非肿块型乳腺疾病超声弹性成像、剪切波弹性成像检测特征及其鉴别诊断

doi:10.7517/issn.1674-0475.210117

摘要/Abstract

摘要： 本文探讨超声弹性成像（UE）、剪切波弹性成像（SWE）在非肿块型乳腺病变中的价值。选取非肿块型乳腺病变患者100例，给予UE、SWE检查，同时与病理结果进行比较。研究结果发现，经病理学确诊良性病变67例，恶性病变33例；恶性病变UE评分≥4分的比例为72.37%，明显高于良性病变（P<0.05）；恶性病变弹性模量最大值（Emax）、弹性模量平均值（Emean）和病灶与周围组织弹性模量比值（Eratio）明显高于良性病变（P<0.05）；良恶性病变弹性模最小值（Emin）比较差异无统计学意义（P>0.05）；UE、SWE，以及UE联合SWE鉴别良恶性病变的准确率分别为80.00%、87.00%和92.00%，其中UE联合SWE鉴别良恶性病变的准确率高于UE检查（P<0.05）。结果证实，UE和SWE在鉴别诊断非肿块型乳腺病变中有较好的应用价值，值得临床使用。

关键词: 超声弹性成像, 剪切波弹性成像, 非肿块型乳腺病变, 诊断价值

Abstract: The value of ultrasound elastography (UE) and shear wave elastography (SWE) in non-mass breast lesions was explored in this study. One hundred patients with non-mass breast disease were selected to receive UE and SWE examination, and were compared with the pathological results. The results show that 67 cases of benign lesions and 33 cases of malignant lesions were confirmed by pathology. The rate of UE score ≥ 4 in malignant lesions was 72.37%, which was significantly higher than that in benign lesions (P<0.05). The maximum value of elastic modulus (Emax), the average value of elastic modulus (Emean) and the ratio of elastic modulus of lesions to surrounding tissues (Eratio) were significantly higher than those of benign lesions (P<0.05). There was no significant difference in minimum value of elastic modulus (Emin) of malignant lesions and benign lesions (P>0.05). The accuracy of UE, SWE and UE combined with SWE in differentiating benign and malignant lesions were 80.00%, 87.00% and 92.00%, and the accuracy of UE combined with SWE in differentiating benign and malignant lesions was higher than UE (P<0.05). The results showed that UE and SWE have better application value in differential diagnosis of non-mass breast lesions, is worthy of clinical use.

Key words: ultrasound elastography, shear wave elastography, non-mass breast lesions, diagnostic value

路祥芬, 胡晓华. 非肿块型乳腺疾病超声弹性成像、剪切波弹性成像检测特征及其鉴别诊断[J]. 影像科学与光化学, 2021, 39(5): 764-767.

LU Xiangfen, HU Xiaohua. Features and Differential Diagnosis of Ultrasound Elastography and Shear Wave Elastography in Non-mass Breast Diseases[J]. IMAGING SCIENCE AND PHOTOCHEMISTRY, 2021, 39(5): 764-767.

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