胸部放射科医生在浸润性乳腺癌检测中的作用。
The chest radiologist's role in invasive breast cancer detection.
作者信息
Margolies Laurie R, Salvatore Mary, Yip Rowena, Tam Kathleen, Bertolini Alexandra, Henschke Claudia, Yankelevitz David
机构信息
Department of Radiology, Icahn School of Medicine at Mount Sinai, 1 Gustave L. Levy Place, New York, NY 10029, United States.
Department of Radiology, Icahn School of Medicine at Mount Sinai, 1 Gustave L. Levy Place, New York, NY 10029, United States.
出版信息
Clin Imaging. 2018 Jul-Aug;50:13-19. doi: 10.1016/j.clinimag.2017.12.002. Epub 2017 Dec 7.
PURPOSE
To assess the ability of chest CT to identify patients needing further evaluation of the breasts.
METHODS
IRB approval was obtained with a waiver of consent. Women with chest CT and mammogram within 12months formed the cohort. A breast assessment and recommendation CT score (BARCS) analogous to mammographic BI-RADS was created and compared to the mammogram BI-RADS.
RESULTS
BARCS and mammographic BI-RADS management recommendations were concordant for 77.1%. 11 invasive cancers were detected; all by mammogram while CT missed 2.
CONCLUSION
BARCS score should be studied in prospective trials. Chest CT might be the earliest opportunity to detect breast cancer.
目的
评估胸部CT识别需要进一步进行乳房评估的患者的能力。
方法
获得机构审查委员会（IRB）批准并豁免同意书。12个月内进行过胸部CT和乳房X线摄影的女性构成队列。创建了类似于乳房X线摄影BI-RADS的乳房评估和推荐CT评分（BARCS），并与乳房X线摄影BI-RADS进行比较。
结果
BARCS与乳房X线摄影BI-RADS管理建议的一致性为77.1%。检测到11例浸润性癌；均通过乳房X线摄影检测到，而CT漏诊了2例。
结论
应在前瞻性试验中研究BARCS评分。胸部CT可能是检测乳腺癌的最早机会。
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