图像,患者和诊断放射学家因子与恶性癌症相关的乳房图像不对称性进行活检
Allyson L Chesebro1,2, Susan C Lester2,3, Zhou Lan1,2
1Department of Radiology, Brigham and Women's Hospital, Boston, MA, USA.
Journal of breast imaging
|April 2, 2025
概括
恶性乳腺扫描不对称性更有可能与相关的扭曲,化,个人癌症史和老年患者年龄有关. 这些因素有助于诊断需要活检的不对称性.
科学领域:
- 放射学 放射学是一门学科.
- 在瘤学瘤学.
- 病理学 病理学 病理学
背景情况:
- 乳房图形不对称是常见的发现,需要仔细评估.
- 区分恶性与良性不对称性对于患者管理至关重要.
研究的目的:
- 为了确定与乳房图像不对称性恶性病理相关的成像,患者和放射学家因素,转介图像导向活检.
主要方法:
- 对247个以图像为导向的核心针活检报告进行了回顾性审查,以寻找不对称性.
- 分析成像特征 (类型,相关发现,美国相关,大小) 和患者人口统计 (年龄,乳腺密度,癌症史).
- 后勤回归用于确定恶性瘤的几率比率.
主要成果:
- 评估的不对称性中有16.2%是恶性.
- 相关的扭曲 (OR 14.78) 或化 (OR 9.86) 显著增加了恶性瘤的可能性.
- 乳腺癌的个人病史 (OR 2.65) 和患者年龄的增加 (OR 1.08) 也与恶性瘤有关.
结论:
- 乳房图像不对称性与扭曲或化,个人乳腺癌病史和老年患者年龄更有可能是恶性.
- 这些发现可以帮助诊断乳房图形不对称的诊断管理.
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