超声S-Detect技术联合乳腺简化MRI在乳腺体检中的应用价值研究  

Study on application of combined Ultrasound S-Detect and FAST MRI technology in Breast physical examination

作　　者：戚坤 郑红[2] 董景兰 张宇 张腊梅 孙静涛[3] 张金辉[1] QI Kun;ZHENG Hong;DONG Jinglan;ZHANG Yu;ZHANG Lamei;SUN Jingtao;ZHANG Jinhui(Department of Ultrasound medicine,Maternal and Child Health Hospital of Tangshan city,Tangshan 063000,China)

机构地区：[1]河北省唐山市妇幼保健院超声医学科,063000 [2]河北省唐山市妇幼保健院体检科 [3]河北省唐山市妇幼保健院放射科

出　　处：《中国煤炭工业医学杂志》2023年第6期679-683,共5页Chinese Journal of Coal Industry Medicine

基　　金：2022年度河北省医学科学研究计划(编号:20221761)。

摘　　要：目的运用超声S-Detect技术联合乳腺简化MRI对乳腺肿瘤患者进行检查,探讨该联合检查技术在乳腺体检工作中的应用价值。方法选择2020年1月—2021年12月在唐山市妇幼保健院进行乳腺超声和MRI检查,并进行穿刺或手术获得病理结果的120个肿瘤病灶。以乳腺肿瘤病理结果为金标准,评估超声S-Detect技术、乳腺简化MRI及二者联合诊断的诊断效能。结果S-Detect、简化MRI及两者联合诊断的灵敏度分别为80.9%、88.3%、94.7%,特异度分别为73.1%、84.6%、88.5%,准确率分别为79.2%、87.5%、93.3%,与病理一致性检验Kappa值分别为0.47、0.66、0.81,AUC分别为0.77、0.86、0.91。结论超声S-Detect与乳腺简化MRI技术联合对乳腺肿瘤检查的灵敏度、特异度、准确率以及与病理一致性比单独使用SDetect技术或者简化MRI高,能够更有效检出乳腺肿瘤并区分良恶性,为乳腺肿瘤的发现起到了积极作用,并为临床制定治疗方案提供了帮助。Objective By using ultrasound S-Detect technology combined with simplified MRI of the breast to examine patients with breast tumours,to explore the value of the application of this combined examination technology in breast physical examination work.Methods One hundred and twenty tumour lesions that were examined by breast ultrasound and MRI and underwent puncture or surgery to obtain pathological results from January 2020 to December 2021 in Tangshan Maternal and Child Health Hospital were selected.The diagnostic efficacy of ultrasound S-Detect technique,simplified MRI of the breast and their concurrent diagnosis was evaluated using breast tumour pathology results as the gold standard.Results The sensitivity of S-Detect,simplified MRI and their combined diagnosis was 80.9%,88.3%,94.7%,the specificity was 73.1%,84.6%,88.5%,the accuracy was 79.2%,87.5%,93.3%,and the Kappa values of the consistency test with the pathology were 0.47,0.66,0.81 and the AUC were 0.77,0.86,0.91,respectively.Conclusion The combination of ultrasound S-Detect and simplified MRI for breast tumour detection has a higher sensitivity,specificity,accuracy,and consistency with pathology than the use of S-Detect or simplified MRI alone,and is able to detect breast tumours and differentiate between benign and malignant tumours more effectively,playing an active role in the detection of breast tumours and making a positive contribution to the clinical development of breast tumours.It can detect breast tumours more effectively and distinguish benign and malignant tumours,which can play a positive role in the detection of breast tumours and provide help in the clinical development of treatment plans.

关 键 词：乳腺肿瘤 乳腺体检 超声S-Detect技术 乳腺简化MRI技术 

分 类 号：R445.1[医药卫生—影像医学与核医学] R445.2[医药卫生—诊断学]