节点-RADS评分系统在乳腺癌中对带淋巴结转移的预测值
Hazal Selvi Çubuk1, Murathan Erkent2, Burak Yağdıran3
1Department of Radiology, Faculty of Medicine, Baskent University, Yukarı Bahcelievler, Mareşal Fevzi Cakmak Street. No:45, Ankara, Cankaya, 06490, Türkiye. hazal_selvi@hotmail.com.
BMC medical imaging
|January 28, 2026
概括
节点-RADS成像系统准确地预测了带淋巴结参与乳腺癌的情况. 该系统显示出高可靠性,但尺寸标准可能需要重新评估以进行最佳评估.
科学领域:
- 在瘤学瘤学.
- 放射学 放射学是指放射学
- 医疗成像医学成像
背景情况:
- 轴心淋巴结 (ALN) 的参与是乳腺癌分期和治疗的关键因素.
- 精确的手术前评估ALN状态对于手术规划和患者管理至关重要.
研究的目的:
- 评估Node-RADS成像系统在乳腺癌患者中对状淋巴结参与的预测价值.
- 评估Node-RADS的诊断性能和可重现性,使用手术前的乳房MRI.
主要方法:
- 在手术前的乳房MRI上,两个失明的放射科医生进行了节点-RADS评分.
- 用ROC曲线和AUC来分析诊断性能.
- 图像特征如耀斑标志,内部纹理和脂肪被评估与转移的关联.
主要成果:
- 节点-RADS系统在预测ALN转移方面表现出很高的准确性,在节点-RADS 2以上的最佳性能.
- 异质的内部纹理和爆发标志与淋巴结入侵有显著的关联.
- 脂肪的存在是转移的强烈负面预测因素 (OR=0.019).
结论:
- 节点-RADS评分系统是可靠和可重复的,用于评估乳腺癌中的ALN.
- 重新评估尺寸标准并考虑外节延伸参数可能会增强节点-RADS系统.
相关概念视频
Detailed Structure and Function of Lymph Nodes
4.7K
Lymph nodes are bean-shaped structures that cluster along the lymphatic vessels in the inguinal, axillary, and cervical regions. Each node is divided into compartments by a capsule that extends trabeculae inward.
From a histological perspective, lymph nodes can be split into two main areas: the superficial cortex and the deep medulla. The outer cortex is populated by dendritic cells, macrophages, and B lymphocytes, which are densely packed into follicles. When these B-lymphocytes are presented...
From a histological perspective, lymph nodes can be split into two main areas: the superficial cortex and the deep medulla. The outer cortex is populated by dendritic cells, macrophages, and B lymphocytes, which are densely packed into follicles. When these B-lymphocytes are presented...
4.7K
Node Analysis for AC Circuits
676
Consider an angioplasty system featuring a catheter equipped with a turbine, a critical tool for removing plaque deposits from coronary arteries. This intricate medical device operates using a circuit model reminiscent of a dual-node RLC circuit powered by a current-controlled voltage source.
To unravel the complexities of this system, nodal analysis is employed, a powerful technique founded on Kirchhoff's current law (KCL), which remains valid for phasors. AC circuits can effectively be...
To unravel the complexities of this system, nodal analysis is employed, a powerful technique founded on Kirchhoff's current law (KCL), which remains valid for phasors. AC circuits can effectively be...
676
Metastasis
6.6K
Metastasis is the spread of cancer cells from the original site to distant locations in the body. Cancer cells can spread via blood vessels (hematogenous) as well as lymph vessels in the body.
Epithelial-to-Mesenchymal Transition
The epithelial-to-mesenchymal transition or EMT is a developmental process commonly observed in wound healing, embryogenesis, and cancer metastasis. EMT is induced by transforming growth factor-beta (TGF-β) or receptor tyrosine kinase (RTK) ligands, which further...
Epithelial-to-Mesenchymal Transition
The epithelial-to-mesenchymal transition or EMT is a developmental process commonly observed in wound healing, embryogenesis, and cancer metastasis. EMT is induced by transforming growth factor-beta (TGF-β) or receptor tyrosine kinase (RTK) ligands, which further...
6.6K
Introduction to z Scores
11.2K
A z score (or standardized value) is measured in units of the standard deviation. It tells you how many standard deviations the value x is above (to the right of) or below (to the left of) the mean, μ. Values of x that are larger than the mean have positive z scores, and values of x that are smaller than the mean have negative z scores. If x equals the mean, then x has a zero z score. It is important to note that the mean of the z scores is zero, and the standard deviation is one.
z scores...
z scores...
11.2K
Introduction to z Scores
1.3K
A z score (or standardized value) is measured in units of the standard deviation. It indicates how many standard deviations the value x is above (to the right of) or below (to the left of) the mean, μ. Values of x that are larger than the mean have positive z scores, and values of x that are smaller than the mean have negative z scores. If x equals the mean, then x has a zero z score. It is important to note that the mean of the z scores is zero, and the standard deviation is one.
z scores...
z scores...
1.3K
z Scores and Area Under the Curve
19.6K
z scores are the standardized values obtained after converting a normal distribution into a standard normal distribution. A z score is measured in units of the standard deviation. The z score tells you how many standard deviations the value x is above (to the right of) or below (to the left of) the mean, μ. Values of x that are larger than the mean have positive z scores, and values of x that are smaller than the mean have negative z scores. If x equals the mean, then x has a z score of...
19.6K


