超声光散射成像、超声弹性成像、超声造影技术对早期乳腺癌的诊断价值  

Diagnostic values of diffused optical tomography, elastography,and contrast-enhanced ultrasonography in early breast cancer

作　　者：马乐 王红春[1] 赵梦婷[1] 李柔萱[1] 李永杰[1] MA Le;WANG Hong-chun;ZHAO Meng-ting;LI Rou-xuan;LI Yong-jie(Department of Ultrasound,Beijing Geriatric Hospital,Beijing 100095,China)

机构地区：[1]北京老年医院超声科,北京市100095

出　　处：《广西医学》2021年第13期1575-1578,共4页Guangxi Medical Journal

摘　　要：目的探讨超声光散射成像、超声弹性成像、超声造影技术对早期乳腺癌的临床诊断价值。方法选取60例早期乳腺肿瘤患者,患者均进行超声光散射成像、超声弹性成像、超声造影技术检查。分析超声光散射成像、超声弹性成像、超声造影及其联合检出乳腺癌的情况,并比较三种检测方法及其联合测出的肿瘤大小,以及各种检测方法诊断乳腺癌的效能。结果超声光散射成像、超声弹性成像、超声造影及其联合分别检出乳腺癌12例、13例、13例、24例。三种检测方法测出的肿瘤大小差异均无统计学意义(均P>0.0083),三者联合测出的肿瘤大小大于其单独检测(均P<0.0083);三种检测方法诊断乳腺癌的灵敏度、特异度、准确度差异均无统计学意义(均P>0.0083),三者联合诊断乳腺癌的灵敏度、特异度、准确度均高于其单独检测(均P<0.0083)。结论超声光散射成像、超声弹性成像、超声造影技术及三者联合在乳腺癌诊断中均具有重要的临床价值,其中三者联合的诊断效能更优。Objective To explore the clinical diagnostic values of diffused optical tomography,elastography,and contrast-enhanced ultrasonography in early breast cancer.Methods Sixty patients with early breast tumors were enrolled and received diffused optical tomography,elastography,and contrast-enhanced ultrasonography examinations.The detection rates of diffused optical tomography,elastography,contrast-enhanced ultrasonography,and theiRcombination foRbreast canceRwere analyzed.In addition,tumoRsizes identified by the three detections(alone and in combination)were compared,and the diagnostic efficacies of various detections foRbreast canceRwere compared as well.Results Twelve cases,13 cases,13 cases,and 14 cases were diagnosed with breast canceRby diffused optical tomography,elastography,contrast-enhanced ultrasonography,and theiRcombination.No statistically significant difference was found in tumoRsizes identified by the three detections(all P>0.0083),the tumoRsize identified by the combination of the three detections was greateRthan that by the single detection(all P<0.0083);there was no statistically significant difference among the three detections in diagnostic sensitivity,specificity oRaccuracy foRbreast cancer(P>0.0083).The combination of the three detections yielded higheRdiagnostic sensitivity,specificity and accuracy foRbreast canceRthan the single detection(all P<0.0083).Conclusion Diffused optical tomography,elastography,contrast-enhanced ultrasonography,and theiRcombination have important clinical value in the diagnosis of breast cancer,wherein the combined detection achieves more superioRdiagnostic efficacy.

关 键 词：早期乳腺癌 超声光散射成像 超声弹性成像 超声造影技术 诊断效能 

分 类 号：R737.9[医药卫生—肿瘤] R445[医药卫生—临床医学]