声触诊组织成像与定量技术对非哺乳期乳腺炎与乳腺癌的鉴别诊断价值  

Differential diagnostic value of virtual touch tissue imaging quantification in non-lactation mastitis and breast cancer

作　　者：张敏[1] 周玮珺[2] 马建 吴敏[2] 孔文韬[2] ZHANG Min;ZHOU Wei-jun;MA Jian;WU Min;KONG Wen-tao(Department of Ultrasound,Suqian People’s Hospital Affiliated to Gulou Hospital,Medical College of Nanjing University,Suqian 223800,Jiangsu,China;Department of Ultrasound Diagnosis,Gulou Hospital,Medical College of Nanjing University,Nanjing 210000,Jiangsu,China)

机构地区：[1]南京大学医学院附属鼓楼医院集团宿迁市人民医院超声科,宿迁223800 [2]南京大学医学院附属鼓楼医院超声诊断科,南京210000

出　　处：《中国临床医学》2018年第5期778-781,共4页Chinese Journal of Clinical Medicine

摘　　要：目的:探讨声触诊组织成像与定量技术(virtual touch tissue imaging quantification,VTIQ)在非哺乳期乳腺炎与乳腺癌鉴别诊断中的价值。方法:回顾性分析24例非哺乳期乳腺炎病例,并随机选取同期51例乳腺癌病灶,对两者的临床表现、超声图像、VTIQ数据进行比较分析。结果:非哺乳期乳腺炎和乳腺癌常规超声不易鉴别,但弹性剪切波速度模式图及剪切波速度(shear wave velocity,SWV)定量分析结果明显不同。非哺乳期乳腺炎病灶多表现为绿色图像,其中绿色19例,红色与黄红相间5例。乳腺癌病灶多表现为红色或黄红相间,其中红色与黄红相间45例,绿色6例,两者间差异有统计学意义(P<0.05)。乳腺癌病灶SWV_(max)、SWV_(mean)、SWV_(min)均大于非哺乳期乳腺炎病灶,两组间差异有统计学意义(P<0.05);而两组间肿块周围正常组织差异无统计学意义。ROC曲线结果显示:SWV_(max)、SWV_(mean)、SWV_(min)曲线下面积分别为0.725、0.758、0.729。结论:常规超声联合VTIQ技术可提高非哺乳期乳腺炎与乳腺癌的鉴别诊断率。Objective:To investigate the differential diagnostic value of virtual touch tissue imaging quantification(VTIQ)in non-lactation mastitis and breast cancer.Methods:We retrospectively analyzed 24 cases of non-lactation mastitis and 51 cases of breast cancer during the same period.The clinical manifestations,ultrasonic imaging,and VTIQ data of the two diseases were compared.Results:Conventional ultrasound was difficult to differentiate 24 patients with non-lactation mastitis from 51 patients with breast cancer,but the velocity pattern diagram of elastic shear wave and the quantitative analysis result of SWV were obviously different.Most of the non-lactating mastitis lesions showed green images(19 green and 5 between red and yellow).The lesions of breast cancer showed almost red and yellow images(45 red and yellow and 6 green),the difference between the two had statistical significance.SWV max,SWV mean,and SWV min of breast cancer lesions were higher than those of non-lactating mastitis,and the difference between the two groups had statistically significant(P<0.05).There was no significant difference between the two groups in the normal tissues around the tumor.The pathological results were taken as gold standard,then ROC curves were plotted for the shear wave velocities of two types of lesions,the results showed that the area under SWV max,SWV mean,and SWV min curves was 0.725,0.758,and 0.729.Conclusions:Conventional ultrasound combined with VTIQ can improve the differential diagnostic performance in non-lactation mastitis and breast cancer.

关 键 词：超声检查 非哺乳期乳腺炎 声触诊组织成像与定量技术 

分 类 号：R445[医药卫生—影像医学与核医学]