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乳腺磁共振成像中偶然发现的乳腺外病变的患病率及临床意义:一项对1070例患者的回顾性研究

Prevalence and clinical significance of incidental extra-mammary findings in breast magnetic resonance imaging: A retrospective study of 1070 patients.

作者信息

Staab Wieland, Menke Jan, Sohns Christian, Wienbeck Susanne, Bauer Lukas, Kowallick Johannes Tammo, Konietschke Frank, Derlin Thorsten, Lotz Joachim, Sohns Jan Martin

机构信息

Institute for Diagnostic and Interventional Radiology, Georg-August University, Göttingen, Germany.

Institute for Diagnostic and Interventional Radiology, Georg-August University, Göttingen, Germany.

出版信息

Clin Imaging. 2017 Sep-Oct;45:92-95. doi: 10.1016/j.clinimag.2017.06.005. Epub 2017 Jun 10.

Abstract

PURPOSE

The purpose of this study was to analyze the prevalence of extra-mammary findings in magnetic resonance imaging (MRI).

MATERIALS AND METHODS

Data from 1070 consecutive breast MRI studies was analyzed. MR-BI-RADS (Breast Imaging Reporting and Data System) was used to classify the risk category.

RESULTS

According to MR-BI-RADS, 915 (85.5%) of 1070 women were classified into MR-BI-RADS categories 1-3, and 155 (14.5%) into MR-BI-RADS categories 4-5. MR-BI-RADS categories 4-5 had a 10-times higher risk for major extra-mammary findings (odds ratio 10.1, P<0.01).

CONCLUSION

Extra-mammary findings are common and may have important clinical consequences.

摘要

目的

本研究旨在分析磁共振成像(MRI)中乳腺外发现的患病率。

材料与方法

分析了1070例连续乳腺MRI研究的数据。采用MR-BI-RADS(乳腺影像报告和数据系统)对风险类别进行分类。

结果

根据MR-BI-RADS,1070名女性中有915名(85.5%)被分类为MR-BI-RADS 1-3类,155名(14.5%)被分类为MR-BI-RADS 4-5类。MR-BI-RADS 4-5类出现主要乳腺外发现的风险高10倍(优势比10.1,P<0.01)。

结论

乳腺外发现很常见,可能具有重要的临床后果。

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