高频超声、实时剪切波弹性成像、彩色多普勒血流显像联合检查对BI-RADS 4类乳腺肿块良恶性的诊断价值  

Diagnosis value of high frequency ultrasound,real-time shear wave elastography,and color Doppler flow imaging in benign and malignant BI-RADS 4 breast masses

作　　者：刘海华 夏群[1] 程扬眉 解红娟 胡金花[1] LIU Haihua;XIA Qun;CHENG Yangmei;XIE Hongjuan;HU Jinhua(Department of Ultrasound,Anqing First People’s Hospital of Anhui Province,Anhui Province,Anqing246000,China)

机构地区：[1]安徽省安庆市第一人民医院超声科,安徽安庆246000

出　　处：《中国医药导报》2022年第28期147-150,共4页China Medical Herald

摘　　要：目的探究高频超声、实时剪切波弹性成像(SWE)联合彩色多普勒血流显像(CDFI)对BI-RADS 4类乳腺肿块良恶性的诊断价值。方法选择2020年9月至2021年9月安徽省安庆市第一人民医院收治的80例乳腺肿块患者为研究对象,根据手术病理结果或活检穿刺结果分为良性组(53例)和恶性组(27例)。所有患者均在术前或病理活检前1周完成高频超声、SWE、CDFI检查,比较不同性质乳腺肿块的SWE参数和CDFI血流分级。绘制受试者操作特征曲线,分析高频超声、SWE和CDFI单项及联合检查诊断恶性乳腺肿块的诊断价值。结果恶性组弹性模量值最大值、弹性模量值平均值、乳腺肿块与同层低脂肪弹性平均值的比值和弹性模量值方差值高于良性组(P<0.05)。两组CDFI血流分级比较,差异有统计学意义(P<0.05)。联合检查的曲线下面积、敏感度、特异度高于各项单独检测。结论高频超声、SWE、CDFI能够从多个角度为乳腺肿块的临床诊断提供影像学资料,联合检查能够准确鉴别BI-RADS4类乳腺肿块的病变性质,值得在临床上积极推广。Objective To research the the value of high frequency ultrasound,real-time shear wave elastography(SWE),and color Doppler flow imaging(CDFI)in the diagnosis of benign and malignant BI-RADS 4 breast masses.Methods A total of 80 patients with breast masses treated in Anqing First People’s Hospital of Anhui Province from September 2020 to September 2021 were selected as the research objects.They were divided into benign group(53 cases)and malignant group(27 cases)according to surgical pathology result or biopsy result.All patients completed high-frequency ultrasound,SWE,and CDFI before operation or one week before pathological biopsy.SWE parameters and CDFI blood flow grade of different breast masses were compared.Receiver operating characteristic curve was drawn to analyze the diagnostic value of high-frequency ultrasound,SWE,and CDFI alone and in combination in the diagnosis of malignant breast masses.Results The maximum value of elastic modulus,the mean value of elastic modulus,the ratio of breast mass to the mean value of low fat elasticity in the same layer,and the variance value of elastic modulus in malignant group were higher than those in benign group(P<0.05).The difference of CDFI blood flow grade between two groups was statistically significant(P<0.05).The area under the curve,sensitivity,and specificity of combined examination were higher than those of individual tests.Conclusion High frequency ultrasound,SWE,and CDFI can provide imaging data for the clinical diagnosis of breast masses from multiple angles,and the combination examination can accurately identify the pathological nature of BI-RADS 4 breast masses,which is worthy of active promotion in clinic.

关 键 词：BI-RADS 4类乳腺肿块 高频超声 剪切波弹性成像 彩色多普勒血流显像 

分 类 号：R737.9[医药卫生—肿瘤]