩力之间的负相关性 (p=0.001);在两种模式上,读者之间有很高的一致性 (κ=0.678-0.692).

结论:

在MRI和CEM之间,BPE评估的一致性是不错的.
乳房镜头乳房密度和压缩力是BPE在CEM上的重要混因素.
高的互读器可重现性支持使用这两种技术对BPE评估的可靠性.

关键词:

乳腺密度乳腺密度对比媒介对比媒介.磁共振成像技术磁共振成像技术乳房学乳房学乳房学

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