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| 不同年资医师运用BI-RADS判断乳腺病灶特征的一致性 | |
| 引用本文： | 智文祥,陈亚青,李文英,蒋珺,张惠箴,何萍青. 不同年资医师运用BI-RADS判断乳腺病灶特征的一致性[J]. 中国医学影像技术, 2009, 25(8): 1384-1386 |
| 作者姓名： | 智文祥 陈亚青 李文英 蒋珺 张惠箴 何萍青 |
| 作者单位： | 1. 上海交通大学附属第六人民医院超声医学科,上海,200233 2. 上海交通大学附属第六人民医院病理科,上海,200233 3. 上海交通大学附属第六人民医院普外科,上海,200233 |
| 摘 要： | 目的 回顾性分析不同年资超声医师和X线医师运用BI-RADS判断乳腺病灶影像学特征的一致性.方法 超声图像和钼靶图像各由1名经验丰富的医师采集、存图.参照BI-RADS描述的各影像特征.由不同年资超声和X线医师分别对441个乳腺病灶的影像图独立阅片,记录每个病灶的影像学特征.用Cohen's Kappa(K)统计分析不同年资医师判断病灶特征的一致性.结果 ①两名不同年资X线医师判断乳腺有无病灶的整体一致性好(K=0.71),判断病灶形状、边缘的整体一致性呈中度(K=0.45、0.47),而判断病灶密度的整体一致性弱(K=0.26);判断乳腺有无钙化和钙化形态整体一致性好(K=0.73、0.78);②两名不同年资超声医师判断乳腺病灶形状的整体一致性好(K=0.66),判断病灶有无包膜、内部回声整体一致性呈中度(K=0.57、0.41);而判断病灶边缘、后方回声的整体一致性弱(K=0.35、0.40).结论 BI-RADS术语描述病灶特征较为详细,受诊断者经验影响较小. |
| 关 键 词： | 超声检查 钼靶X线 乳腺病变 乳腺图像和报告数据体系 |
| 收稿时间： | 2009-04-10 |
| 修稿时间： | 2009-05-02 |
Interobserver variability for characteristics of breast lesions between junior and senior radiologists with BI-RADS |
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| ZHI Wen-xiang,CHEN Ya-qing,LI Wen-ying,JIANG Jun,ZHANG Hui-zhen and HE Ping-qing. Interobserver variability for characteristics of breast lesions between junior and senior radiologists with BI-RADS[J]. Chinese Journal of Medical Imaging Technology, 2009, 25(8): 1384-1386 | |
| Authors: | ZHI Wen-xiang CHEN Ya-qing LI Wen-ying JIANG Jun ZHANG Hui-zhen HE Ping-qing |
| Affiliation: | Department of Ultrasound, Sixth People's Hospital Affiliated to Shanghai Jiao Tong University, Shanghai 200233, China;Department of Ultrasound, Sixth People's Hospital Affiliated to Shanghai Jiao Tong University, Shanghai 200233, China;Department of Ultrasound, Sixth People's Hospital Affiliated to Shanghai Jiao Tong University, Shanghai 200233, China;Department of Ultrasound, Sixth People's Hospital Affiliated to Shanghai Jiao Tong University, Shanghai 200233, China;Department of Pathology, Sixth People's Hospital Affiliated to Shanghai Jiao Tong University, Shanghai 200233, China;Department of Surgery, Sixth People's Hospital Affiliated to Shanghai Jiao Tong University, Shanghai 200233, China |
| Abstract: | |
| Keywords: | Ultrasonography Mammography Breast diseases Breast imaging reporting and data system |
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