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美国的成像特征和诊断性能在不同临床指示的非质量病变中
Vivian Youngjean Park1, Ji Soo Choi2,3, Kyunghwa Han1
1Department of Radiology and Research Institute of Radiological Science, Severance Hospital, Yonsei University College of Medicine, 50-1 Yonsei-ro, Seodaemun-gu, Seoul 03722, Korea.
Radiology
|October 7, 2025
概括
对非质量病变 (NMLs) 的超声波诊断性能因临床适应症而异. 查,诊断工作和当前乳腺癌子组之间,恶性病率和积极预测值显著不同.
科学领域:
- 放射学 放射学是一门学科.
- 医疗成像医学成像
- 乳房成像 乳房成像
背景情况:
- 乳房超声波 (US) 对非质量病变 (NMLs) 的诊断性能需要进一步验证.
- 了解不同临床场景的美国特征和诊断准确性至关重要.
研究的目的:
- 评估和比较美国对NMLs的成像特征和诊断性能.
- 分析不同临床指示的表现:查,诊断工作 (DWU) 和诊断:当前乳腺癌 (DCBC).
主要方法:
- 对1152名接受美国指导活检的NML进行了回顾性分析 (2014年1月至2021年2月).
- 根据临床症状对病变进行分类 (查,DWU,DCBC).
- 恶性瘤相关因子的后勤回归;为乳腺成像报告和数据系统 (BI-RADS) 的评估计算正预测值 (PPV) 和接收器运行特征曲线 (AUC) 下的区域.
主要成果:
- 恶性癌症的发生率为10.4% (查),43.4% (DWU) 和40.1% (DCBC).
- 与恶性瘤相关的美国特征各不相同,在查子组 (0%-60%) 观察到最低的PPV.
- 临床BI-RADS评估显示,与查 (0.89) 和DWU (0.88) 相比,DCBC亚组 (0.72) 的AUC较低.
结论:
- 美国NML特征的积极预测值在临床适应症之间有显著差异.
- 额外的因素,如乳房镜检测结果,症状和病变横向性影响PPVs.
- 乳腺成像报告和数据系统评估表明,在接受新诊断的乳腺癌手术前US的妇女中,诊断准确度最低.
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