超声弹性成像与BI-RADS评分在乳腺肿块诊断中的对比研究  

Comparative Study of Ultrasonic Elastography and Breast Imaging Report and Data System in the Diagnosis of Breast Solid Lesions

作　　者：魏晏平[1] 李智贤[1] 曾健[2] 韦康来[3] 刘军杰[1] 陈圆圆[1] 冯卫连[1] 韦柳[1] 蒋芳艳[1] 

机构地区：[1]广西医科大学第一附属医院超声科,南宁市530021 [2]广西医科大学第一附属医院胃肠腺体外科,南宁市530021 [3]广西医科大学第一附属医院病理科,南宁市530021

出　　处：《广西医学》2012年第5期522-523,528,共3页Guangxi Medical Journal

基　　金：广西科学研究与技术开发计划项目(桂科攻1140003A-9)

摘　　要：目的对比分析超声弹性成像(UE)与乳腺影像学报告及数据系统(BI-RADS)在乳腺肿块诊断中的价值。方法对483例(541个肿块)乳腺肿块患者(良性358个,恶性183个)分别进行BI-RADS评分及UE检查,以病理诊断为金标准,对比分析UE与BI-RADS评分诊断乳腺肿块良恶性的准确性。结果 UE诊断乳腺肿块的敏感性89.1%、特异性91.9%、准确性90.9%,BI-RADS评分诊断乳腺肿块的敏感性95.6%、特异性70.4%、准确性78.9%。结论 UE对乳腺肿块诊断的准确性高于BI-RADS评分,但临床上应将二者联合应用。Objective To compare the value of ultrasonic elastography（UE） and breast imaging report and data system（BI-RADS） in the differential diagnosis of breast solid lesions. Methods Four hundred and eighty-three patients with 541 lesions（358 benign,183 malignant） were examined by UE and assessed by BI-RADS respectively. To use the pathologic diagnosis as the gold standard,the accuracies of UE and BI-RADS in the diagnosis of benign and malignant breast masses were comparatively analyzed. Results The sensitivity, specificity and accuracy of UE were 89. 1%, 91.9% and 90.9%, respectively, which of BI-RADS were 95.6% 70.4% and 78.9%, respectively. Conclusion The accuracy of UE is significantly higher than that of BI-RADS. The combination of both could be beneficial.

关 键 词：超声弹性成像 BI-RADS 乳腺肿块 

分 类 号：R655.8[医药卫生—外科学] R445.1[医药卫生—临床医学]