{"id":3504,"date":"2020-07-05T11:43:22","date_gmt":"2020-07-05T16:43:22","guid":{"rendered":"https:\/\/cornflowerblue-rail-980953.hostingersite.com\/?p=3504"},"modified":"2020-07-06T08:39:32","modified_gmt":"2020-07-06T13:39:32","slug":"breast","status":"publish","type":"post","link":"https:\/\/staging-hub.acoredu.com\/zh-hans\/breast\/","title":{"rendered":"\u4e73\u817a\u6210\u50cf\u7684\u65b0\u52a8\u6001\u662f\u4ec0\u4e48\uff1f"},"content":{"rendered":"<p>&nbsp;<\/p>\n<h3><span style=\"color: #800080;\"><strong>\u4e73\u817a\u6210\u50cf<\/strong><strong>\u65e5\u5fd7<\/strong><strong> 2020<\/strong><strong>\u5e74<\/strong><strong>7<\/strong><strong>\u6708<\/strong><\/span><\/h3>\n<p>&nbsp;<\/p>\n<h5><span style=\"color: #3366ff;\"><strong>\u4e73\u817a\u6210\u50cf\u4eba\u5458\u5bf9\u4e73\u817a<\/strong><strong>MRI<\/strong><strong>\u4e0a\u5076\u7136\u53d1\u73b0\u7684\u809d\u810f\u75c5\u53d8\u505a\u51fa\u9002\u5f53\u7684\u968f\u8bbf\u5efa\u8bae\u5417\uff1f<\/strong><\/span><\/h5>\n<p>\u5728\u8fd9\u9879\u56de\u987e\u6027\u7814\u7a76\u4e2d\uff0c\u5c06\u4e73\u817a\u6210\u50cf\u4e2d\u5bf9\u4e73\u817aMRI\u4e0a\u5076\u7136\u53d1\u73b0\u7684\u809d\u810f\u75c5\u53d8\uff08ILLs\uff09\u7684\u968f\u8bbf\u5efa\u8bae\u4e0e\u8179\u90e8\u4e13\u79d1\u533b\u751f\u7684\u610f\u89c1\u8fdb\u884c\u4e86\u6bd4\u8f83\u3002\u5c062181\u4f8b\u4e73\u817aMRI\u5206\u4e3a\u4e09\u7c7b\uff1a\uff081\uff09\u6709\u968f\u8bbf\u5efa\u8bae\u7684ILLs\uff0c\uff082\uff09\u65e0\u968f\u8bbf\u5efa\u8bae\u7684ILLs\uff0c\u4ee5\u53ca\uff083\uff09\u65e0ILLs\u7684\u7814\u7a76\u3002\u4e24\u540d\u7ecf\u9a8c\u4e30\u5bcc\u7684\u8179\u90e8\u653e\u5c04\u79d1\u533b\u751f\u56de\u987e\u4e86\u6240\u6709MRI\u809d\u810f\u7684\u53d1\u73b0\uff0c\u5e76\u63d0\u51fa\u4e86\u968f\u8bbf\u5efa\u8bae\u3002\u5927\u7ea611%\u7684\u4e73\u817aMRI\u6709ILLs\uff0c\u4e73\u817a\u6210\u50cf\u4eba\u5458\u5bf912%\u7684ILLs\u4f5c\u51fa\u4e86\u968f\u8bbf\u5efa\u8bae\u3002\u8179\u90e8\u653e\u5c04\u79d1\u533b\u751f\u540c\u610f\u4e73\u817a\u6210\u50cf\u4eba\u5458\u53d1\u73b0\u7684ILLs\u4e2d97%\u7684\u75c5\u4f8b\u4e0d\u9700\u8981\u968f\u8bbf\u3002\u4f46\u662f\uff0c\u8179\u90e8\u653e\u5c04\u79d1\u533b\u751f\u4e0d\u540c\u610f\u4e73\u817a\u6210\u50cf\u4eba\u5458\u4e2d\u53d1\u73b0\u7684ILLs\u4e2d93%\u7684\u75c5\u4f8b\u9700\u8981\u968f\u8bbf\u3002\u8179\u90e8\u4e13\u79d1\u533b\u5e08\u540c\u610f\u5728\u4e73\u817aMRI\u4e0a93%\u75c5\u4f8b\u4e73\u817a\u6210\u50cf\u6ca1\u6709\u53d1\u73b0ILLs\u7684\u75c5\u4f8b\u3002\u4f5c\u8005\u603b\u7ed3\uff0c\u5f53\u4e73\u817a\u6210\u50cf\u4eba\u5458\u5bf9\u4e73\u817aMRI\u4e0a\u7684ILLs\u4f5c\u51fa\u968f\u8bbf\u5efa\u8bae\u65f6\uff0c\u4e73\u817a\u6210\u50cf\u4eba\u5458\u4e0e\u8179\u90e8\u653e\u5c04\u79d1\u533b\u751f\u4e4b\u95f4\u5b58\u5728\u5f88\u5927\u7684\u5206\u6b67\u3002\u4f5c\u8005\u8ba4\u4e3a\uff0c\u8179\u90e8\u4e13\u79d1\u533b\u5e08\u54a8\u8be2\u6216\u7efc\u5408\u809d\u5f71\u50cf\u5b66\u51b3\u7b56\u652f\u6301\u53ef\u51cf\u5c11\u4e73\u817aMRI\u4e2dILL\u8fdb\u884c\u4e0d\u5fc5\u8981\u968f\u8bbf\u3002<\/p>\n<p>Dipiro, P. J., Alper, D. P., Giess, C. S., Glazer, D. I., Lee, L. K., Lacson, R., &amp; Khorasani, R. (2020). Comparing Breast and Abdominal Subspecialists\u2019 Follow-Up Recommendations for Incidental Liver Lesions on Breast MRI.