声触诊组织成像定量技术联合常规超声鉴别乳腺BI-RADS 4级病变良恶性的价值  

Value of Quantification of Acoustic Palpation Tissue Imaging Combined with Conventional Ultrasound to Distinguish Benign and Malignant Breast BI-RADS Grade 4 Lesions

作　　者：杜婷婷[1] 李军[1] 童瑾[1] Du Tingting(Department of Functional Medicine,the First Affiliated Hospital of Shihezi University School of Medicine,Shihezi 832000)

机构地区：[1]石河子大学医学院第一附属医院功能科,石河子832000

出　　处：《黑龙江医药》2021年第6期1268-1271,共4页Heilongjiang Medicine journal

基　　金：新疆生产建设兵团科技计划项目(编号:2019DB012)。

摘　　要：目的:探究声触诊组织成像定量技术(VTIQ)联合常规超声鉴别乳腺影像报告与数据系统(BI-RADS)4级病变良恶性的价值。方法:选取我院2018年6月至2019年8月乳腺病变患者133例,分别行VTIQ、常规超声单独与联合诊断并进行BI-RADS分级,金标准设为术后病理结果,比较修正前后分级结果、诊断结果。结果:常规超声检查检出2级12例、3级57例、4级46例、5级18例,经VTIQ检查修正结果2级8例、3级42例、4级66例、5级17例;VTIQ联合常规超声检查鉴别乳腺BI-RADS 4级病变良恶性准确度、灵敏度高于单独检测,漏诊率低于单独检测(P<0.05)。结论:VTIQ可直观评定乳腺结节情况,有助于扩展乳腺BI-RADS分级标准指标,补充常规超声检查的局限性,与常规超声检查联合可提高乳腺病变鉴别诊断准确度、灵敏度,降低漏诊率,可为临床治疗提供参考意见。Objective:To explore the value of acoustic palpation tissue imaging quantitative technology(VTIQ)combined with conventional ultrasound to identify benign and malignant grade 4 lesions of breast imaging report and data system(BI-RADS).Methods:133 patients with breast lesions in our hospital from June 2018 to August 2019 were selected for VTIQ,conventional ultrasound alone and combined diagnosis and BI-RADS classification,the gold standard was set as postoperative pathological results,and the classification before and after correction was compared Results,diagnosis results.Result:12 cases of grade 2,57 cases of grade 3,46 cases of grade 4,18 cases of grade 5 were detected by routine ultrasound examination,and the results corrected by VTIQ examination were grade 2 of 8 cases,grade 3 of 42 cases,grade 4 of 66 cases,grade 5 of 17 Example:VTIQ combined with conventional ultrasound examination to identify benign and malignant breast BI-RADS grade 4 lesions accuracy,sensitivity is higher than single detection,the rate of missed diagnosis is lower than single detection(P<0.05).Conclusion:VTIQ can intuitively assess breast nodules,help expand the breast BI-RADS grading standard indicators,supplement the limitations of conventional ultrasound examination,combined with conventional ultrasound examination can improve the accuracy and sensitivity of differential diagnosis of breast lesions,reduce the rate of missed diagnosis,Can provide reference for clinical treatment.

关 键 词：乳腺病变 乳腺影像报告与数据系统 声触诊组织成像定量技术 常规超声 

分 类 号：R737.9[医药卫生—肿瘤]