乳腺影像学报告及数据系统评分联合超声弹性成像对乳腺浸润性癌的诊断价值  

Diagnostic value of ultrasound elastography combined with BI-RADS score in breast invasive carcinoma

作　　者：方岩 李曼 刘秋迪 Fang Yan;Li Man;Liu Qiudi(Deparement of Ultrasound,Shangqiu Municipal Hospital,Henan 476000,China)

机构地区：[1]河南省商丘市立医院超声科,476000

出　　处：《实用医学影像杂志》2023年第3期185-188,共4页Journal of Practical Medical Imaging

摘　　要：目的探讨乳腺影像学报告及数据系统(BI-RADS)评分联合超声弹性成像乳腺浸润性癌的鉴别价值。方法回顾性分析我院2021年5月至2022年5月期间收治的乳腺肿块患者108例(108个肿块)BI-RADS评分以及超声弹性成像资料,以病理为金标准,采用χ^(2)检验对比BI-RADS评分、超声弹性成像单独及联合对乳腺浸润性特殊癌鉴别的价值,采用t检验对比良恶性肿块超声弹性评分、BI-RADS评分等参数。结果乳腺恶性肿块共58个,占58/108(53.7%),其中乳头状癌18例、小管癌9例、髓样癌20例、鳞状细胞癌11例;乳腺良性肿块共50个,占50/108(46.3%),其中乳腺纤维腺瘤27例、乳腺叶状肿瘤14例和乳腺腺瘤9例。与BI-RADS评分、超声弹性成像单独检查相比,BI-RADS评分联合超声弹性成像对乳腺浸润性癌诊断敏感度、阳性预测值更高(χ^(2)=4.83,P=0.03;χ^(2)=3.28,P=0.05;χ^(2)=4.49,P=0.03;χ^(2)=2.94,P=0.05);恶性肿块的弹性评分(3.12±0.88)分、应变率比值(3.32±0.72)%、BI-RADS评分(3.46±0.98)分高于良性肿块(1.89±0.44)分、(1.65±0.36)%、(2.03±0.39)分(t=9.24,P<0.001;t=15.34,P<0.001;t=10.06,P<0.001)。结论与BI-RADS评分,超声弹性成像单独检查相比,联合对乳腺浸润性特殊癌鉴别价值更高。Objective To investigate the differential value of breast Imaging Report and Data System(BI-RADS)score combined with ultrasound elastography in breast invasive carcinoma.Methods The BI-RADS scores and ultrasonic elastography data of 108 patients with breast masses admitted to our hospital from May 2021 to May 2022 were analyzed retrospectively χ^(2)To test and compare the value of BI-RADS score and ultrasound elastography alone and in combination in the differential diagnosis of invasive special breast cancer,and to use t test to compare the parameters such as ultrasound elastography score and BI-RADS score of benign and malignant masses.Results There were 58 malignant breast masses,accounting for 58/108(53.70%),including 18 cases of papillary carcinoma,9 cases of tubular carcinoma,20 cases of medullary carcinoma and 11 cases of squamous cell carcinoma.There were 50 benign breast masses,accounting for 50/108(46.30%),including 27 cases of fibroadenoma,14 cases of lobe tumor and 9 cases of adenoma.Compared with BI-RADS score and ultrasonic elastography alone,BI-RADS score combined with ultrasonic elastography has higher diagnostic sensitivity and positive predictive value(χ^(2)=4.83,P=0.028;χ^(2)=3.28,P=0.048;χ^(2)=4.49,P=0.034;χ^(2)=2.94,P=0.048);The elastic score(3.12±0.88),strain rate ratio(3.32±0.72)% and BI-RADS score(3.46±0.98)of malignant tumor were higher than those of benign tumor(1.89±0.44),(1.65±0.36)%and(2.03±0.39)(t=9.24,P<0.001;t=15.34,P<0.001;t=10.06,P<0.001).Conclusion Compared with BI-RADS score and ultrasound elastography alone,the combination is more valuable in differentiating special invasive breast cancer.

关 键 词：乳腺影像学报告及数据系统 超声弹性成像 乳腺肿块 浸润性癌 

分 类 号：R737.9[医药卫生—肿瘤] R445.1[医药卫生—临床医学]