超声弹性成像对乳腺肿块新版BI-RADS分类的诊断价值

发布时间：2018-05-03 07:14

本文选题：超声检查 + 弹性成像技术　；参考：《中国现代医学杂志》2016年19期

【摘要】：目的探讨超声弹性成像(UE)对乳腺肿块新版乳腺影像报告和数据系统(BI-RADS)分类的诊断价值。方法对100个乳腺肿块进行超声新版BI-RADS分类和UE检查,以病理结果为标准,对比分析新版BIRADSSR分类与结合UE的新版BI-RADS分类,对乳腺肿块良、恶性诊断的准确性。结果新版BI-RADS分类诊断乳腺肿块的敏感性、特异性、准确性分别为83.871%、60.870%和68.000%,结合UE的新版BI-RADS分类诊断乳腺肿块的的敏感性、特异性、准确性分别90.323%、76.812%和81.000%。结合UE的新版BI-RADS分类的受试者工作特征曲线下面积为0.881,明显高于新版BI-RADS分类的0.813。结论结合UE的新版BI-RADS分类有助于提高对乳腺肿块良、恶性诊断的准确性,减少不必要的术前活检。
[Abstract]:Objective to evaluate the diagnostic value of ultrasonic elastic imaging (UEE) in the new breast image report and BI-RADS classification of breast masses. Methods 100 breast masses were examined by new BI-RADS classification and UE. According to the pathological results, the accuracy of the new BIRADSSR classification and the new BI-RADS classification combined with UE were compared and analyzed for the diagnosis of benign and malignant breast masses. Results the sensitivity, specificity and accuracy of the new BI-RADS classification in the diagnosis of breast masses were 83.871% and 68.000%, respectively. The sensitivity, specificity and accuracy of the new BI-RADS classification of UE in the diagnosis of breast masses were 90.32332% and 81.000%, respectively. The area under the operating characteristic curve of the new BI-RADS classification combined with UE was 0.881which was significantly higher than that of the new BI-RADS classification (0.813). Conclusion the new BI-RADS classification combined with UE can improve the accuracy of diagnosis of benign and malignant breast masses and reduce the unnecessary preoperative biopsy.
【作者单位】：海南省三亚市中医院功能科;
【分类号】：R737.9;R445.1

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