自动乳腺全容积扫描三个不同切面观察乳腺肿块边缘特征的比较研究  

Comparison of three different planes obtained by automated breast volume scanner for the observation of margin characteristics of breast masses

作　　者：郑逢洋 严丽霞[1] 黄备建[1] 王希[1] 夏罕生[1] 刘利民[1] 王文平[1] 

机构地区：[1]复旦大学附属中山医院超声科复旦大学超声医学与工程研究所,上海200032

出　　处：《中华超声影像学杂志》2015年第8期692-696,共5页Chinese Journal of Ultrasonography

基　　金：国家自然科学基金（81371577）

摘　　要：目的对比研究自动乳腺全容积扫描（ABVs）三个不同切面对观察乳腺良恶性肿块边缘特征的应用价值。方法选取病理证实的208例女性患者，共237个（良性120个，恶性117个）乳腺肿块，比较ABVS三个切面上肿块边缘特征的检出率，通过ROC曲线评价三个切面上肿块边缘特征对诊断乳腺良恶性肿块的价值。结果矢状面对恶性肿块边缘成角的检出率（41．9％）大于冠状面（22．2％）和横切面（26．5％），差异有统计学意义（P=0．001，0．013）；冠状面对恶性肿块边缘毛刺的检出率（42．7％）大于矢状面（11．1％）和横切面（17．1％），差异有统计学意义（P〈0．001）。三个切面对良性肿块所有边缘特征检出率的两两比较，差异均无统计学意义（P〉0．05）。边缘成角在矢状面上的ROC曲线下面积（0．693）大于冠状面（0．607）及横切面（0．624）；边缘毛刺在冠状面上的曲线下面积（0．697）大于矢状面（0．551）及横切面（0．573）；边缘模糊在横切面上的曲线下面积（0．606）大于冠状面（0．552）及矢状面（0．552）；边缘细分叶在横切面上的曲线下面积（0．825）大于冠状面（0．778）及矢状面（0．817）。结论ABVS三个不同切面对观察肿块边缘特征各有优势。Objective To compare the application value of three different planes obtained by automated breast volume scanner for the observation of margin characteristics of breast masses. Methods Two hundred and eight women patients with 237 masses （120 benign and 117 malignant, confirmed by pathology） were included in this study. The detection rates of mass margin characteristics in three different planes were compared. The diagnostic performance of mass margin characteristics in differentiating benign and malignant breast masses in three different planes was compared by area under the ROC curve （AUC）. Resulls The detection rate of angular margins for malignant masses in sagittal planes（41.9%） was higher than that in coronal planes（22.2 % ） and axial planes（26.5%） with statistical difference （ P = 0.001,0.013） the detection rate of spiculated margins for malignant masses in coronal planes（42.7%） was higher than that in sagittal planes （ 11.1%） and axial planes （ 17.1%） with statistical difference （ both P 〈0.001）. No significant difference was found between any two of the three planes in the detection rates of margin characteristics for benign masses. The AUC of angular margins in sagittal planes （0.693） was higher than that in coronal planes （0.607） and axial planes （0.624）; the AUC of spiculated margins in coronal planes （0.697） was higher than that in sagittal planes （0.551） and axial planes （0.573）;the AUC of indistinct margins in axial planes（0.606） was higher than that in coronal planes （0.552） and sagittal planes （0.552） the AUC of microlobulated margins in axial planes （0.825） was higher than that in coronal planes （0.778） and sagittal planes （0.817）. Conclusions Three different planes of ABVS have their own advantages for the observation of margin characteristics of breast masses.

关 键 词：超声检查 自动乳腺全容积扫描 乳腺疾病 边缘特征 

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