互读者协议和诊断信心在歧视性质量和非质量乳房病变美国
Hye Joung Eom1, Joo Hee Cha1, Su Min Cho1
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.
Radiology
|December 9, 2025
概括
准确的乳房超声波 (美国) 对非质量病变 (NMLs) 的分类显示了放射科医生之间的中度一致. 像回声焦点和微囊这样的特征提高了NML识别的可靠性.
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:
- 在乳房超声波 (US) 中准确识别非质量损伤 (NML) 对于一致的诊断性能至关重要.
- 从群体中区分NMLs需要可靠的分类方法.
研究的目的:
- 为了评估使用US.使用NML将乳腺病变分类为质量或NMLs的读者间协议.
- 识别特定的成像特征,增强对NML识别的信心.
主要方法:
- 从2021年1月到6月,对美国指导的活检进行了回顾性单中心研究.
- 四名乳腺放射科医生评估了病变的分类;另外一名放射科医生解决了差异.
- 后勤回归分析了与明确的NML分类相关的特征.
主要成果:
- 在1067个病变中,11%是明确的NML,7%是有争议的NML,与中度至实质性的互读者协议 (κ = 0.534-0.638).
- 病变小于1厘米或具有微妙的结构扭曲的病变不太可能被归类为确定的NML (OR,0.269).
- 带有乳房扫描化 (OR,2.679) 和微囊 (OR,3.578) 的回声发作焦点增加了确定NML分类的可能性.
结论:
- 对于美国质量与NML分类的Interreader协议是中度到实质性的.
- 一致的NML分类受到较小的病变和微妙的建筑扭曲的挑战.
- 与乳腺扫描化和微囊相关的回声发作焦点是有信心识别NML的关键特征.
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