自动乳腺全容积成像联合彩色多普勒在乳腺硬化性腺病中应用研究  

The Study on Coronal Plane of the Automated Breast Volume Scanner and Color Doppler Imaging in the Sclerosing Adenosis

作　　者：许晓静[1] 包凌云[1] 朱罗茜[1] 谭艳娟[1] 朱庆庆[1] 

机构地区：[1]杭州市第一人民医院超声影像科,杭州市310006

出　　处：《中国超声医学杂志》2016年第4期295-297,共3页Chinese Journal of Ultrasound in Medicine

摘　　要：目的本研究旨在通过研究自动乳腺全容积成像技术在乳腺硬化性腺病(SA)诊断中的应用,提高对SA的认识。方法回顾性分析34病理证实SA病灶,根据组织病理学分类,将研究对象分为单纯型硬化性腺病(23例,67.6%)和混合型硬化性腺病(11例,32.4%)两类。研究两组超声表现。结果 SA超声征象表现为低回声,乏血供。ABVS冠状面表现,边缘不规则21例(61.8%),其中毛刺或局部毛刺征15例(44.1%),边缘呈角6例(17.6%);腺体结构紊乱6例(17.6%);冠状面上钙化斑10例(29.4%)。BI-RADS分类,BI-RADS0类3例(8.8%),BI-RADS 3类4例(11.8%),BI-RADS 4A类18例(52.9%),BI-RADS 4A类以上9例(26.5%)。两组之间超声征象和冠状面表现差异无统计学意义。结论 SA的ABVS影像表现有一定的特点,片状低回声区、钙化、C平面特征性表现,因此充分认识SA在C平面的表现,可以降低假阳性率。Objective In this study,we aim to describe the features of breast sclerosing adenosis lesions in the coronal plane of the automated breast volume scanner（ABVS）.Methods In our database,we retrospective analysis 34 pathologically proven SA lesions,According to the histological diagnosis,the patients were divided into two groups：pure adenosis（n=23,67.6%）and mixed adenosis associated with other benign pathologies（n=11,32.4%）.Results SA ultrasonic manifestations characterized by low echo,lack of blood supply.ABVS coronal performance,margin irregular 21cases（61.8%）,spiculated or local spiculated 15cases（44.1%）,angular in 6cases（17.6%）;Gland structure disorder 6cases（17.6%）;Coronal plane has calcified plaque 10cases（29.4%）.BI-RADS classification,BI-RADS 0class 3cases（8.8%）,BI-RADS 3class 4cases（11.8%）,BI-RADS 4aclass 18cases（52.9%）,BI-RADS 4aclass above 9cases（26.5%）.There was no statistically significant difference between two groups in ultrasonic manifestations and coronal performance.Conclusions The ABVS coronal plane images show the characteristics of a certain,flake keyed acoustic area characteristic,calcification,C plane,thus realize SA in C plane,can reduce the false positive rate.

关 键 词：硬化性腺病 冠状面 自动 

分 类 号：R445.1[医药卫生—影像医学与核医学] R655.8[医药卫生—诊断学]