乳腺癌超声造影联合BI-RADS分级与病理检查结果对比分析

doi:10.7517/issn.1674-0475.201107

摘要/Abstract

摘要： 本研究的目的是探讨乳腺癌超声造影联合BI-RADS分级的诊断价值。选取疑似乳腺癌患者130例，其中良性患者47例，恶性患者83例，给予常规超声、超声造影检查，分析超声造影联合常规BI-RADS分级诊断乳腺癌的价值。实验结果显示：恶性病灶超声影像特征中，增强顺序向心性和增强后病灶增大的比例明显高于良性病灶（P<0.05）；增强开始时间、达峰时间和峰值强度，恶性病灶明显低于良性病灶（P<0.05）；相比较超声造影、BI-RADS检查，联合检查诊断乳腺癌的灵敏性、阴性预测值和准确性较高（P<0.05）。本次研究证实：超声造影联合BI-RADS分级诊断乳腺癌有较好的临床价值。

关键词: 乳腺癌, 超声造影, BI-RADS分级, 诊断价值

Abstract: The purpose of this study was to investigate the diagnostic value of contrast-enhanced ultrasound combined with BI-RADS grading in breast cancer. 130 cases of suspected breast cancer patients were selected, the routine ultrasound and contrast-enhanced ultrasound were given to analyze the value of contrast-enhanced ultrasound combined with conventional BI-RADS grading in the diagnosis of breast cancer. Among 130 suspected patients, 47 cases were benign, 83 cases of malignant patients; the experimental results showed that: In the ultrasonic imaging features of malignant lesions, the proportion of centripetal enhancement and enhanced lesions enlargement were significantly higher than those of benign lesions (P<0.05). The enhancement start time, time to peak and peak intensity of malignant lesions were significantly lower than those of benign lesions (P<0.05). Compared contrast-enhanced ultrasound and BI-RADS, the sensitivity and negative predictive value and accuracy of combined examination in the diagnosis of breast cancer were higher (P<0.05). This study confirmed that: Contrast-enhanced ultrasound combined with BI-RADS has good clinical value in diagnosing breast cancer, which is worthy of clinical use.

Key words: breast cancer, contrast-enhanced ultrasound, BI-RADS classification, diagnostic value

邹芳, 王爽. 乳腺癌超声造影联合BI-RADS分级与病理检查结果对比分析[J]. 影像科学与光化学, 2021, 39(4): 620-623.

ZOU Fang, WANG Shuang. Comparative Analysis of Contrast-enhanced Ultrasound Combined with BI-RADS Grading and Pathological Examination of Breast Cancer[J]. IMAGING SCIENCE AND PHOTOCHEMISTRY, 2021, 39(4): 620-623.

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