\u00a0<em>Journal of the American College of Radiology<\/em>,\u00a0<em>17<\/em>(6), 773\u2013778. doi: 10.1016\/j.jacr.2019.12.024<\/p>\n<p>Link:\u00a0 <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/32004482\/\">https:\/\/pubmed.ncbi.nlm.nih.gov\/32004482\/<\/a><\/p>\n<p><strong>\u00a0<\/strong><\/p>\n<h5><span style=\"color: #3366ff;\"><strong>\u4e73\u817a\u80bf\u7624\u52a8\u529b\u5b66\u5f02\u8d28\u6027\u662f\u5426\u53ef\u4ee5\u9884\u6d4b\u8fdc\u5904\u8f6c\u79fb\uff1f<\/strong><\/span><\/h5>\n<p>\u5728\u8fd9\u9879\u56de\u987e\u6027\u7814\u7a76\u4e2d\uff0c\u4f5c\u8005\u7814\u7a76\u4e86\u4e73\u817a\u764c\u52a8\u529b\u5b66\u5f02\u8d28\u6027\u4e0e\u8fdc\u5904\u8f6c\u79fb\u5e73\u5747\u65f6\u95f4\u4e4b\u95f4\u7684\u5173\u7cfb\u3002\u4f7f\u7528\u8ba1\u7b97\u673a\u8f85\u52a9\u8bca\u65ad\uff08CAD\uff09\u8f6f\u4ef6\u5bf9276\u4f8b\u60a3\u8005\u7684\u672f\u524d\u4e73\u817aMRI\u8fdb\u884c\u8bc4\u4f30\uff0c\u5e76\u91cf\u5316\u80bf\u7624\u52a8\u529b\u5b66\u5f02\u8d28\u6027\u548c\u5cf0\u503c\u589e\u5f3a\u3002\u4e0e\u6ca1\u6709\u8fdc\u5904\u8f6c\u79fb\u7684\u5973\u6027\u60a3\u8005\u76f8\u6bd4\uff0c\u6709\u8fdc\u5904\u8f6c\u79fb\u7684\u5973\u6027\u60a3\u8005\u663e\u793a\u66f4\u9ad8\u7a0b\u5ea6\u7684\u80bf\u7624\u52a8\u529b\u5b66\u5f02\u8d28\u6027\uff08p &lt;0.001\uff09\uff0c\u66f4\u9ad8\u7684\u5cf0\u503c\u589e\u5f3a\uff08p = .045\uff09\u548c\u66f4\u9ad8\u7684\u6dcb\u5df4\u8840\u7ba1\u6d78\u6da6\uff08p = .044\uff09\u3002\u4f5c\u8005\u603b\u7ed3\uff0c\u8f83\u9ad8\u7684\u80bf\u7624\u52a8\u529b\u5b66\u5f02\u8d28\u6027\u548c\u5cf0\u589e\u5f3a\u503c\u4e0e\u66f4\u77ed\u65f6\u95f4\u7684\u80bf\u7624\u8fdc\u5904\u8f6c\u79fb\u6709\u5173\u3002\u8be5\u4fe1\u606f\u53ef\u5e2e\u52a9\u653e\u5c04\u79d1\u533b\u751f\u901a\u8fc7\u672f\u524d\u4e73\u817aMRI\u9884\u6d4b\u75be\u75c5\u8fdb\u7a0b\u3002<\/p>\n<p>Kim, J. Y., Kim, J. J., Hwangbo, L., Suh, H. B., Kim, S., Choo, K. S., \u2026 Kang, T. (2020). Kinetic Heterogeneity of Breast Cancer Determined Using Computer-aided Diagnosis of Preoperative MRI Scans: Relationship to Distant Metastasis-Free Survival.\u00a0<em>Radiology<\/em>,\u00a0<em>295<\/em>(3), 517\u2013526. doi: 10.1148\/radiol.2020192039<\/p>\n<p>Link: <a href=\"https:\/\/pubs.rsna.org\/doi\/10.1148\/radiol.2020192039\">https:\/\/pubs.rsna.org\/doi\/10.1148\/radiol.2020192039<\/a><\/p>\n<p>&nbsp;<\/p>\n<h5><span style=\"color: #3366ff;\"><strong>\u57fa\u4e8e<\/strong><strong>AI<\/strong><strong>\u7684\u51b3\u7b56\u652f\u6301\u5982\u4f55\u5f71\u54cd\u8d85\u58f0\u4e73\u817a\u75c5\u53d8\u7684\u8bc4\u4f30\uff1f<\/strong><\/span><\/h5>\n<p>\u8fd9\u9879\u591a\u4e2d\u5fc3\u56de\u987e\u6027\u7814\u7a76\u7814\u7a76\u4e86\u4eba\u5de5\u667a\u80fd\uff08AI\uff09\u51b3\u7b56\u652f\u6301\uff08DS\uff09\u5728\u89e3\u91ca\u8d85\u58f0\uff08US\uff09\u4e0a\u53d1\u73b0\u7684\u4e73\u817a\u75c5\u53d8\u4e2d\u7684\u5e94\u7528\u3002 15\u4f4d\u533b\u5e08\uff0811\u4f4d\u653e\u5c04\u79d1\u533b\u5e08\uff0c2\u4f4d\u5987\u4ea7\u79d1\u533b\u5e08\u548c2\u4f4d\u5916\u79d1\u533b\u5e08\uff09\u8fdb\u884c\u4e86\u4e24\u6b21900\u4f8b\u8d85\u58f0\u4e2d\u4e73\u817a\u75c5\u53d8\u7684\u56de\u987e\u5206\u6790\u3002\u7b2c\u4e00\u6b21\u4ec5\u56de\u987eUS\uff0c\u7b2c\u4e8c\u6b21\u56de\u987e\u4e86US\u548cDS\u3002\u6570\u636e\u70b9\u5305\u62ecDS\u548c\u89c2\u5bdf\u8005\u7684\u654f\u611f\u6027\uff0c\u7279\u5f02\u6027\u548c\u6b63\u4f3c\u7136\u6bd4\uff08PLR\uff09\u3002\u8fd8\u5206\u522b\u8ba1\u7b97\u4e86\u4f7f\u7528\u548c\u4e0d\u4f7f\u7528DS\u7684\u89c2\u5bdf\u8005\u7684\u66f2\u7ebf\u4e0b\u9762\u79ef\uff08AUC\uff09\u3002US+DS\u89c2\u5bdf\u8005\u7684\u5e73\u5747AUC\u4e3a0.87\uff0c\u800cUS\u89c2\u5bdf\u8005\u5e73\u5747AUC\u4e3a0.83\u3002\u9664\u4e86\u4e00\u4e2a\u89c2\u5bdf\u8005\u4e4b\u5916\uff0c\u6240\u6709US+DS\u89c2\u5bdf\u8005\u7684PLR\u90fd\u66f4\u9ad8\u3002\u6b64\u5916\uff0cUS+DS\u51cf\u5c11\u4e86\u89c2\u5bdf\u8005\u95f4\u548c\u89c2\u5bdf\u8005\u5185\u7684\u5dee\u5f02\u3002\u8be5\u7814\u7a76\u8868\u660e\uff0c\u9664\u4e86\u51cf\u5c11\u89c2\u5bdf\u8005\u95f4\u548c\u89c2\u5bdf\u8005\u5185\u7684\u5dee\u5f02\u6027\u4e4b\u5916\uff0cUS+DS\u8fd8\u63d0\u9ad8\u4e86\u5927\u591a\u6570\u533b\u751f\u5bf9\u8d85\u58f0\u4e2d\u4e73\u817a\u5f71\u50cf\u5b66\u75c5\u53d8\u7684\u51c6\u786e\u8bc4\u4f30\u3002<\/p>\n<p>Mango, V. L., Sun, M., Wynn, R. T., &amp; Ha, R. (2020). Should We Ignore, Follow, or Biopsy? Impact of Artificial Intelligence Decision Support on Breast Ultrasound Lesion Assessment.\u00a0<em>American Journal of Roentgenology<\/em>,\u00a0<em>214<\/em>(6), 1445\u20131452. doi: 10.2214\/ajr.19.21872<\/p>\n<p>Link: <a href=\"https:\/\/www.ajronline.org\/doi\/full\/10.2214\/AJR.19.21872\">https:\/\/www.ajronline.org\/doi\/full\/10.2214\/AJR.19.21872<\/a><\/p>\n<p>&nbsp;<\/p>\n<h5><span style=\"color: #3366ff;\"><strong>\u4e8c\u7ef4\u5408\u6210\u4e73\u817a<\/strong><strong>X<\/strong><strong>\u7ebf\u6210\u50cf\u4e0e\u5168\u91ce\u6570\u5b57\u4e73\u817a<\/strong><strong>X<\/strong><strong>\u7ebf\u6210\u50cf\uff1a\u54ea\u4e00\u79cd\u5728\u5fae\u9499\u5316\u7684\u68c0\u6d4b\u4e2d\u66f4\u51c6\u786e\uff1f<\/strong><\/span><\/h5>\n<p>\u8fd9\u9879\u56de\u987e\u6027\u7814\u7a76\u6bd4\u8f83\u4e862D\u5408\u6210\u4e73\u817aX\u7ebf\u6210\u50cf\uff08SM\uff09\u548c\u5168\u91ce\u6570\u5b57\u4e73\u817aX\u7ebf\u6210\u50cf\uff08FFDM\uff09\u5bf9\u5fae\u9499\u5316\u68c0\u6d4b\u7684\u51c6\u786e\u6027\u3002\u4f5c\u8005\u8fd8\u8bd5\u56fe\u786e\u5b9a\u653e\u5c04\u79d1\u533b\u751f\u5bf9\u8fd9\u4e24\u79cd\u65b9\u5f0f\u8bc4\u4f30\u9499\u5316\u7684\u504f\u597d\u3002\u56de\u987e\u7684\u7814\u7a76\u5305\u62ec70\u4f8b\u53ec\u56de\u7684\u5728\u7b5b\u67e5\u4e73\u817aX\u7ebf\u56fe\u50cf\u4e0a\u6709\u5fae\u9499\u5316\u7684\u60a3\u8005\u53ca90\u4f8b\u5728X\u7ebf\u4e73\u817a\u56fe\u50cf\u4e0a\u6ca1\u6709\u5f02\u5e38\u7684\u60a3\u8005\u3002\u5728\u72ec\u7acb\u8bc4\u4f30\u4e2d\uff0c\u653e\u5c04\u79d1\u533b\u751f\u901a\u8fc7\u6307\u5b9a\u7684BI-RADS\u8bc4\u4f30\u6765\u89e3\u91caSD\u6216FFDM\u4e73\u623fX\u7ebf\u56fe\u50cf\u3002\u5728\u6700\u540e\u90e8\u5206\uff0c\u5728\u5bf970\u4f8b\u5177\u6709\u5fae\u9499\u5316\u7684\u4e73\u623fX\u7ebf\u56fe\u50cf\u8fdb\u884c\u56de\u987e\u540e\uff0c\u4e73\u817a\u6210\u50cf\u4eba\u5458\u5bf9\u75c5\u53d8\u663e\u793a\u548c\u8bca\u65ad\u4fe1\u5fc3\u7684\u6c34\u5e73\u8fdb\u884c\u4e86\u8bc4\u5b9a\u3002SM\uff08AUC 88%\uff09\u548cFFDM\uff08AUC 91%\uff09\u4e4b\u95f4\u7684\u8bca\u65ad\u51c6\u786e\u6027\u65e0\u7edf\u8ba1\u5b66\u5dee\u5f02\uff08p = 0.392\uff09\u3002\u6b64\u5916\uff0cSM\u8bca\u65ad\u51c6\u786e\u6027\u4e0d\u4e9a\u4e8eFFDM\uff08p = 0.011\uff09\u3002 SM\u548cFFDM\u7684\u654f\u611f\u6027\u5206\u522b\u4e3a77%\u548c73%\uff0c\u4e14\u65e0\u660e\u663e\u5dee\u5f02\uff08p = 0.366\uff09\u3002\u6240\u6709\u653e\u5c04\u79d1\u533b\u751f\u90fd\u53d1\u73b0SM\u4e0a\u7684\u5fae\u9499\u5316\u663e\u793a\u66f4\u4e3a\u660e\u663e\uff0c\u4f46\u4e3b\u89c2\u8bca\u65ad\u4fe1\u5fc3\u65e0\u7edf\u8ba1\u5b66\u5dee\u5f02\u3002\u4f5c\u8005\u603b\u7ed3\uff0cSM\u4e0a\u5bf9\u5fae\u9499\u5316\u7684\u68c0\u6d4b\u4e0d\u900a\u4e8eFFDM\u3002\u6b64\u5916\uff0c\u653e\u5c04\u79d1\u533b\u751f\u5728\u7528\u4e24\u79cd\u6280\u672f\u68c0\u6d4b\u5fae\u9499\u5316\u4e0a\u6709\u76f8\u4f3c\u7684\u8bca\u65ad\u4fe1\u5fc3\u3002<\/p>\n<p>Dodelzon, K., Simon, K., Dou, E., Levy, A. D., Michaels, A. Y., Askin, G., &amp; Katzen, J. T. (2020). Performance of 2D Synthetic Mammography Versus Digital Mammography in the Detection of Microcalcifications at Screening.