乳腺X线摄影新版BI-RADS分类介绍2014年会.ppt

乳腺X线摄影新版BI-RADS分类介绍 2014年1月美国放射学院(ACR)公布了2013年新版乳腺影像报告和数据系统(BI-RADS) 其中，适用于乳腺摄影(Mammography)是第5版，适用于超声和MRI均是第2版 BI-RADS的作用 BI-RADS提供了适用于乳腺摄影、超声、磁共振成像（mammography, ultrasound and MRI）的标准化的乳腺影像描述术语、诊断报告组织结构和分类系统 报告组织能使影像科医生对乳腺摄影、超声、磁共振成像提供简明的诊断报告，并以清楚和始终如一的报告结果传达给临床医生，以利于做出最终的诊断评价和选择处理路径 乳腺X线摄影BI-RADS部分更新细节 BI-RADS 0～6类的变化 分类序数保留,但增加或完善了各型的处理建议 4B和4C描述措辞改变 明确使用“likelihood”(可能性)一词,强化了category(分类)的语义,并在各类中增加了恶性或良性可能性的判断： - 0类和6类的恶性可能性未硬性规定,要求根据具体情况填写 - 其他各类提供了恶性的可能性百分数,尤其是4类中的3个亚型 Category 0：Incomplete—Need Additional Imaging Evaluation and/or Prior Mammograms for Comparison. Category 0：Incomplete—Need Additional Imaging Evaluation and/or Prior Mammograms for Comparison. (Likelihood of Cancer: N/A.) Category 1：Negative. Category 1：Negative. (Likelihood of Cancer:Essentially 0% likelihood of malignancy.) Category 2：Benign Finding(s). Category 2：Benign. (Likelihood of Cancer:Essentially 0% likelihood of malignancy.) Category 3：Probably Benign Finding—Initial Short–Interval Follow–Up Suggested. (less than a 2% risk of malignancy). Category 3：Probably Benign—Short-interval (6-month) follow-up or continued surveillance mammography. (Likelihood of Cancer: 0% but ≤ 2% likelihood of malignancy.) Category 4：Suspicious Abnormality—Biopsy Should Be Considered. Category 4：Suspicious—Tissue diagnosis. (Likelihood of Cancer:2% but 95% likelihood of malignancy.) Category 4A may be used for a finding needing intervention but with a low suspicion for malignancy. Category 4A: Low suspicion for malignancy. (Likelihood of Cancer:2% to≤10% likelihood of malignancy.) Category 4B includes lesions with an intermediate suspicion of malignancy. Category 4B: Moderate suspicion for malignancy. (Likelihood of Cancer:10% to ≤ 50% likelihood of malignancy.) Category 4C includes findings of moderate concern, but not classic for malignancy. Category 4C: High suspicion for malignancy. (Likelihood of Cancer: 50% to95% likelihood of malignancy.) Category 5：Highly Suggestive of Maligna