基础医学与临床 ›› 2019, Vol. 39 ›› Issue (8): 1221-1223.

• 医学教育 • 上一篇    下一篇

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

何萍1,陈文1,崔立刚2,杨若琳1   

  1. 1. 北京大学第三医院
    2. 北京大学第三医院超声诊断科
  • 收稿日期:2018-07-12 修回日期:2018-10-30 出版日期:2019-08-05 发布日期:2019-07-16
  • 通讯作者: 陈文 E-mail:wendy7989@sina.com

Investigation of ultrasonic training based on Breast Imaging Reporting and Data System (BI-RADS 4)

  • Received:2018-07-12 Revised:2018-10-30 Online:2019-08-05 Published:2019-07-16
  • Contact: Wen CHEN E-mail:wendy7989@sina.com

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。

关键词: 乳腺超声诊断, 乳腺影像报告和数据系统, 住院医师, 结构化报告

Abstract: 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 4a-4c were compared with theoretical values of the second version of BI-RADS lexicon for US. Results The level of diagnostic BI-RADS 4a was good (positive predictive value was slightly higher than theoretical values), and the level of diagnostic BI-RADS 4b-4c 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.

Key words: breast ultrasound diagnosis, Breast Imaging Reporting and Data System, resident, structured report

中图分类号: