SMI和CDFI检测联合GI-RADS对卵巢肿瘤良恶性评估的研究  

Evaluation of benign and malignant ovarian tumors via super micro-vascular imaging and color Doppler flow imaging combined with the use of gynecologic imaging report-ing and data system

作　　者：陈兰 闫磊 张慧颖 张晓亮 王君[1] Lan Chen;Lei Yan;Huiying Zhang;Xiaoliang Zhang;Jun Wang(Second Department of Ultrasound Imaging,Langfang People's Hospital,Langfang 065000,China;Department of Imaging,Hebei Pet-rochina Central Hospital,Langfang 065000,China;First Department of General Surgery,Langfang People's Hospital,Langfang 065000,China;Department of Ultrasound Imaging,Langfang Guangan Hospital,Langfang 065000,China)

机构地区：[1]河北省廊坊市人民医院超声二科,河北省廊坊市065000 [2]河北中石油中心医院影像科 [3]河北省廊坊市人民医院普外一科 [4]河北省廊坊广安医院超声科

出　　处：《中国肿瘤临床》2022年第22期1170-1174,共5页Chinese Journal of Clinical Oncology

基　　金：廊坊市科技支撑计划项目(编号:2019013149)资助。

摘　　要：目的:探讨超微血管成像(super micro-vascular imaging,SMI)和彩色多普勒超声血流显像(color Doppler flow imaging,CDFI)联合妇科影像报告和数据系统(gynecologic imaging reporting and data system,GI-RADS)对卵巢肿瘤良恶性的评估价值。方法:选取2019年9月至2021年3月于河北省廊坊市人民医院诊治的168例卵巢肿瘤患者的临床资料,分为恶性组56例、良性组112例,采用SMI和CDFI分别观察同一肿瘤中血流情况,并联合GI-RADS分别预测肿瘤良恶性,结果以术后病理组织诊断为金标准。结果:恶性组中SMI检测血流的丰富程度显著高于CDFI检测(P<0.05),良性组中SMI和CDFI检测血流的丰富程度进行比较差异无统计学意义(P>0.05)。采用CDFI联合GI-RADS和SMI联合GI-RADS诊断恶性的分别为53例和55例,敏感度分别为94.6%和98.2%、特异度分别为93.8%和95.5%、准确率分别为94.0%和96.4%,均与病理结果的一致性较好(κ=0.868和κ=0.921)。结论:SMI联合GI-RADS对卵巢肿瘤的良恶性具有较好的鉴别诊断效能,较CDFI联合GI-RADS诊断时敏感度、特异度更高。Objective:To explore the utility of super micro-vascular imaging(SMI)and color Doppler flow imaging(CDFI),in combination with the use of gynecologic imaging reporting and data system(GI-RADS),in evaluating benign and malignant ovarian tumors.Methods:A total of 168 patients with ovarian tumors in Langfang People’s Hospital,between September 2019 and March 2021,were included in the study.Fifty-six were included in the malignant group,and 112 were included in the benign group.Tumor blood flow was observed via SMI and CDFI.SMI with GI-RADS and CDFI with GI-RADS were used to predict the tumor nature.The postoperative pathological diagnosis was considered gold standard.Results:In the malignant group,blood flow abundance detected using SMI was significantly higher than that detected using CDFI(P<0.05).However,no significant difference in blood flow abundance was observed between SMI and CDFI in the benign group(P>0.05).The number of malignant ovarian tumors diagnosed using CDFI with GI-RADS and SMI with GI-RADS was 53 and 55,respectively.Both methods had a sensitivity rate of 94.6%and 98.2%,specificity of 93.8%and 95.5%,and accuracy of 94.0%and 96.4%,respectively.The results were consistent with the pathological results(κ=0.868 andκ=0.921).Conclusions:SMI with GI-RADS provided a better differential diagnostic efficacy for benign and malignant ovarian tumors.Moreover,this method provides higher sensitivity and specificity than CDFI with GI-RADS.

关 键 词：超微血管成像 彩色多普勒超声血流显像 妇科影像报告和数据系统 卵巢肿瘤 超声检查 

分 类 号：R737.31[医药卫生—肿瘤]