Analysis of the Relationship Between Pathological Types,Ultrasound BI-RADS Grades and Ultrasonographic Manifestations in Breast Cancer Patients
Objective To analyze the relationship between the grading of BI-RADS,sonographic findings and pathologi-cal types in breast cancer patients.Methods A retrospective analysis was conducted on the relevant data of 87 patients with breast masses(87 masses).All patients underwent ultrasound examination,and BI-RADS grading was performed.The nature of the masses was confirmed by puncture biopsy or postoperative pathological examination.The ultrasound diagnosis and pathological examination results were statistically analyzed.Results The ultrasound BI-RADS grading showed that out of 87 patients with masses,a total of 49 malignant lesions(grade 4a,4b,4c,and 5)and 38 benign lesions(grade 3)were detected.The pathological examination results showed that a total of 87 breast mass patients were detected,including 50 cases of malignant lesions,mainly including 31 cases of invasive ductal carcinoma,12 cases of ductal carcinoma in situ,and 7 cases of invasive micropapillary carci-noma;There were 37 cases of benign lesions,mainly including 23 cases of breast hyperplasia nodules,12 cases of fibroadenomas,and 2 cases of others.Using pathological examination as the"gold standard",the sensitivity of ultrasound BI-RADS grading exam-ination was 96.00％(48/50),specificity was 97.30％(36/37),and accuracy was 96.55％(84/87);The kappa test showed that the consistency between the ultrasound BI-RADS grading test results and the pathological examination results was excellent(kappa value=0.930,P=0.000);The proportion of malignant lesions with a diameter ≥2 cm,calcification,unclear boundaries,aspect ratio ≥1,gradual attenuation of posterior echo,and blood flow(PSV＞20 cm/s,RI＞0.70)was higher than that of benign le-sions,and the difference was statistically significant(P＜0.05).Conclusion The combination of ultrasound BI-RADS grading and sonography can improve the qualitative diagnosis of breast masses,accurately determine the benign and malignant breast mas-ses,and then improve the detection accuracy of breast cancer,providing reliable basis for clinical practice.
Breast cancerPathological classificationBreast imaging reporting and data systemSonographic representa-tion
万方数据
维普