\u00a0<em>American Journal of Roentgenology<\/em>,\u00a0<em>214<\/em>(6), 1436\u20131444. doi: 10.2214\/ajr.19.21598<\/p>\n<p>Link: <a href=\"https:\/\/www.ajronline.org\/doi\/abs\/10.2214\/AJR.19.21598\">https:\/\/www.ajronline.org\/doi\/abs\/10.2214\/AJR.19.21598<\/a><\/p>\n<p>&nbsp;<\/p>\n<h5><span style=\"color: #3366ff;\"><strong>T2<\/strong><strong>\u52a0\u6743\u4e73\u817a<\/strong><strong>MRI<\/strong><strong>\u4e0a\u7684\u4e73\u817a\u5185\u6c34\u80bf\u548c\u80bf\u7624\u5185\u574f\u6b7b\u80fd\u786e\u5b9a\u4e09\u9634\u6027\u4e73\u817a\u764c\u7684\u6cbb\u7597\u53cd\u5e94\u5417\uff1f<\/strong><\/span><\/h5>\n<p>\u5728\u8fd9\u9879\u56de\u987e\u6027\u7814\u7a76\u4e2d\uff0c\u4f5c\u8005\u8bd5\u56fe\u786e\u5b9a\u662f\u5426T2\u52a0\u6743MRI\u4e0a\u7684\u4e73\u817a\u5185\u6c34\u80bf\uff08intra-E\uff09\u548c\u80bf\u7624\u5185\u574f\u6b7b\uff08intra-N\uff09\u4e3a\u4e73\u817a\u764c\u60a3\u8005\u75c5\u7406\u4e0a\u5b8c\u5168\u53cd\u5e94\uff08pCR\uff09\u7684\u6709\u7528\u9884\u6d4b\u6307\u6807\u3002\u8be5\u7814\u7a76\u7ec4\u5305\u62ec\u7ecf\u6d3b\u68c0\u8bc1\u5b9e\u4e3a\u65e0\u7279\u6b8a\u7ec4\u7ec7\u5b66\u4e9a\u578b\u7684\u6d78\u6da6\u6027\u4e09\u9634\u6027\u4e73\u817a\u764c\uff08TNBC-NST\uff09\u7684\u60a3\u8005\u3002\u4f5c\u8005\u56de\u987e\u4e8657\u4f8b\u63a5\u53d7\u65b0\u8f85\u52a9\u5316\u7597\u524d\u60a3\u8005\u7684\u4e73\u817aMRI\u56fe\u50cf\uff0c\u5e76\u5728T2\u52a0\u6743\u56fe\u50cf\u4e0a\u8bc4\u4f30\u4e86intra-E \u548c intra-N\u7684\u7a0b\u5ea6\u3002\u5728\u8fd9\u7279\u5b9a\u7684\u4e73\u817a\u764c\u60a3\u8005\u4e2d\uff0cintra-E \u548c intra-N\u4e0epCR\u65e0\u5173\u3002\u7136\u800c\uff0c\u4f5c\u8005\u603b\u7ed3\uff0c\u80bf\u7624\u5927\u5c0f\u4e0eintra-E\u5448\u6b63\u76f8\u5173\u3002<\/p>\n<p>Harada, T. L., Uematsu, T., Nakashima, K., Sugino, T., Nishimura, S., Takahashi, K., \u2026 Ito, T. (2020). Is the presence of edema and necrosis on T2WI pretreatment breast MRI the key to predict pCR of triple negative breast cancer?\u00a0<em>European Radiology<\/em>,\u00a0<em>30<\/em>(6), 3363\u20133370. doi: 10.1007\/s00330-020-06662-7<\/p>\n<p>Link: <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/32062698\/\">https:\/\/pubmed.ncbi.nlm.nih.gov\/32062698\/<\/a><\/p>\n<p><strong>\u00a0<\/strong><\/p>\n<h5><span style=\"color: #3366ff;\"><strong>MR<\/strong><strong>\u6ce2\u8c31\u4e2d\u7684\u5b9a\u91cf\u603b\u80c6\u78b1\uff08<\/strong><strong>tCho<\/strong><strong>\uff09\u503c\u80fd\u5426\u8868\u5f81\u5728\u591a\u53c2\u6570<\/strong><strong>MRI<\/strong><strong>\u4e0a\u7684\u53ef\u7591\u4e73\u817a\u75c5\u53d8\u5417\uff1f<\/strong><\/span><\/h5>\n<p>\u5728\u8fd9\u9879\u524d\u77bb\u6027\u7814\u7a76\u4e2d\uff0c\u4f5c\u8005\u7814\u7a76\u4e86\u5b9a\u91cf\u603b\u80c6\u78b1\uff08tCho\uff09\u5728\u8bca\u65ad\u591a\u53c2\u6570\u4e73\u817aMRI\u7684\u53ef\u7591\u4e73\u817a\u75c5\u53d8\u4e2d\u6076\u6027\u80bf\u7624\u548c\u8f6c\u79fb\u6027\u6dcb\u5df4\u7ed3\u7684\u989d\u5916\u4ef7\u503c\u3002\u5728\u4e73\u817aMRI\u4e0a\u6709\u53ef\u7591\u75c5\u53d8\u7684121\u4f8b\u60a3\u8005\u7eb3\u5165\u8be5\u7814\u7a76\uff0c\u5e76\u8fdb\u884c\u4e86\u6709\u6216\u6ca1\u6709\u6c34\u6291\u5236\u7684\u5355\u7d20\u4f53\u8d28\u5b50MR\u6ce2\u8c31\u5206\u6790\uff08103\u4f8b\u60a3\u8005\u5728\u5206\u6790\u65f6\u5177\u6709\u5b8c\u6574\u7684\u5f71\u50cf\u6570\u636e\uff09\u3002\u4e24\u540d\u7ecf\u9a8c\u4e30\u5bcc\u7684\u653e\u5c04\u79d1\u533b\u751f\u5bf9tCho\u8fdb\u884c\u4e86\u6d4b\u91cf\u5e76\u91cf\u5316\u4e3amm \/ L\u3002tCho\u503c\u7684ROC\u5206\u6790\u6765\u8bc4\u4f30\u6076\u6027\u80bf\u7624\u4e0e\u6dcb\u5df4\u7ed3\u72b6\u6001\u5173\u7cfb\u3002\u4e24\u4f4d\u653e\u5c04\u79d1\u533b\u5e08\u7528tCho\u503c\u9884\u6d4b\u6076\u6027\u80bf\u7624\u7684ROC\u66f2\u7ebf\u4e0b\u7684\u9762\u79ef\u4e3a0.816\u548c0.809\u3002tCHo\u503c&gt; 0.8 mm \/ L\u8bca\u65ad\u4e3a\u6076\u6027\u80bf\u7624\u7684\u654f\u611f\u6027&gt; 95%\u3002tCHo\u503c&lt;2.4 mm \/ L\u7684\u60a3\u8005\u672a\u89c1\u6dcb\u5df4\u7ed3\u8f6c\u79fb\u3002\u4f5c\u8005\u603b\u7ed3\uff0c\u5b9a\u91cftCho\u4e0d\u4ec5\u53ef\u4ee5\u533a\u5206\u826f\u6027\u548c\u6076\u6027\u7684\u53ef\u7591\u4e73\u817a\u75c5\u53d8\uff0c\u8fd8\u53ef\u4ee5\u9884\u6d4b\u8f6c\u79fb\u6027\u6dcb\u5df4\u7ed3\u7684\u72b6\u6001\u3002<\/p>\n<p>Sodano, C., Clauser, P., Dietzel, M., Kapetas, P., Pinker, K., Helbich, T. H., \u2026 Baltzer, P. A. (2020). Clinical relevance of total choline (tCho) quantification in suspicious lesions on multiparametric breast MRI.\u00a0<em>European Radiology<\/em>,\u00a0<em>30<\/em>(6), 3371\u20133382. doi: 10.1007\/s00330-020-06678-z<\/p>\n<p>Link: <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/32065286\/\">https:\/\/pubmed.ncbi.nlm.nih.gov\/32065286\/<\/a><\/p>\n<p><strong>\u00a0<\/strong><\/p>\n<h5><span style=\"color: #3366ff;\"><strong>\u5728\u4e73\u817a\u764c\u68c0\u6d4b\u4e2d\uff0c\u8d85\u58f0\u9020\u5f71\u4f18\u4e8e\u4e73\u817a<\/strong><strong>MRI<\/strong><strong>\u5417\uff1f<\/strong><\/span><\/h5>\n<p>\u5728\u8fd9\u9879\u524d\u77bb\u6027\u7814\u7a76\u4e2d\uff0c\u4f5c\u8005\u6bd4\u8f83\u4e86\u8d85\u58f0\u9020\u5f71\uff08CEUS\uff09\u3001MRI\u548c\u8054\u5408\u4e24\u79cd\u65b9\u6cd5\u5728\u8bc4\u4f30\u4e0d\u540c\u5927\u5c0f\u4e73\u817a\u75c5\u53d8\u65f6\u7684\u8bca\u65ad\u51c6\u786e\u6027\u3002\u6309\u5927\u5c0f\u5206\u4e3a2\u7ec4\uff0c\u5305\u62ec\u5c0f\u4e8e\u6216\u7b49\u4e8e20 mm\u7684\u75c5\u53d8\u548c\u5927\u4e8e20 mm\u7684\u75c5\u53d8\u3002\u5728\u5e38\u89c4\u8d85\u58f0\u68c0\u67e5\u4e2d\u53d1\u73b0\u7684406\u4e2a\u4e73\u817a\u75c5\u53d8\u63a5\u53d7\u4e86MRI\u548cCEUS\u68c0\u67e5\uff08\u6839\u636e\u7ec4\u7ec7\u5b66\u5206\u6790\u6709194\u4e2a\u75c5\u53d8\u4e3a\u826f\u6027\uff0c 212\u4e2a\u75c5\u53d8\u4e3a\u6076\u6027\uff09\u3002MRI\u548cCEUS\u5bf9\u6240\u6709\u5927\u5c0f\u7684\u4e73\u817a\u764c\u7684\u68c0\u6d4b\u6709\u76f8\u4f3c\u7684\u654f\u611f\u6027\uff08p = 1.000\uff09\u3002\u5728\u6240\u6709\u5927\u5c0f\u7684\u75c5\u53d8\u4e2d\uff0c\u5bf9\u6240\u6709\u75c5\u53d8\u7684\u68c0\u6d4b\u8054\u5408MRI\u548cCEUS\u4f18\u4e8eCEUS\uff08p &lt;0.05\uff09\uff0c\u4ec5\u5728\u5927\u4e8e20mm\u7684\u75c5\u53d8\u8bca\u65ad\u7684\u51c6\u786e\u6027\u8054\u5408MRI\u548cCEUS\u53ef\u53d6\u4ee3MRI\u3002\u4f5c\u8005\u603b\u7ed3\uff0c\u5728\u4e73\u817a\u764c\u7684\u68c0\u6d4b\u4e2d\uff0cCEUS\u548cMRI\u6709\u76f8\u4f3c\u7684\u654f\u611f\u6027\uff0c\u8054\u5408MRI\u548cCEUS\u53ef\u63d0\u9ad8\u4e73\u817a\u764c\u68c0\u6d4b\u7684\u7279\u5f02\u6027\u548c\u51c6\u786e\u6027\u3002<\/p>\n<p>Li, C., Yao, M., Shao, S., Li, X., Li, G., &amp; Wu, R. (2020). Diagnostic efficacy of contrast-enhanced ultrasound for breast lesions of different sizes: a comparative study with magnetic resonance imaging.