超声弹性成像在乳腺BI-RADS4级肿块中的应用价值  

The Value of Ultrasonic Elastic Imaging in Breast BI-RADS4 Masses

作　　者：夏彩凤[1] 王文平[1] 董维露 相三婷 雷凡[1] XIA Cai-feng;WANG Wen-ping;DONG Wei-lu;XIANG San-ting;LEI Fan(Department of Ultrasound,Jiangning Hospital,Nanjing,Jiangsu Province,211100 China)

机构地区：[1]江苏省南京市江宁医院超声诊断科,江苏南京211100

出　　处：《世界复合医学》2020年第2期123-125,共3页World Journal of Complex Medicine

摘　　要：目的分析超声弹性成像在乳腺BI-RADS4级肿块中的应用价值。方法选取2017年4月—2018年12月来该院诊治的60例BI-RADS 4级乳腺肿块患者为研究对象,所有患者均行常规超声、超声弹性成像检查,以病理诊断结果为依据,对比常规超声、常规超声+超声弹性成像诊断乳腺BI-RADS4级肿块的准确度、敏感度与特异度。结果常规超声诊断BI-RADS 4级乳腺肿块的敏感度、特异度、准确度分别为68.18%(15/22)、60.87%(28/46)、63.24%(43/68);常规超声+超声弹性成像诊断BI-RADS 4级乳腺肿块的敏感度、特异度、准确度分别为90.91%(20/22)、95.65%(44/46)、94.12%(64/68);恶性乳腺肿块超声弹性成像评分为(3.86±0.62)分,高于良性乳腺肿块的(2.45±0.35)分,差异有统计学意义(t=9.913,P<0.05)。结论在常规超声基础上联合超声弹性成像诊断乳腺BI-RADS4级肿块中的应用价值显著,利于提高诊断效能。Objective To analyze the value of ultrasonic elastic imaging in breast BI-RADS4 masses.Methods 60 patients with BIRADS4 grade breast masses diagnosed and treated in our hospital from April 2017 to December 2018 were selected as the subjects.All patients were examined by routine ultrasound and ultrasonic elastic imaging.Based on the results of pathological diagnosis,the accuracy,sensitivity and specificity of conventional ultrasound and conventional ultrasound elastic imaging in the diagnosis of BIRADS4 grade breast masses were compared.Results The sensitivity,specificity and accuracy of conventional ultrasound in the diagnosis of BI-RADS grade 4 breast masses were studied.The accuracy was 68.18%(15/22),60.87%(28/46),63.24%(43/68),and the sensitivity,specificity and accuracy of conventional ultrasound elastic imaging in the diagnosis of BI-RADS grade 4 breast masses were 90.91%(20/22),95.65%(44/46)and 94.12%(64/68),respectively.The ultrasonic elastic imaging score of malignant breast masses was(3.86±0.62)points,which was significantly higher than that of benign breast masses(2.45±0.35)points,the difference was statistically significant(t=9.913,P<0.05).Conclusion On the basis of conventional ultrasound,combined with ultrasound elastic imaging in the diagnosis of breast BI-RADS4 masses is of great value,which is beneficial to improve the diagnostic efficiency.

关 键 词：超声弹性成像 乳腺 BI-RADS4级肿块 诊断 敏感度 特异度 

分 类 号：R445[医药卫生—影像医学与核医学]