The Tabar classification of mammographic parenchymal patterns
The Tabar classification of mammographic parenchymal patterns
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DOI：
10.1016/s0720-048x(96)01138-2
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发表时间：
1997-02-01
影响因子：
3.3
通讯作者：
Tabar, L
中科院分区：
文献类型：
--
作者：
Gram, IT;Funkhouser, E;Tabar, L
这项研究的目的是描述一种由Tabar开发的基于解剖-乳房X光相关性的分类方法。我们还想检查根据Tabar和Wolfe标准划分为低风险和高风险的乳房X光检查是如何相互关联的，以及与选定的三个乳腺癌风险因素之间的关系。研究材料基于参加第三次特罗姆索研究的3.640名挪威女性的问卷和乳房X光检查，她们的年龄在40岁到56岁之间。乳房X光检查被分成五组。详细描述了这五种类型的线条及其病理关系。Tabar分类是基于解剖-乳房摄影的相互关系，遵循三维(厚切片技术)组织病理学-乳房摄影比较，而不是简单的模式读取(Wolfe分类)。为了进行分析，模式I-III(Tabar)和N1和P1(Wolfe)被分成低风险组，模式IV和V(Tabar)和P2和DY(Wolfe)被分成高风险组。两种分类的高风险与低风险的总体一致性为54%，卡伯值为0.22。这项研究表明，高危乳房X光检查模式与所选的三个风险因素之间的关联强度相当。当采用Tabar分类而不是Wolfe分类时，儿童数量和第一次出生的年龄具有更大的规模。需要更多的患者将这一分类与癌症风险直接进行比较。这项研究表明，进一步发展乳房X光照片的分类可能会增加乳房X光照片模式在研究和临床实践中的有用性。(C)1997年爱思唯尔爱尔兰科学有限公司。
The purpose of this study was to describe one method of classification, based on anatomic-mammographic correlations, developed by Tabar. We also wanted to examine how the mammograms categorized as low- and high-risk according to Tabar and Wolfe criteria related to each other and to three selected risk factors for breast cancer. The study materials are based on questionnaires and mammograms from 3.640 Norwegian women, aged 40-56 years, participating in the third Tromso study. The mammograms were categorized into five groups. Line drawings and their pathologic correlates of the five patterns are described in detail. The Tabar classification is based on anatomic-mammographic correlations, following three-dimensional (thick slice technique) histopathologic-mammographic comparisons, rather than simple pattern reading (Wolfe classification). For analysis patterns I-III (Tabar) and N1 and P1 (Wolfe) were grouped into low-risk groups and patterns IV and V (Tabar) and P2 and DY (Wolfe) into high-risk groups. The overall agreement on high-risk versus low risk for the two classifications was 54% with a kappa-value of 0.22. The study displays that the strength of association between high-risk mammographic patterns and the three selected risk factors parity. number of children and age at first birth is of greater magnitude when the Tabar instead of the Wolfe classification is applied. More patients are needed to compare the classification directly with the risk of cancer. This study indicates that Further development of the classification of mammograms may increase the usefulness of mammographic patterns in research and clinical practice. (C) 1997 Elsevier Science Ireland Ltd.