超声弹性成像联合BI-RADS对微小(≤2 cm)乳腺良恶性病变的鉴别价值

doi:10.7517/issn.1674-0475.190607

摘要/Abstract

摘要： 本文对超声弹性成像（UE）联合乳腺影像报告和数据系统（BI-RADS）对微小（≤2 cm）乳腺良恶性病变的鉴别价值进行了分析。研究对象选取2018年3月~2019年3月期间本院80例乳腺病变患者共112个病灶，所有患者均给予UE和BI-RADS检查，以病理检查为参照，分析UE、BI-RADS及二者联合对微小（≤2 cm）乳腺良恶性病变的鉴别价值。病理检查结果显示，112个病灶中，良性60个（53.57%）、恶性52个（46.43%）；恶性乳腺病变患者UE和BI-RADS评分明显高于良性患者，差异有统计学意义（P<0.05）。UE鉴别微小乳腺良恶性病变（≤2 cm）的敏感度为76.92%、特异度为76.67%、准确度为76.79%，BI-RADS的敏感度为80.77%、特异度为80.00%、准确度为80.36%，UE联合BI-RADS的敏感度、特异度、准确度分别为96.15%、95.00%、95.54%，可见UE联合BI-RADS的鉴别效果明显优异，差异有统计学意义（P<0.05）。本文证实了UE、BI-RADS对微小（≤2 cm）乳腺良恶性病变具有良好的鉴别价值，且二者联合的鉴别价值更高。

关键词: 超声弹性成像, 乳腺影像报告和数据系统, 微小乳腺良恶性病变(&le, 2 cm), 鉴别价值

Abstract: The differential value of ultrasound elastography (UE) combined with breast imaging reporting and data system (BI-RADS) in benign and malignant breast lesions with small size (≤ 2 cm) was analyzed in this study. A total of 112 lesions were selected as the subjects of this study from 80 patients with breast lesions in our hospital from March 2018 to March 2019, and all patients were examined by UE and BI-RADS. The differential value of UE, BI-RADS and their combination for benign and malignant breast lesions (≤ 2 cm) was analyzed with pathological examination as a reference. The pathological examination results showed that, among 112 lesions, there were 60 benign (53.57%) and 52 malignant (46.43%). The UE and BI-RADS scores of patients with malignant breast lesions were significantly higher than those of patients with benign breast lesions, the difference was statistically significant (P< 0.05). The sensitivity, specificity and accuracy in differentiating benign and malignant breast lesions, the UE was 76.92%, 76.67% and 76.79%, the BI-RADS was 80.77%, 80.00% and 80.36%, UE combined BI-RADS was 96.15%, 95.00% and 95.54%, UE combined BI-RADS was significantly higher than the single of UE and BI-RADS, the difference was statistically significant (P< 0.05). This study confirms that, UE and BI-RADS have the good value in differentiating benign and malignant breast lesions with small size (≤ 2 cm), and their combination has the higher value in differentiating benign and malignant breast lesions.

Key words: ultrasound elastography, breast imaging reporting and data system, benign and malignant breast lesions with small size (&le, 2 cm), differential value

胡良勇, 李曦, 谢芳. 超声弹性成像联合BI-RADS对微小(≤2 cm)乳腺良恶性病变的鉴别价值[J]. 影像科学与光化学, 2019, 37(6): 604-610.

HU Liangyong, LI Xi, XIE Fang. The Differential Value of Ultrasound Elastography Combined with BI-RADS in Benign and Malignant Breast Lesions with Small Size (≤2 cm)[J]. Imaging Science and Photochemistry, 2019, 37(6): 604-610.

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