Helbich T H, Mostbeck G H, Zontsich T, Heinz-Peer G, Cervenka P, Wohlschlager H, Fitzal P, Wolf G
Universitätsklinik für Radiodiagnostik, Ludwig-Boltzmann-Institut für radiologisch-physikalische Tumordiagnostik, AKH Wien.
Rofo. 1995 Jun;162(6):492-6. doi: 10.1055/s-2007-1015923.
To outline the experience of a referral radiology department with preoperative localisation procedures on the basic of mammograms obtained by other facilities.
342 consecutive female patients aged 56.5 +/- 11.9 years underwent preoperative breast localisation procedures prior to surgery. Of these patients 241 had their mammograms obtained in various private practices and 101 in the radiology department. Retrospectively all mammograms were classified by lesions morphology, lesion size and presence or absence of calcifications.
The overall benign-to-malignant ratio (B/M-ratio) was 1.7:1. In the referred patient group the B/M-ratio was 1.9:1, compared to a B/M-ratio of 1.3:1 obtained by the radiology department. Referred patients presented significantly (p < 0.001) more often with calcifications that patients from the radiology department.
Possible factors for the higher B/M-ratio in referred patients are prompt referral to surgical biopsy, misinterpretation of mammograms, failure in the written report, lack of a second opinion and lack of feedback and communication between surgeon, pathologist and radiologist.
概述一家转诊放射科基于其他机构所获取的乳房X线照片进行术前定位程序的经验。
342例年龄在56.5±11.9岁的连续女性患者在手术前行乳房术前定位程序。其中241例患者的乳房X线照片是在不同的私人诊所获取的，101例是在放射科获取的。回顾性地根据病变形态、病变大小以及有无钙化对所有乳房X线照片进行分类。
总体良性与恶性比例（B/M比例）为1.7:1。在转诊患者组中，B/M比例为1.9:1，而放射科获取的乳房X线照片的B/M比例为1.3:1。转诊患者出现钙化的情况明显（p<0.001）比放射科患者更频繁。
转诊患者中B/M比例较高的可能因素包括迅速转诊至手术活检、乳房X线照片解读错误、书面报告失误、缺乏二次诊断以及外科医生、病理学家和放射科医生之间缺乏反馈与沟通。
