超声“萤火虫”成像技术对甄选乳腺恶性肿瘤微钙化的应用  

Aplication of Ultrasonic “Fireflies” Imaging Technique for Screening Breast Microcalcification Malignant Tumor

作　　者：徐明芬[1] 林淑芝[2] 蒋萍[3] 郝轶[1] XU Ming-fen;LIN Shu-zhi;JIANG Ping;HAO Yi(Department of Ultrasound, Shenzhen Hospital of Southern Medical University Shenzhen Guangdong 518110, China;Department of Ultrasound the First Hospital of Harbin, Harbin Heilongjiang 100730, China;Department of Pathology, the First Hospital of Harbin, Harbin Heilongjiang 100730, China)

机构地区：[1]南方医科大学深圳医院超声科,广东深圳518110 [2]哈尔滨市第一医院超声科,黑龙江哈尔滨100730 [3]哈尔滨市第一医院病理科,黑龙江哈尔滨100730

出　　处：《中国医疗设备》2017年第5期51-53,59,共4页China Medical Devices

摘　　要：目的探讨乳腺超声"萤火虫"成像技术对于乳腺恶性肿瘤微钙化的检出能力及应用价值。方法选取我院2012年12月~2015年12月女性乳腺恶性肿瘤患者200例,其中乳腺肿块微钙化297个,所有患者均经过钼靶X线、常规超声、超声"萤火虫"成像技术进行诊断。本研究以钼靶X线为参照,对比普通超声、超声"萤火虫"成像技术以及二者联合对乳腺恶性肿瘤微钙化的检出能力,探讨超声"萤火虫"成像技术在诊断乳腺恶性肿瘤微钙化中的应用价值。结果以钼靶X线为参照,在灵敏度方面,超声"萤火虫"成像技术高于常规超声,差异有统计学意义(P<0.05);常规超声联合"萤火虫"成像技术在灵敏度方面,显著高于单一使用常规超声检查或超声"萤火虫"成像技术,差异有统计学意义(P<0.05)。钼靶X线显示的各种不同形态的微钙化,在超声"萤火虫"成像中均呈点状强回声;钼靶X线显示簇状分布的钙化灶,在超声"萤火虫"成像中表现为簇状分布;散在分布者超声"萤火虫"成像亦表现为散在分布。结论超声"萤火虫"成像技术能提高乳腺恶性肿瘤微钙化的检出概率,并且能很好的显示微钙化的空间分布特征,对于显示微钙化的分布特征具有较为重要的应用价值。Objective To assess the detection ability and application value of the ultrasonic“fireflies”imaging technology for breast malignant tumor microcalcification.Methods Totally200female breast malignant tumor patients in our hospital between December2012to December2015were analyzed,containing297breast lumps micro-calcifications,all patients enrolled underwent molybdenum target X-ray,ordinary ultrasound and ultrasound imaging diagnosis“fireflies”.Molybdenum target X-ray in this study for reference,detection ability in comparision with ordinary ultrasonic,ultrasonic“fireflies”imaging technology and the combination of both breast malignant tumor microcalcification,to explore the application value of“fireflies”imaging in the diagnosis of breast malignant tumor microcalcification.Result Refer to molybdenum target X-ray,in terms of sensitivity,ultrasonic“fireflies”is superior to ordinary ultrasonic detecting micro-calcification,having statistically significant difference(P<0.05);united ultrasonic“fireflies”and ultrasonic imaging is superior to ultrasonic“fireflies”or ultrasonic imaging alone in detecting micro-calcification,proved by parallel test(P<0.05).Molybdenum target X-ray can reveal different forms of micro-calcifications,but only manifest as dotted hyperechogenic using ultrasonic“fireflies”imaging;imaging of clustered and scattered calcifications are similar using both Molybdenum target X-ray and ultrasonic“fireflies”imaging.Conclusion Ultrasonic“fireflies”imaging technology can increase the rate of detecting micro-calcification in breast malignant tumor,improving sensivity,especially adept at manifesting distribution features of different micro-calcification in different breast tumors.

关 键 词：乳腺恶性肿瘤 常规超声 超声“萤火虫”成像技术 乳腺肿块微钙化 钼靶X线 

分 类 号：R445.1[医药卫生—影像医学与核医学] R737.9[医药卫生—诊断学]