时空关联成像技术联合多平面模式及超声断层成像模式诊断腋窝淋巴结良恶性病变的价值  

Value of spatio-temporal image correlation combined with multiplanar mode and tomography ultrasound imaging mode in the diagnosis of benign and malignant lesions in axillary lymph nodes

作　　者：淦凤萍 白雪 肖雪花 杨小光 唐晓 杨海云 GAN Fengping;BAI Xue;XIAO Xuehua;YANG Xiaoguang;TANG Xiao;YANG Haiyun(Department of Ultrasonography,Affiliated Hospital of Jiujiang University,Jiangxi Province,Jiujiang 332000,China)

机构地区：[1]九江学院附属医院超声科,江西九江332000

出　　处：《中国当代医药》2022年第7期101-103,共3页China Modern Medicine

基　　金：江西省卫生健康委科技计划项目(202131099)。

摘　　要：目的探讨时空关联成像(STIC)技术联合多平面(MP)模式及超声断层成像(TUI)模式诊断腋窝淋巴结良恶性病变的价值。方法选取2020年1月至2021年9月在九江学院附属医院收治的腋窝淋巴结病变患者96例为研究对象,其中检出左侧病变59处,右侧病变53处,共计112处。所有患者进行病理活检、STIC技术联合MP及TUI模式检测。以病理结果为金标准,分析STIC技术联合MP模式及TUI模式诊断腋窝淋巴结病变良恶性的灵敏度、特异度、准确度及其与金标准的一致性。应用ROC曲线分析STIC技术联合MP及TUI模式对腋窝淋巴结良恶性病变的鉴别诊断价值。结果病理结果显示,良性腋窝淋巴结肿大69处,恶性腋窝淋巴结肿大43处。STIC技术联合MP及TUI模式诊断灵敏度为93.02%,特异度为89.86%,准确度为91.07%,Kappa值为0.815,约登指数为0.829。ROC曲线分析显示,STIC-MP联合STIC-TUI检测腋窝淋巴结良恶性病变的AUC为0.914。结论STIC技术联合MP及TUI模式诊断腋窝淋巴结良恶性与病理结果具有较高的一致性,可用于鉴别腋窝淋巴结的病变性质。Objective To explore the value of spatio-temporal image correlation(STIC)combined with multiplanar(MP)mode and tomography ultrasound imaging(TUI)mode in the diagnosis of benign and malignant lesions in axillary lymph nodes.Methods A total of 96 patients with axillary lymph nodes lesions admitted to Affiliated Hospital of Jiujiang University were enrolled as the research objects between January 2020 and September 2021.Among them,59 lesions on the left side and 53 lesions on the right side were detected,a total of 112.All patients underwent pathological biopsy,STIC technique combined with MP and TUI mode.Pathological results were taken as the gold standard,the sensitivity,specificity,accuracy and consistency with the gold standard of STIC combined with MP and TUI patterns in diagnosing benign and malignant axillary lymphadenopathy were analyzed.ROC curve was used to analyze the differential diagnosis value of STIC combined with MP and TUI mode for benign and malignant axillary lymph node lesions.Results The pathological results showed that there were 69 sites with benign axillary lymphadenopathy and 43 sites with malignant axillary lymphadenopathy.The sensitivity,specificity,accuracy,Kappa value and Youden index of STIC combined with MP mode and TUI mode in the diagnosis of benign and malignant axillary lymph node lesions were 93.02%,89.86%,91.07%,0.815 and 0.829,respectively.ROC curve analysis showed that the AUC of STIC-MP combined with STIC-TUI in the diagnosis of benign and malignant axillary lymph node lesions was 0.914.Conclusion The consistency between STIC combined with MP mode and TUI mode and the golden standard is high in the diagnosis of benign and malignant axillary lymph nodes,which can be applied to identify the pathological properties of axillary lymph nodes.

关 键 词：时空关联成像技术 多平面模式 超声断层成像模式 腋窝淋巴结 

分 类 号：R445[医药卫生—影像医学与核医学]