文章摘要

弹性超声联合高频超声对乳腺肿块良恶性诊断价值

作者: 1陈颖彬, 1黄岩, 2石岩, 1王君东, 1沈晶晶, 1卢晓莉
1 南京医科大学附属南京医院,南京市第一医院超声医学科,南京 210006
2 滨州医学院附属医院超声医学科,山东 滨州 256603
通讯: 黄岩 Email: jacob6666@163.com
DOI: 10.3978/j.issn.2095-6959.2019.04.015

摘要

目的:研究高频超声、弹性超声及二者联合对乳腺肿块良恶性诊断的应用价值。方法:纳入55例乳腺疾病患者(共63个病灶),进行常规超声及弹性超声检查,并分别进行BI-RADS分类、改良5分法分级、应变率(strain rate,SR)比值法分级以及联合方法对BI-RADS分类进行调整,5种方法的诊断结果以穿刺活检病理结果为金标准进行对照,分析弹性超声联合高频超声对乳腺肿块良恶性诊断的准确性。结果:SR比值法联合常规超声阳性预测值为91.67%,高于改良5分法联合常规超声(88.00%),明显高于常规超声(56.41%),差异有统计学意义(P<0.05)。结论:高频超声联合弹性超声方法能提高乳腺可疑肿块良恶性鉴别能力,并减少良性肿块不必要的穿刺活检。
关键词: 高频超声;弹性超声;乳腺肿块;鉴别诊断;穿刺活检

Value of elastic ultrasound combined with high frequency ultrasound in the diagnosis of benign and malignant breast mass

Authors: 1CHEN Yingbin, 1HUANG Yan, 2SHI Yan, 1WANG Jundong, 1SHEN Jingjing, 1LU Xiaoli
1 Department of Ultrasonography, Nanjing First Hospital, Nanjing Hospital Affiliated to Nanjing Medical University, Nanjing 210006, China
2 Department of Ultrasonography, Hospital Affiliated to Binzhou Medical College, Binzhou Shandong 256603, China

CorrespondingAuthor: HUANG Yan Email: jacob6666@163.com

DOI: 10.3978/j.issn.2095-6959.2019.04.015

Abstract

Objective: To evaluate the value of ultrasonic elastography, conventional ultrasonography or combined application of both for differential diagnosis of benign and malignant breast lesion. Methods: In this study, 55 cases of breast disease patients (63 lesions) were examined by conventional ultrasound and elasticity ultrasound examination. The lesions were classified by BI-RADS, improved 5-point method and strain rate (SR) ratio method respectively. And then the combined methods adjusted BI-RADS classification again. The diagnostic result of all methods was analytic compared by pathology result. Results: Positive predictive value (PPV) of SR ratio combined method is 91.67%, higher than the improved five-point combined method (88.00%) and significantly higher than conventional ultrasound (56.41%). Difference between the two methods in combination was statistically significant (P<0.05). Conclusion: Conventional ultrasound combined with elastography can improve the ability of identification for suspicious breast benign and malignant reduce unnecessary biopsies of benign lesion.
Keywords: breast mass; ultrasonography; ultrasonic elastography; differential diagnosis; core needle biopsy

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