剪切波弹性成像定量参数对良恶性乳腺肿块的鉴别及对乳腺癌术后复发的预测价值  

The Value of Shear Wave Elastography Quantitative Parameters in the Differentiation of Benign and Malignant Breast Masses and the Prediction of Post-operative Recurrence of Breast Cancer

作　　者：陈艳[1] 彭国平[1] 闵洁[1] 林晶 CHEN Yan;PENG Guoping;MIN Jie;LIN Jing(Department of Ultrasound Diagnosis,Wuhan Hospital of Traditional Chinese Medicine,Wuhan 430020,Hubei,P.R.China)

机构地区：[1]武汉市中医医院超声诊断科,湖北武汉430020

出　　处：《影像科学与光化学》2021年第1期24-28,共5页Imaging Science and Photochemistry

摘　　要：探讨剪切波弹性成像定量参数对乳腺癌诊断和预后预测的作用。以乳腺癌患者60例作为观察组,乳腺良性结节患者60例作为对照组,利用剪切波弹性成像行超声检查,收集最大弹性模量值(Emax)。t检验分析两组Emax差异,并使用ROC曲线分析Emax诊断乳腺癌的价值。结果显示,与对照组比较,观察组AE-max、Shell1Emax、Shell2Emax、Shell3Emax均增高。AE-max、Shell1Emax、Shell2Emax和Shell3Emax对诊断乳腺癌均有一定价值,曲线下面积分别为0.723、0.893、0.818和0.791。AE-max、Shell1Emax、Shell2Emax和Shell3Emax对诊断乳腺癌患者术后复发均有一定价值,曲线下面积分别为0.754、0.884、0.824和0.782。说明剪切波弹性成像定量分析对诊断乳腺癌和预测预后具有一定价值。This paper discusses the effect of shear wave elastography quantitative parameters on the diagnosis and prognosis of breast cancer.Sixty cases of breast cancer patients were taken as the observation group,and 60 cases of benign breast nodules were taken as the control group.The maximum elastic modulus(Emax)were collected for ultrasonic examination using shear wave elastography.T test was used to analyze the difference of Emax between the two groups,and ROC curve was used to analyze the value of Emax in the diagnosis of breast cancer.The results showed that compared with the control group,AE max,Shell1emax,shell2emax and Shell3emax in the observation group were increased.AE max,Shell1emax,Shell2emax and Shell3emax had certain value in the diagnosis of breast cancer.The area under the curve was 0.723,0.893,0.818 and 0.791,respectively.AE max,Shell1emax,Shell2emax and Shell3emax had certain value in the diagnosis of postoperative recurrence of breast cancer.The area under the curve was 0.754,0.884,0.824 and 0.782,respectively.It is concluded that the quantitative analysis of shear wave elastography has certain value in the diagnosis of breast cancer and prediction of prognosis.

关 键 词：乳腺癌 剪切波弹性成像 最大弹性模量值 诊断 

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]