BI-RADS分级联合UE在乳腺癌诊断中的价值分析  

Value of BI-RADS Grading Combined with Ultrasonic Elastography in the Diagnosis of Breast Cancer

作　　者：侯晓艳 Hou Xiaoyan(Luoyang Luoyi Hospital,Luoyang,Henan,471000,China)

机构地区：[1]洛阳伊洛医院超声科,河南洛阳471000

出　　处：《黑龙江医学》2024年第7期818-820,共3页Heilongjiang Medical Journal

摘　　要：目的:探讨乳腺影像报告与数据系统(BI-RADS)分级联合超声弹性成像(UE)在乳腺癌诊断中的价值。方法:选取2019年1月—2022年1月洛阳伊洛医院检查的126例疑似乳腺癌患者作为研究对象,均采用BI-RADS分级及UE技术检查,以手术病理为金标准,判断两种检查方法联合使用的灵敏度、特异度、阳性预测值、阴性预测值、准确性。结果:126例患者中,手术病理结果显示78例患者为乳腺增生,48例为恶性肿瘤。乳腺癌组BI-RADS分级及UE评分较乳腺增生组更高,差异有统计学意义(t=7.641、10.618,P<0.05);联合检查灵敏度、特异度、阳性预测值、阴性预测值、准确性分别为95.83%、98.72%、97.87%、97.47%、97.62%,BI-RADS检查分别为79.17%、89.74%、82.61%、87.50%、85.71%,UE检查分别为77.08%、88.46%、80.43%、86.25%、84.13%,联合检查灵敏度、特异度、阳性预测值、阴性预测值、准确性较BI-RADS分级与UE检查更高,差异有统计学意义(χ^(2)=7.554、6.861、7.474、6.896、14.171,P<0.05)。结论:BI-RADS分级联合UE在乳腺癌的检查中具有较高的诊断价值,可有效提高疾病诊出率及诊断效能。Objective:To explore the value of BI-RADS grading and ultrasound elastography(UE)in the diagnosis of breast cancer.Methods:A total of 126 patients with suspected breast cancer who were examined in the hospital from January,2019 to January,2022 were selected,and BI-RADS grading and UE technology were used.The sensitivity,specificity,positive predictive value,negative predictive value,and accuracy of the combined use of the two examination methods were judged with surgery and pathology as the gold standard.Results:Among 126 patients,78 were breast hyperplasia and 48 were malignant tumors.In comparision of breast hyperplasia group,BI-RADS grade and UE score in breast cancer group were higher(t=7.641,10.618;P<0.05).The sensitivity,specificity,positive predictive value,negative predictive value and accuracy of the combined examination were 95.83%,98.72%,97.87%,97.47%and 97.62%respectively.The BI-RADS examination was 79.17%,89.74%,82.61%,87.50%and 85.71%respectively.The UE examination was 77.08%,88.46%,80.43%,86.25%and 84.13%respectively.The sensitivity,specificity,positive predictive value,negative predictive value and accuracy of the combined examination were higher than the BI-RADS grading and UE examination,with statistically significant difference(χ^(2)=7.554,6.861,7.474,6.896,14.171;P<0.05).Conclusion BI-RADS grading combined with UE has a high diagnostic value in the examination of breast cancer,which can effectively improve the disease detection rate and diagnostic efficiency.

关 键 词：乳腺影像报告与数据系统分级 超声弹性成像 乳腺癌 诊断 

分 类 号：R737.9[医药卫生—肿瘤]