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[目的]获得各类乳腺的乳腺透照检查(TBS)的影像学特征,制定TBS筛查乳腺疾病的临床决策标准。[方法]以钼靶X线或病理检查结果为金标准,收集乳腺癌、纤维腺瘤、乳腺囊肿、乳腺良性增生、乳腺炎和正常乳腺的TBS结果。从乳腺透照的肿块影、血管影、整体透光性和密度均匀度等方面对TBS成像特点构成进行描述,经专家小组讨论,确定TBS的临床决策标准。[结果]共收集111人(222例单侧乳腺)的影像学资料,TBS的阳性影像特征为肿块影或暗区,血管纹理异常或未见异常,否则为阴性。乳腺癌(20例)进一步检查推荐率为95.0%。[结论]TBS能够区分病变乳腺与正常乳腺,但TBS进行乳腺疾病初筛的准确性还需要进一步评估。
[Objective] To obtain the imaging features of various types of mammary gland breast transbronch examination (TBS) and to establish the clinical decision-making criteria of TBS screening breast disease. [Method] The TBS results of breast cancer, fibroadenoma, breast cyst, benign breast hyperplasia, mastitis and normal breast were collected by mammography or pathological examination. The characteristics of TBS imaging were described in terms of mass, blood vessel shadow, overall translucency and density uniformity of breast transillumination. After the panel discussion, the clinical decision-making criteria of TBS were determined. [Results] A total of 111 human (222 unilateral breast) imaging data were collected. The positive imaging features of TBS were lumpectomy or dark area, abnormal vascular texture or no abnormality, otherwise it was negative. Breast cancer (20 cases) further examination recommended rate was 95.0%. [Conclusion] TBS can distinguish diseased breast from normal breast, but the accuracy of TBS for primary screening of breast disease needs to be further evaluated.