Fleury Eduardo de Faria Castro
Faculdade de Ciências Médicas, Santa Casa de Misericórdia de São Paulo, São Paulo, SP, BR.
Rev Assoc Med Bras (1992). 2015 Aug;61(4):313-6. doi: 10.1590/1806-9282.61.04.313.
the aim of this study was to investigate the addition of elastography to the BI-RADS® lexicon for the classification of breast lesions.
a total of 955 consecutive patients who were subjected to breast percutaneous biopsy from January 2010 to December 2012 were retrospectively assessed. Overall, 26 patients who did not present with masses on conventional ultrasound were excluded. The patients were classified according to the fifth edition of the breast imaging and reporting data system (BI-RADS®) lexicon, which includes elastographic findings. The BI-RADS®classification is based on the same classification principles that have been suggested by the author, which classify lesions as soft, intermediate, or hard.
the addition of elastographic findings to the BI-RADS® lexicon improved the sensitivity (S), specificity (SP), and diagnostic accuracy (DA) of ultrasound in the assessment of breast lesions, which increased from 93.85, 72.07, and 76.64 to 95.90, 80.65, and 91.39%, respectively.
these findings suggest that the addition of elastography to the BIRADS ® lexicon will improve the SP and DA of ultrasound in the screening of breast lesions.
本研究旨在探讨将弹性成像添加到BI-RADS®词典中用于乳腺病变分类。
回顾性评估2010年1月至2012年12月期间接受乳腺经皮活检的955例连续患者。总体而言，排除了26例在传统超声检查中未发现肿块的患者。根据包括弹性成像结果的乳腺影像报告和数据系统（BI-RADS®）词典第五版对患者进行分类。BI-RADS®分类基于作者提出的相同分类原则，即将病变分为软、中等或硬。
将弹性成像结果添加到BI-RADS®词典中提高了超声在评估乳腺病变时的敏感性（S）、特异性（SP）和诊断准确性（DA），分别从93.85%、72.07%和76.64%提高到95.90%、80.65%和91.39%。
这些发现表明，将弹性成像添加到BIRADS®词典中将提高超声在乳腺病变筛查中的SP和DA。
