■已经开发了几种基于图像的诊断方法来检查女性乳腺病变的特征,而通过双峰乳腺检查系统结合触诊成像和超声检查的价值仍然未知。
■在福建省妇幼保健院和福建省妇产科医院就诊的424名患者中进行了一项真实世界研究,并使用了双峰乳腺检查(BBE)系统,该系统结合了触诊成像和超声成像。其中,97名患者接受了额外的超声检查,乳房X线照片,或病理检查。这些患者用于评估BBE在解释乳腺病变特征方面的一致性和有效性,与超声检查结果相比,乳房X线照片,和病理检查。
■BBE系统通过触诊成像检测到1517个病变,超声检查1126个病灶(950个实性病灶和176个囊肿),391个非肿块性病变。其中,404例患者诊断为良性,20例诊断为恶性肿瘤。然而,12、9和4例超声诊断为恶性肿瘤,乳房X线照片和病理检查,分别。与超声的综合结果相比,乳房X线照片和病理学,BBE的灵敏度为55.6%,特异性为90.9%,卡帕系数为0.387(0.110,0.665),表明适度的一致性。
■在临床实践中,BBE可用于具有高特异性的乳腺病变特征的评估。诊断效能与超声的综合结果相当,乳房X线照相术,和病理检查。
UNASSIGNED: Several image-based diagnostic methods have been developed to examine the features of breast lesions among women, while the value of combining palpation imaging and ultrasound by a bimodal breast examination system is still unknown.
UNASSIGNED: A real-world study was conducted among 424 patients who visited Fujian Maternal and Child Health Hospital and Fujian Obstetrics and Gynecology Hospital, and used the Bimodal Breast Exam (BBE) systems which combines palpation imaging and ultrasound imaging. Among them, 97 patients had additional ultrasound,
mammogram, or pathological examination. These patients were used to evaluate the consistency and efficacy of the BBE in interpreting the features of breast lesions as compared to results of ultrasound,
mammogram, and pathological examinations.
UNASSIGNED: The BBE system detected 1517 lesions with palpation imaging, 1126 lesions with ultrasound examination (950 solid lesions and 176 cysts), and 391 non mass lesions. Among them, 404 patients were diagnosed as benign and 20 were diagnosed as malignant tumor. However, 12, 9 and 4 cases were diagnosed as malignant tumors by ultrasound,
mammogram and pathological examination, respectively. Compared with the integrative results of ultrasound,
mammogram and pathology, the sensitivity of BBE is 55.6%, and the specificity is 90.9%, with a kappa coefficient of 0.387 (0.110, 0.665), indicating moderate consistency.
UNASSIGNED: In clinical practice, BBE can be used to evaluate features of breast lesions with a high specificity. The diagnostic efficacy is comparable to the integrative results of ultrasound, mammography, and pathological examination.