自动乳腺全容积成像冠状面征象对乳腺良恶性病变的鉴别诊断价值  

The value of coronal section signs of automated breast volume scanning in differential diagnosis of breast lesions

作　　者：刘嘉琳 周杨 吴佳玲[2] 李朋 梁馨予[1] 段昊楠 吴雪晴 侯秀昆[2] 李晓枫[1] LIU Jialin;ZHOU Yang;WU Jialing;LI Peng;LIANG Xinyu;DUAN Haonan;WU Xueqing;HOU Xiukun;LI Xiaofeng(School of Public Health,Dalian Medical University,Dalian 116044,Liaoning Province,China;Department of Ultrasound,The First Hospital Aff iliated to Dalian Medical University,Dalian 116011,Liaoning Province,China)

机构地区：[1]大连医科大学公共卫生学院,辽宁大连116044 [2]大连医科大学附属第一医院超声科,辽宁大连116011

出　　处：《肿瘤影像学》2020年第1期17-21,共5页Oncoradiology

基　　金：辽宁省自然科学基金指导计划(20180550302)

摘　　要：目的:探讨自动乳腺全容积成像(automated breast volume scanning,ABVS)冠状面的影像学表现对于乳腺良恶性病变的诊断价值。方法:回顾并分析2017年10月-2018年9月于大连医科大学附属第一医院行乳腺外科手术的女性患者361例,且均经病理学检查证实。患者均接受ABVS检查,记录ABVS冠状面特征并与病理学检查结果进行对照,通过统计学方法分析评价其应用价值。结果:361例患者共计431个病灶,其中良性病灶278个,恶性病灶153个。在乳腺良恶性图像上,钙化、"汇集"、"毛刺"、"成角"和边界不清征象出现的例数分别为28(10.1%)和67(43.8%)、2(0.7%)和55(35.9%)、7(2.5%)和25(16.3%)、14(5.0%)和50(32.7%)、24(8.6%)和16(10.5%);经过χ~2检验,发现乳腺良恶性病变在钙化、"汇集"、"毛刺"、"成角"方面差异有统计学意义(P<0.01),在边界方面差异无统计学意义(P>0.05);经过二分类logistic回归模型分析,钙化、"汇集"、"毛刺"及"成角"征象均与乳腺恶性病变有关(P<0.01),与χ2检验结果一致。结论:ABVS冠状面征象有助于乳腺良恶性病变的鉴别诊断,对于临床的准确诊断有一定的指导意义。Objective: To evaluate the value of coronal section signs of automated breast volume scanning(ABVS) in differential diagnosis of breast lesions. Methods: A total of 361 female patients with breast surgery were enrolled in the First Hospital Aff iliated to Dalian Medical University from Oct. 2017 to Sep. 2018. All cases underwent ABVS examination, and the characteristics of ABVS coronal section were recorded and compared with pathological results. The application value was evaluated by statistical methods. Results: There were 431 lesions in total, including 278 benign lesions and 153 malignant lesions. The cases of calcif ication, convergence, burr, angle and unclear border in the benign and malignant images of the breast were 28(10.1%) and 67(43.8%), 2(0.7%) and 55(35.9%), 7(2.5%) and 25(16.3%), 14(5.0%) and 50(32.7%), 24(8.6%) and 16(10.5%), respectively. After chisquare test, it was found that there were signif icant differences in the calcif ication, convergence, burr and angle of breast benign and malignant lesions(P<0.01), and there was no statistical signif icance in the boundary(P>0.05). After two-class logistic regression model analysis, calcif ication, convergence, burr and angle signs were associated with malignant breast lesions(P<0.01), consistent with the results of the chi-square test. Conclusion: ABVS coronal signs are helpful for differential diagnosis of benign and malignant breast lesions, and provide some certain guidance for accurate clinical diagnosis.

关 键 词：乳腺 自动乳腺全容积成像 三维超声 冠状面征象 

分 类 号：R737.9[医药卫生—肿瘤] R445.1[医药卫生—临床医学]