\u00a0<em>The British Journal of Radiology<\/em>,\u00a0<em>93<\/em>(1110), 20190932. doi: 10.1259\/bjr.20190932<\/p>\n<p>Link: <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/32216631\/\">https:\/\/pubmed.ncbi.nlm.nih.gov\/32216631\/<\/a><\/p>\n<p>&nbsp;<\/p>\n<h5><span style=\"color: #3366ff;\"><strong>\u4e73\u817a<\/strong><strong>X<\/strong><strong>\u7ebf\u56fe\u50cf\u7ed3\u6784\u53d8\u5f62\uff1a\u4e73\u817a<\/strong><strong>MRI<\/strong><strong>\u80fd\u5426\u53ef\u9760\u5730\u6392\u9664\u6076\u6027\u80bf\u7624\uff1f<\/strong><\/span><\/h5>\n<p>\u5728\u8fd9\u9879\u56de\u987e\u6027\u7814\u7a76\u4e2d\uff0c\u4f5c\u8005\u8bd5\u56fe\u786e\u5b9a\u4e73\u817aMRI\u5728\u4e73\u817aX\u7ebf\u56fe\u50cf\u7ed3\u6784\u53d8\u5f62\uff08MAD\uff09\u7684\u60a3\u8005\u4e2d\u6392\u9664\u6076\u6027\u80bf\u7624\u7684\u8bca\u65ad\u51c6\u786e\u6027\u3002\u4ece2008\u5e741\u6708\u52302018\u5e749\u6708\uff0c175\u4f8b\u7ecf\u8bc1\u5b9e\u6709MAD\u7684\u60a3\u8005\u8fdb\u884c\u4e86\u89e3\u51b3\u4e0a\u8ff0\u95ee\u9898\u7684\u4e73\u817aMRI\u68c0\u67e5\u3002\u7531\u75c5\u7406\u5b66\uff08\u6d3b\u68c0\u6216\u624b\u672f\u5207\u9664\uff09\u6216\u81f3\u5c11\u4e00\u5e74\u7684\u653e\u5c04\u5b66\u968f\u8bbf\u6765\u786e\u5b9a\u60a3\u8005\u7684\u7ed3\u679c\u6807\u51c6\u3002\u5728106\u4f8b\u4e73\u817aMRI\u4e3a\u9634\u6027\u7684\u60a3\u8005\u4e2d\uff0c\u6ca1\u6709\u4e00\u540d\u8bca\u65ad\u4e3a\u4e73\u817a\u764c\u3002\u4e73\u817aMRI\u6392\u9664MAD\u60a3\u8005\u7684\u6076\u6027\u80bf\u7624\u7684\u9634\u6027\u9884\u6d4b\u503c\u4e3a100%\uff08\u7f6e\u4fe1\u533a\u95f495\u81f3100%\uff09\u3002\u4f5c\u8005\u603b\u7ed3\uff0c\u5728MAD\u548c\u4e73\u817aMRI\u9634\u6027\u7684\u60a3\u8005\u4e2d\uff0c\u6076\u6027\u80bf\u7624\u53ef\u88ab\u51c6\u786e\u6392\u9664\uff0c\u8fd9\u53ef\u4ee5\u9632\u6b62\u8fdb\u884c\u4e0d\u5fc5\u8981\u7684\u7ec4\u7ec7\u53d6\u6837\u8bca\u65ad\u3002<\/p>\n<p>Amitai, Y., Scaranelo, A., Menes, T. S., Fleming, R., Kulkarni, S., Ghai, S., &amp; Freitas, V. (2020). Can breast MRI accurately exclude malignancy in mammographic architectural distortion?\u00a0<em>European Radiology<\/em>,\u00a0<em>30<\/em>(5), 2751\u20132760. doi: 10.1007\/s00330-019-06586-x<\/p>\n<p>Link: https:\/\/pubmed.ncbi.nlm.nih.gov\/32002641<\/p>\n<p>&nbsp;<\/p>\n<h5><span style=\"color: #3366ff;\"><strong>\u4e73\u817a\u6210\u50cf\u4eba\u5458\u5e94\u5982\u4f55\u5904\u7406\u53ef\u7591\u7684\u4e73\u817a\u7ed3\u6838\uff1f<\/strong><\/span><\/h5>\n<p>\u5728\u8fd9\u9879\u56de\u987e\u6027\u7814\u7a76\u4e2d\uff0c\u4f5c\u8005\u8bc4\u4f30\u4e86\u4e09\u6240\u5357\u975e\u4e09\u7ea7\u533b\u9662\u4e2d\u4e73\u817a\u7ed3\u6838\uff08TB\uff09\u7684\u75be\u75c5\u8d1f\u62c5\u3002\u6b64\u5916\uff0c\u4f5c\u8005\u8fd8\u5bf9\u4e73\u817a\u7ed3\u6838\u75c5\u4f8b\u7684\u4eba\u53e3\u7edf\u8ba1\u5b66\uff0c\u4e34\u5e8a\u548c\u5f71\u50cf\u5b66\u53d1\u73b0\u8fdb\u884c\u4e86\u5173\u8054\u3002\u572818\u4e2a\u6708\u91cc\u67092,516\u4f8b\u60a3\u8005\u8fdb\u884c\u4e86\u4e73\u817a\u75be\u75c5\u7684\u5b9e\u9a8c\u5ba4\u68c0\u67e5\u3002\u5728\u8fd9\u4e9b\u60a3\u8005\u4e2d\uff0c\u67092.5%\uff0862\u4f8b\u60a3\u8005\uff09\u88ab\u8bca\u65ad\u51fa\u60a3\u6709\u4e73\u817a\u7ed3\u6838\u75c5\uff0c\u4e2d\u4f4d\u5e74\u9f84\u4e3a38.5\u5c81\u3002\u503c\u5f97\u6ce8\u610f\u7684\u662f\uff0c\u8fd9\u4e9b\u60a3\u8005\u4e2d\u670980%\u5448HIV\u9633\u6027\u3002\u4e73\u817a\u7ed3\u6838\u75c5\u4f8b\u6700\u5e38\u89c1\u7684\u8868\u73b0\u662f\u4e73\u817a\u8113\u80bf\u3002\u572892%\u7684\u75c5\u4f8b\u4e2d\uff0c\u7ec4\u7ec7\u5b66\u5206\u6790\u663e\u793a\u574f\u6b7b\u6027\u8089\u82bd\u80bf\u6027\u708e\u75c7\u3002\u6709\u8da3\u7684\u662f\uff0c\u4ec527%\u7684\u75c5\u4f8b\u7ed3\u6838\u5206\u679d\u6746\u83cc\u57f9\u517b\u5448\u9633\u6027\u3002\u4f5c\u8005\u603b\u7ed3\uff0c\u6000\u7591\u4e73\u817a\u7ed3\u6838\u5e94\u8be5\u8fdb\u4e00\u6b65\u4e34\u5e8a\u8bc4\u4f30\u3001\u8d85\u58f0\u3001\u4e73\u817aX\u7ebf\u6444\u5f71\u548cFNA\/\u8d85\u58f0\uff08US\uff09\u5f15\u5bfc\u4e0b\u7ec4\u7ec7\u7a7f\u523a\u6d3b\u68c0\u3002\u4f5c\u8005\u8fd8\u5efa\u8bae\u4f18\u5148\u884cUS\u5f15\u5bfc\u4e0b\u7ec4\u7ec7\u7a7f\u523a\u6d3b\u68c0\u800c\u975eENA \uff0c\u56e0\u4e3a\u8fd9\u79cd\u91c7\u6837\u65b9\u6cd5\u53ef\u63d0\u4f9b\u66f4\u597d\u7684\u7ec4\u7ec7\u6837\u672c\u548c\u9633\u6027\u7ed3\u679c\u3002<\/p>\n<p>Mathew, D., Rubin, G., Mahomed, N., &amp; Rayne, S. (2020). Imaging and \u00a0in clinical features of breast tuberculosis: a review series of 62 cases.\u00a0<em>Clinical Radiology<\/em>,\u00a0<em>75<\/em>(7). doi: 10.1016\/j.crad.2020.03.017<\/p>\n<p>Link: <a href=\"https:\/\/www.sciencedirect.com\/science\/article\/pii\/S0009926020301161\">https:\/\/www.sciencedirect.com\/science\/article\/pii\/S0009926020301161<\/a><\/p>\n<p>&nbsp;<\/p>\n<h5><span style=\"color: #3366ff;\"><strong>\u7845\u76ae\u80a4\u6807\u8bb0\u7269\u4f1a\u5f71\u54cd\u81ea\u52a8\u4e73\u817a\u8d85\u58f0\u68c0\u67e5\u56fe\u50cf\u7684\u89e3\u8bfb\u5417\uff1f<\/strong><\/span><\/h5>\n<p>\u5728\u8fd9\u9879\u524d\u77bb\u6027\u7814\u7a76\u4e2d\uff0c\u4f5c\u8005\u8bd5\u56fe\u786e\u5b9a\u662f\u5426\u5728\u81ea\u52a8\u4e73\u817a\u8d85\u58f0\u68c0\u67e5\u4e2d\u660e\u663e\u7684\u76ae\u80a4\u6807\u8bb0\u7269\u4f1a\u5f71\u54cd\u56fe\u50cf\u89e3\u8bfb\u300216\u4f8b\u60a3\u8005\u53c2\u52a0\u4e86\u8be5\u673a\u6784\u5ba1\u67e5\u59d4\u5458\u4f1a\u6279\u51c6\u7684\u524d\u77bb\u6027\u7814\u7a76\u3002\u60a3\u8005\u8fdb\u884c\u4e86\u4e24\u6b21\u81ea\u52a8\u4e73\u817a\u8d85\u58f0\u68c0\u67e5\uff0c\u5305\u62ec\u5728\u76ae\u80a4\u4e0a\u653e\u7f6e\u6216\u4e0d\u653e\u7f6e\u7845\u80f6\u76d8\u3002\u4e5d\u540d\u653e\u5c04\u79d1\u533b\u751f\u5ba1\u67e5\u4e86\u8fd9\u4e9b\u56fe\u50cf\uff0c\u5e76\u5bf9\u56fe\u50cf\u7684\u8d28\u91cf\u3001\u56fe\u50cf\u89e3\u8bfb\u548c\u8bca\u65ad\u4fe1\u5fc3\u8fdb\u884c\u4e86\u8bc4\u7ea7\u3002\u5c3d\u7ba1\u5728\u6709\u660e\u663e\u7684\u6807\u8bb0\u7269\u4e0b\uff0c\u89c2\u5bdf\u8005\u5bf9\u56fe\u50cf\u8d28\u91cf\u548c\u56fe\u50cf\u566a\u58f0\u7684\u8bc4\u5206\u4ece\u201c\u4f18\u79c0\u201d\u964d\u4f4e\u4e3a\u201c\u826f\u597d\u201d\uff08p &lt;0.01\uff09\uff0c\u4f4693\uff05\u7684\u653e\u5c04\u79d1\u533b\u751f\u540c\u610f\u56fe\u50cf\u566a\u58f0\u4e0d\u4f1a\u5f71\u54cd\u56fe\u50cf\u89e3\u8bfb\u3002\u4f5c\u8005\u603b\u7ed3\uff0c\u5728\u81ea\u52a8\u4e73\u817a\u8d85\u58f0\u68c0\u67e5\u4e2d\uff0c\u6613\u4e8e\u751f\u4ea7\u7684\u6709\u673a\u7845\u76ae\u80a4\u6807\u8bb0\u7269\u4e0d\u4f1a\u964d\u4f4e\u56fe\u50cf\u7684\u89e3\u8bfb\u3002<\/p>\n<p>Jong, L. D., Welleweerd, M. K., Zelst, J. C. V., Siepel, F. J., Stramigioli, S., MNine ann, R. M., \u2026 F\u00fctterer, J. J. (2020). Production and clinical evaluation of breast lesion skin markers for automated three-dimensional ultrasonography of the breast: a pilot study. <em>European Radiology<\/em>,\u00a0<em>30<\/em>(6), 3356\u20133362. doi: 10.1007\/s00330-020-06695-y<\/p>\n<p>Link: <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/32060713\/\">https:\/\/pubmed.ncbi.nlm.nih.gov\/32060713\/<\/a><\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"&nbsp; \u4e73\u817a\u6210\u50cf\u65e5\u5fd7 2 [&hellip;]","protected":false},"author":4,"featured_media":3014,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_bbp_topic_count":0,"_bbp_reply_count":0,"_bbp_total_topic_count":0,"_bbp_total_reply_count":0,"_bbp_voice_count":0,"_bbp_anonymous_reply_count":0,"_bbp_topic_count_hidden":0,"_bbp_reply_count_hidden":0,"_bbp_forum_subforum_count":0,"footnotes":""},"categories":[213],"tags":[],"class_list":["post-3504","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-213"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v25.1 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>\u4e73\u817a\u6210\u50cf\u7684\u65b0\u52a8\u6001\u662f\u4ec0\u4e48\uff1f - ACORE<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/staging-hub.acoredu.com\/2986\/\" \/>\n<meta property=\"og:locale\" content=\"zh_CN\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"\u4e73\u817a\u6210\u50cf\u7684\u65b0\u52a8\u6001\u662f\u4ec0\u4e48\uff1f - ACORE\" \/>\n<meta property=\"og:description\" content=\"&nbsp; \u4e73\u817a\u6210\u50cf\u65e5\u5fd7 2 [&hellip;]\" \/>\n<meta property=\"og:url\" content=\"https:\/\/staging-hub.acoredu.com\/2986\/\" \/>\n<meta property=\"og:site_name\" content=\"ACORE\" \/>\n<meta property=\"article:published_time\" content=\"2020-07-05T16:43:22+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2020-07-06T13:39:32+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/staging-hub.acoredu.com\/wp-content\/uploads\/2020\/07\/female-hands-joined-in-circle-holding-pink-ribbons-RCN683A-scaled.jpg\" \/>\n\t<meta property=\"og:image:width\" content=\"2560\" \/>\n\t<meta property=\"og:image:height\" content=\"2560\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/jpeg\" \/>\n<meta name=\"author\" content=\"Moataz\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"\u4f5c\u8005\" \/>\n\t<meta name=\"twitter:data1\" content=\"Moataz\" \/>\n\t<meta name=\"twitter:label2\" content=\"\u9884\u8ba1\u9605\u8bfb\u65f6\u95f4\" \/>\n\t<meta name=\"twitter:data2\" content=\"3 \u5206\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"WebPage\",\"@id\":\"https:\/\/staging-hub.acoredu.com\/2986\/\",\"url\":\"https:\/\/staging-hub.acoredu.com\/2986\/\",\"name\":\"\u4e73\u817a\u6210\u50cf\u7684\u65b0\u52a8\u6001\u662f\u4ec0\u4e48\uff1f - ACORE\",\"isPartOf\":{\"@id\":\"https:\/\/staging-hub.acoredu.com\/#website\"},\"primaryImageOfPage\":{\"@id\":\"https:\/\/staging-hub.acoredu.com\/2986\/#primaryimage\"},\"image\":{\"@id\":\"https:\/\/staging-hub.acoredu.com\/2986\/#primaryimage\"},\"thumbnailUrl\":\"https:\/\/staging-hub.acoredu.com\/wp-content\/uploads\/2020\/07\/female-hands-joined-in-circle-holding-pink-ribbons-RCN683A-scaled.jpg\",\"datePublished\":\"2020-07-05T16:43:22+00:00\",\"dateModified\":\"2020-07-06T13:39:32+00:00\",\"author\":{\"@id\":\"https:\/\/staging-hub.acoredu.com\/#\/schema\/person\/1ff19c95c23fa244c3e7f60182bde38d\"},\"breadcrumb\":{\"@id\":\"https:\/\/staging-hub.acoredu.com\/2986\/#breadcrumb\"},\"inLanguage\":\"zh-Hans\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\/\/staging-hub.acoredu.com\/2986\/\"]}]},{\"@type\":\"ImageObject\",\"inLanguage\":\"zh-Hans\",\"@id\":\"https:\/\/staging-hub.acoredu.com\/2986\/#primaryimage\",\"url\":\"https:\/\/staging-hub.acoredu.com\/wp-content\/uploads\/2020\/07\/female-hands-joined-in-circle-holding-pink-ribbons-RCN683A-scaled.jpg\",\"contentUrl\":\"https:\/\/staging-hub.acoredu.com\/wp-content\/uploads\/2020\/07\/female-hands-joined-in-circle-holding-pink-ribbons-RCN683A-scaled.jpg\",\"width\":2560,\"height\":2560,\"caption\":\"Breast Cancer. 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