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Quantitative measures confirm the inverse relationship between lesion spiculation and detection of breast masses

机译:定量测量证实了病变刺激与乳房肿块的检测之间的反比关系

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摘要

Objective: To identify specific mammographic appearances that reduce the mammographic detection of breast cancer. Materials and Methods: This study received institutional board review approval and all readers gave informed consent. A set of 60 mammograms each consisting of craniocaudal and mediolateral oblique projections were presented to 129 mammogram Breastscreen readers. The images consisted of 20 positive cases with single and multicentric masses in 16 and 4 cases, respectively (resulting in a total of 24 cancers), and readers were asked to identify and locate the lesions. Each lesion was then ranked according to a detectability rating (ie, the number of observers who correctly located the lesion divided by the total number of observers), and this was correlated with breast density, lesion size, and various descriptors of lesion shape and texture. Results: Negative and positive correlations between lesion detection and density (r = -0.64, P = .007) and size (r = 0.65, P = .005), respectively, were demonstrated. In terms of lesion size and shape, there were significant correlations between the probability of detection and area (r = 0.43, P = .04), perimeter (r = 0.66, P = .0004), lesion elongation (r = 0.49, P = .02), and lesion nonspiculation (r = 0.78, P < .0001). Conclusions: The results of this study have identified specific lesion characteristics associated with shape that may contribute to reduced cancer detection. Mammographic sensitivity may be adversely affected without appropriate attention to spiculation. ? 2013 AUR.
机译:目的:鉴定减少乳腺癌乳腺X线检测的特定乳房X XM XM XM XMPORACT。材料和方法:本研究收到机构委员会审核批准,所有读者都提供了知情同意。将一组60个乳房图组成的乳腺癌和Mediolatallal倾斜突起组成为129个乳房X线屏幕读者。这些图像分别由20例和4例患者(共24例)组成的20例阳性病例,并要求读者识别和定位病变。然后根据可检测额定值(即,正确定位病变的观察者的数量除以观察者的总数)来排序,这与乳房密度,病变大小和病变形状和纹理的各种描述符相关。结果:分别证明了病变检测和密度(r = -0.64,p = .007)和尺寸(r = 0.65,p = .005)之间的阴性和正相关。在病变尺寸和形状方面,检测概率和面积(r = 0.43,p = 0.04),周长(r = 0.66,p = .0004)之间存在显着的相关性,病变伸长(r = 0.49,p = .02)和病变非纯化(r = 0.78,p <.0001)。结论:本研究的结果已鉴定出与形状相关的特异性病变特性,这些特征可能导致癌症检测降低。在不适当关注刺激的情况下可能会受到不利影响的乳房X光敏感性。还2013年AUR。

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  • 来源
    《Academic radiology》 |2013年第5期|共5页
  • 作者单位

    Medical Image Optimisation and Perception Group (MIOPeG) Medical Imaging and Radiation Sciences;

    Medical Image Optimisation and Perception Group (MIOPeG) Medical Imaging and Radiation Sciences;

    Medical Image Optimisation and Perception Group (MIOPeG) Medical Imaging and Radiation Sciences;

    BreastScreen NSW Cancer Institute State Radiologist NSW Eveleigh NSW 2015 Australia;

    Medical Image Optimisation and Perception Group (MIOPeG) Medical Imaging and Radiation Sciences;

    Medical Image Optimisation and Perception Group (MIOPeG) Medical Imaging and Radiation Sciences;

    Westmead Breast Cancer Institute Westmead Hospital Westmead NSW 2145 Australia;

    Medical Image Optimisation and Perception Group (MIOPeG) Medical Imaging and Radiation Sciences;

  • 收录信息
  • 原文格式 PDF
  • 正文语种 eng
  • 中图分类 放射医学;
  • 关键词

    Lesion detectability; Mammogram; Spiculation;

    机译:病变可检测性;乳房X光检查;刺激;

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