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3D自动乳腺超声系统:资深与初级放射科医生解读时间的比较。

3D Automated Breast Ultrasound System: Comparison of Interpretation Time of Senior Versus Junior Radiologist.

作者信息

Arslan Aydan, Ertaş Gökhan, Arıbal Erkin

机构信息

Department of Radiology, Acıbadem Mehmet Ali Aydınlar University School of Medicine, İstanbul, Turkey.

Department of Biomedical Engineering, Yeditepe University School of Engineering, İstanbul, Turkey.

出版信息

Eur J Breast Health. 2019 Jul 1;15(3):153-157. doi: 10.5152/ejbh.2019.4468. eCollection 2019 Jul.

Abstract

OBJECTIVE

This study aimed to compare the automated breast ultrasound system (ABUS) reading time of breast radiologist to a radiology resident independent of the clinical outcomes.

MATERIALS AND METHODS

One hundred women who underwent screening ABUS between July and August 2017 were reviewed retrospectively. Each study was examined sequentially by a breast radiologist who has more than 20 years of experience in breast radiology and third year resident who has 6 months of experience in breast radiology. Data were analyzed with Spearman' correlation, Wilcoxon Signed Ranks Test and Kruskal-Wallis Test and was recorded.

RESULTS

The mean age of patients was 42.02±11.423 years (age range16-66). The average time for senior radiologist was 223.36±84.334 seconds (min 118 max 500 seconds). The average time for junior radiologist was 269.48±82.895 seconds (min 150 max 628 seconds). There was a significant difference between the mean time of two radiologists (p=0.00001). There was a significant difference regarding the decrease in the reading time throughout study with the increase of number of cases read by the breast radiologist (p<0.05); but not with the resident radiologist (p=0.687). There was a correlation between BI-RADS category and reading time for both the breast radiologist and the resident (p=0.002, p=0.00043 respectively) indicating that patients who had findings caused longer reading times.

CONCLUSION

ABUS reading time may differ according to the experience of the user, however the times of an experienced and non-experienced user is comparable.

摘要

目的

本研究旨在比较乳腺放射科医生与放射科住院医师使用自动乳腺超声系统(ABUS)的阅片时间,而不考虑临床结果。

材料与方法

回顾性分析2017年7月至8月期间接受ABUS筛查的100名女性。每项研究由一名在乳腺放射学方面有20多年经验的乳腺放射科医生和一名在乳腺放射学方面有6个月经验的三年级住院医师依次进行检查。使用Spearman相关性分析、Wilcoxon符号秩检验和Kruskal-Wallis检验对数据进行分析并记录。

结果

患者的平均年龄为42.02±11.423岁(年龄范围16 - 66岁)。高级放射科医生的平均阅片时间为223.36±84.334秒(最短118秒,最长500秒)。初级放射科医生的平均阅片时间为269.48±82.895秒(最短150秒,最长628秒)。两位放射科医生的平均阅片时间存在显著差异(p = 0.00001)。随着乳腺放射科医生阅片病例数的增加,整个研究过程中阅片时间的减少存在显著差异(p < 0.05);但住院医师不存在这种差异(p = 0.687)。乳腺放射科医生和住院医师的BI-RADS分类与阅片时间之间均存在相关性(分别为p = 0.002,p = 0.00043),表明有检查结果的患者阅片时间更长。

结论

ABUS的阅片时间可能因使用者的经验不同而有所差异,然而经验丰富和经验不足的使用者的阅片时间具有可比性。

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本文引用的文献

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Current status of automated breast ultrasonography.自动乳腺超声检查的现状。
Ultrasonography. 2015 Jul;34(3):165-72. doi: 10.14366/usg.15002. Epub 2015 Mar 23.

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