在侵袭性管道癌和叶叶癌中报告和数据系统评估
Hee Jeong Kim1, Eun Young Chae1, Hye Joung Eom1
1Department of Radiology and Research Institute of Radiology, Asan Medical Center, University of Ulsan College of Medicine, 88, Olympic-ro 43-gil, Songpa-gu, Seoul 05505, South Korea.
节点报告和数据系统 (Node-RADS) 在侵袭性导管癌 (IDC) 和侵袭性叶状癌 (ILC) 中有效评估乳腺癌淋巴结转移,尽管对ILC的敏感性较低.
科学领域:
- 放射学
- 癌症学
- 乳腺癌成像
背景情况:
- 节点报告和数据系统 (Node-RADS) 提供了标准化的淋巴结转移评估.
- 它的性能可能因乳腺癌组织学类型而异.
研究的目的:
- 评估Node-RADS评分在侵袭性导管癌 (IDC) 和侵袭性叶状癌 (ILC) 中的适用性.
主要方法:
- 对1627例乳腺癌 (1486例IDC,141例ILC) 的术前乳腺MRI数据进行了回顾性分析.
- 使用RADS节点 (分数1-5) 评估关节状况.
- 使用基平方测试对IDC和ILC之间的Node-RADS性能进行比较.
主要成果:
- 淋巴结转移的发生率为IDC的25%,ILC的28% (P=.44).
- 节点RADS评分≥3显示了两种类型的最高预测值.
- 敏感度为IDC的71. 1%和ILC的52. 5%;特异性为IDC的86. 5%和ILC的85. 1%.
- 对ILC的敏感性较低 (P=0.02),但类型之间的特异性和AUC相似.
结论:
- 在IDC和ILC中,Node-RADS显示了关节评估的可比性能 (AUC).
- 一个重要的限制是Node-RADS对于ILC检测的较低灵敏度.
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