对基于乳腺影像报告和数据系统分类(BI-RADS 4类)的超声培训效果的探索
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摘要
目的评价以超声乳腺影像报告和数据系统分类(BI-RADS 4类)为基础的乳腺超声培训效果。方法通过对33名本科毕业住院医师进行乳腺超声培训,对比分析实际的BI-RADS 4a、4b及4c类的阳性预测值与第二版BI-RADS词典中的参考范围。结果住院医师对BI-RADS 4a类的诊断水平尚可(阳性预测值稍高于参考范围),对BI-RADS 4b和4c类的诊断水平好(阳性预测值与参考范围一致)。结论应用BI-RADS分类(4类)这种结构化报告是一种有效的教学工具,而且有利于乳腺超声报告的规范化。
Objective To assess breast ultrasonic training based on breast imaging reporting and data system(BI-RADS 4). Methods Thirty three undergraduate residents were trained for breast ultrasonic training. The positive predictive values of BI-RADS 4 a-4 c were compared with theoretical values of the second version of BI-RADS lexicon. Results The level of diagnostic BI-RADS 4 a was good(positive predictive value was slightly higher than theoretical values), and the level of diagnostic BI-RADS 4 b-4 c was excellent(positive predictive values were both in accordance with the corresponding theoretical values). Conclusions A structured report as BI-RADS can be an effective educational tool, and in favor of standardizing breast imaging reports.
Objective To assess breast ultrasonic training based on breast imaging reporting and data system(BI-RADS 4). Methods Thirty three undergraduate residents were trained for breast ultrasonic training. The positive predictive values of BI-RADS 4 a-4 c were compared with theoretical values of the second version of BI-RADS lexicon. Results The level of diagnostic BI-RADS 4 a was good(positive predictive value was slightly higher than theoretical values), and the level of diagnostic BI-RADS 4 b-4 c was excellent(positive predictive values were both in accordance with the corresponding theoretical values). Conclusions A structured report as BI-RADS can be an effective educational tool, and in favor of standardizing breast imaging reports.
引文
[1] 葛辉玉,陈文,苗立英,等.我院超声专业导师制培养住院医师方法的探讨[J].中华医院管理杂志,2012,28:460-462.
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[4] Rao AA,Feneis J,Lalonde C,et al.A Pictorial Review of Changes in the BI-RADS Fifth Edition [J].Radiographics,2016,36:623-639.
[2] 王平,李凯.医学影像学专业超声实习带教体会[J].西北医学教育,2011,19:413-415.
[3] 何萍,王金锐,崔立刚,等.超声弹性成像对乳腺肿物BI-RADS分类的影响[J].中华超声影像学杂志,2014,23:782-785.
[4] Rao AA,Feneis J,Lalonde C,et al.A Pictorial Review of Changes in the BI-RADS Fifth Edition [J].Radiographics,2016,36:623-639.