超声弹性成像、光散射成像及两者联合对乳腺肿块良恶性鉴别诊断的价值  

Comparisons of elastography and diffused optical tomography in the diagnosis of breast tumour

作　　者：张海娴[1] 秦东京[1] 杨智[1] 徐翠[1] 崔广和[1] 

机构地区：[1]滨州医学院附属医院,山东省滨州市256600

出　　处：《实用医学杂志》2013年第12期1987-1989,共3页The Journal of Practical Medicine

基　　金：山东省自然科学基金(编号:ZR2012HL02)

摘　　要：目的:探讨超声弹性成像、超声光散射成像及两者联合对乳腺肿块的良恶性鉴别诊断价值。方法:应用弹性成像技术和光散射成像技术对72例患者共82个乳腺肿块进行良恶性的鉴别诊断,并与术后病理结果进行对照。结果:良性48例共58个病灶,恶性24例共24个病灶,超声弹性成像技术、超声光散射成像技术和两者联合对乳腺肿块良恶性鉴别诊断的敏感性、特异性和准确性分别为87.50%、96.55%、93.90%,91.67%、74.14%、79.27%和96.55%、91.67%、95.12%。结论:超声弹性成像在鉴别乳腺良恶性乳腺肿块的准确性较光散射成像高,两者联合较单一检查准确性高。Objective To compare the efficiencies of elastography and diffused optical tomography in the diagnosis of breast tumor. Methods Seventy-two patients with 82 lesions in breast were examined by ultrasonic elastography （UE） and diffused optical tomography （DOT）, respectively. The pathological examination was also performed after surgery. Results Pathologically, there were Fifty-eight benign breast lesions in 48 patients and 24 malignant lesions in 24 patients were confirmed by pathological examination. The sensibility, specificity and accuracy of di^ferential diagnosis of benign and malignant breast lumps by UE were 87.50%, 96.55% and 93.90%, respectively. The corresponding sensibility, specificity and accuracy of by DOT were 91.67%, 74.14% and 79.27%, respectively. And the corresponding sensibility, specificity and accuracy of by UE combined with DOT were 96.55%, 91.67% and 95.12%, respectively. Conclusions The efficiency of UE in the differential diagnosis of benign and malignant breast lumps is much better than DOT, and the combination of UE with DOT is a better solution.

关 键 词：乳腺肿块 弹性成像 光散射成像 

分 类 号：R445.1[医药卫生—影像医学与核医学]