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초음파 BI-RADS를 이용한 유방 병변의 분석과 카테고리 설정

Other Titles
 Analysis and Categorization of Breast Lesions Using BI-RADS for Ultrasound 
Authors
 박선영  ;  김은경  ;  김민정  ;  박병우  ;  정우희  ;  오기근 
Citation
 Journal of the Korean Radiological Society (대한영상의학회지), Vol.54(3) : 215-220, 2006 
Journal Title
 Journal of the Korean Radiological Society (대한영상의학회지) 
ISSN
 1738-2637 
Issue Date
2006
Keywords
Breast neoplasm ; Breast ; Biopsy
Abstract
Purpose: We wanted to determine if the analysis and categorization of breast lesions with using BI-RADS for US would be useful. Materials and Methods: We retrospectively reviewed 1,024 cases (976 persons), in which US-guided core needle biopsy had been performed. The breast lesions were described and categorized according to the BI-RADS for US. Each US characteristic was analyzed in order to determine its association with a benign versus malignant tissue diagnosis. The diagnostic sensitivity, specificity, positive predictive value and negative predictive value, and the accuracy of breast US were examined. Results: Logistic regression analyses of the US features in terms of their ability to distinguish between benign and malignant breast lesions showed that all eight US features (shape, orientation, margin, echogenicity, posterior acoustic features, surrounding tissue, calcification and special cases) were statistically significant. Moreover, the shape, margin, microcalcification and enlarged axillary lymph nodes were found to be the most useful diagnostic features. In addition, a clinically palpable mass increased the diagnostic accuracy up to 92.7%. The positive predictive value of a category 3 lesion was 0.8%, and those of category 4 and 5 lesions were 30.4% and 99.4%, respectively. The diagnostic sensitivity, specificity, positive predictive value, negative predictive value and accuracy of breast US were 99.0%, 57.2%, 49.5%, 99.3% and 69.6%, respectively. Conclusion: Using BI-RADS for US in breast can be successful for characterizing and differentiating both the malignant and benign lesions of the breast.
Files in This Item:
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Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Radiology (영상의학교실) > 1. Journal Papers
1. College of Medicine (의과대학) > Dept. of Pathology (병리학교실) > 1. Journal Papers
1. College of Medicine (의과대학) > Dept. of Surgery (외과학교실) > 1. Journal Papers
Yonsei Authors
Kim, Min Jung(김민정) ORCID logo https://orcid.org/0000-0003-4949-1237
Kim, Eun-Kyung(김은경) ORCID logo https://orcid.org/0000-0002-3368-5013
Park, Byeong Woo(박병우) ORCID logo https://orcid.org/0000-0003-1353-2607
Oh, Ki Keun(오기근)
Jung, Woo Hee(정우희)
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/109561
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