The application efficiency of breast high-frequency ultrasound combined with BI-RADS grading and the influence of physician's professional title on consistency: a quality control study based on 452 cases of suspected breast cancer
乳腺高频超声联合 BI-RADS 分级的应用效能及医师职称对一致性的影响 —— 基于 452 例疑似乳腺癌病例的质控研究

摘要

本研究宗旨在探讨BI-RADS分级标准在乳腺癌筛查中的应用效能，通过对比高级职称（副主任医师及以上）与非高级职称（主治医师及以下）医师的诊断一致性，评估规范化培训及质控体系对诊断质量的影响。目的 探讨乳腺高频超声联合 BI-RADS 分级在乳腺癌筛查中的应用效能，分析高级职称（副主任医师及以上）与非高级职称（主治医师及以下）医师的诊断一致性，评估规范化培训及质控体系的应用价值。方法 回顾性分析2023-01至2024-06医院乳腺超声检查病例，共纳入疑似乳腺癌患者452例，分别由3名高级职称医师和5名非高级职称医师独立完成BI-RADS分级诊断。采用Kappa一致性检验与卡方检验进行数据分析，结果 显示两组医师诊断结果一致性无显著差异（Kappa=0.86 vs 0.82，P=0.12），（P>0.05）。结论 规范化培训与动态质控可缩小不同职称医师的诊断差异，BI-RADS 分级联合高频超声对乳腺癌筛查具有较高效能。

Abstract

The purpose of this study is to explore the application efficiency of BI-RADS grading standard in breast cancer screening, and to evaluate the impact of standardized training and quality control system on diagnostic quality by comparing the diagnostic consistency of doctors with senior professional titles (associate chief physician and above) and non senior professional titles (attending physician and below). Objective To explore the application efficiency of breast high-frequency ultrasound combined with BI-RADS grading in breast cancer screening, analyze the diagnostic consistency of doctors with senior professional title (associate chief physician and above) and non senior professional title (attending physician and below), and evaluate the application value of standardized training and quality control system.
Methods Retrospective analysis of breast ultrasound cases in hospitals from January 2023 to June 2024 included 452 patients with suspected breast cancer. BI-RADS grading diagnosis was independently completed by 3 doctors with senior professional titles and 5 doctors with non senior professional titles. Kappa consistency test and chi square test were used for data analysis, and the results showed that there was no significant difference in the consistency of diagnostic results between the two groups of physicians (Kappa=0.86 vs 0.82, P=0.12), (P>0.05).
Conclusion   Standardized training and dynamic quality control can reduce the diagnostic difference of doctors with different professional titles. BI-RADS grading combined with high-frequency ultrasound has a high efficacy in screening breast cancer.