二维剪切波超声弹性成像对乳腺癌淋巴结转移的诊断价值探讨分析  

Diagnostic Value of GE Two-Dimensional Shear Wave Ultrasonic Elastography in Lymph node Metastasis of Breast Cancer

作　　者：臧美 张倩怡 上官用淏 丰小英[1] 庹露妮 ZANG Mei;ZHANG Qian-yi;SHANGGUAN Yong-hao;FENG Xiao-ying;TUO Lu-ni(Department of Ultrasound Medicine,Sanming Hospital of Integrated Traditional Chinese and Western Medicine,Fujian Sanming 365001;Department of Ultrasound,Fujian Cancer Hospital,Fujian Fuzhou 350000;Medical Imaging Department,Sanming Hospital of Integrated Traditional Chinese and Western Medicine,Fujian Sanming 365001)

机构地区：[1]三明市中西医结合医院超声医学科,福建三明365001 [2]福建省肿瘤医院超声科,福建福州350000 [3]三明市中西医结合医院医学影像科,福建三明365001

出　　处：《中国医疗器械信息》2024年第4期7-9,123,共4页China Medical Device Information

摘　　要：目的:探讨二维剪切波超声弹性成像对乳腺癌淋巴结转移的诊断价值。方法:选取2020年10月~2023年10月本院及合作医院收治的80例乳腺癌淋巴结转移患者,将其分为淋巴结转移组,另选取同期收治的80例乳腺癌未出现淋巴结转移患者作为非淋巴结转移组,对患者均进行二维常规超声及二维剪切波超声弹性成像,对比其常规超声评分与超声弹性成像评分。并将80例乳腺癌淋巴结转移患者常规超声、二维剪切波超声弹性成像、病理诊断结果进行对比,最后建立受试者工作特征(ROC)曲线分析二维剪切波超声弹性成像对乳腺癌淋巴结转移的诊断效能。结果:淋巴结转移组常规超声评分及超声弹性成像评分高于非淋巴结转移组(P<0.05);常规超声、二维剪切波超声弹性成像、病理诊断乳腺癌淋巴结转移的准确率分别为65.00%、93.75%、100.00%,二维剪切波超声弹性成像与病理诊断准确率明显高于常规超声(P<0.05),且二维剪切波超声弹性成像与病理诊断准确率对比无明显差异(P>0.05);通过绘制ROC曲线,分析二维剪切波超声弹性成像诊断结果,确定其对乳腺癌淋巴结转移的诊断价值,结果显示,诊断灵敏度和特异度从低到高依次为常规超声(52.58%、64.32%)、二维剪切波超声弹性成像(80.25%、91.36%)、病理诊断(91.26%、98.63%)。结论:二维剪切波超声弹性成像对乳腺癌淋巴结转移具有较高诊断价值,且诊断淋巴结转移的准确率与病理诊断接近,从而为乳腺癌淋巴结转移患者的诊断及治疗提供参考意见。Objective:To explore the diagnostic value of GE two-dimensional shear wave ultrasonic elastography in the lymph node metastasis of breast cancer.Methods:80 patients with breast cancer lymph node metastasis admitted to our hospital and cooperative hospitals from October 2020 to October 2023 were selected as the study subjects,and they were divided into lymph node metastasis group.In addition,80 patients with no lymph node metastasis of breast cancer admitted in our hospital at the same time were selected as the non lymph node metastasis group.All patients were given two-dimensional ultrasound and two-dimensional shear wave ultrasonic elastography,and their conventional ultrasound scores and ultrasonic elastography scores were compared.80 cases of breast cancer with lymph node metastasis were compared with the results of conventional ultrasound,two-dimensional shear wave ultrasonic elastography and pathological diagnosis.Finally,the ROC curve of the subjects was established to analyze the diagnostic efficacy of two-dimensional shear wave ultrasonic elastography in lymph node metastasis of breast cancer.Results:The conventional ultrasound score and ultrasound elastography score were higher in the lymph node metastasis group than in the non-lymph node metastasis group(P<0.05);The accuracy of conventional ultrasound,two-dimensional shear wave ultrasonic elastography and pathology in the diagnosis of lymph node metastasis of breast cancer was 65.00%,93.75%and 100.00%,respectively.The accuracy of two-dimensional shear wave ultrasonic elastography and pathology was significantly higher than that of conventional ultrasound(P<0.05),and there was no significant difference between two-dimensional shear wave ultrasonic elastography and pathology(P>0.05);The ROC curve was drawn to analyze the diagnostic results of two-dimensional shear wave ultrasonic elastography and determine its diagnostic value for breast cancer nodal metastasis.The results showed that the diagnostic sensitivity and specificity from low to high were conven

关 键 词：常规超声 二维剪切波超声弹性成像 乳腺癌 淋巴结转移 病理诊断 

分 类 号：R445.1[医药卫生—影像医学与核医学]