剪切波弹性模量鉴别乳腺良恶性肿块的Meta分析

发布时间：2018-01-29 20:44

本文关键词： 弹性成像技术乳腺肿瘤 Meta分析　出处：《中国医学影像技术》2017年03期 　论文类型：期刊论文

【摘要】：目的采用Meta分析评价剪切波弹性模量鉴别乳腺良恶性肿块的价值。方法检索2016年4月前有关剪切波弹性成像鉴别诊断乳腺良恶性肿块的中文及英文文献。通过Meta分析评价弹性模量参数(E_(max)、E_(mea)、E_(ratio)、E_(sd))鉴别诊断乳腺良恶性肿块的效能。结果共纳入文献31篇。弹性模量E_(max)的合并敏感度(SSEN)为0.87[95%CI(0.83,0.91)],合并特异度(SSPE)为0.91[95%CI(0.87,0.93)];E_(mea)的SSEN为0.84[95%CI(0.77,0.89)],SSPE为0.88[95%CI(0.84,0.91)];E_(ratio)的SSEN为0.88[95%CI(0.83,0.91)],SSPE为0.87[95%CI(0.80,0.91)];E_(sd)的SSEN为0.85[95%CI(0.80,0.89)],SSPE为0.90[95%CI(0.85,0.94)]。E_(max)、E_(mea)、E_(ratio)、E_(sd)合并受试者工作特性曲线的曲线下面积分别为0.95、0.93、0.93、0.93。结论剪切波弹性模量参数有助于鉴别乳腺良恶性肿块,其中E_(max)的诊断效能最优。
[Abstract]:Objective to evaluate the value of shear wave elastic modulus analysis (Meta) in differentiating benign and malignant breast masses. Methods the Chinese and English versions of shear wave elastic imaging before April 2016 for differential diagnosis of breast benign and malignant breast masses were searched in Chinese and English. Documents. Evaluation of elastic modulus parameters by Meta analysis (. E _ _ _). Esp. Results 31 papers were included in the study. The combined sensitivity of Esp max) was 0.87. [95 CIQ 0.83 SSPE = 0.91. [(95 CI 0.87 0.93) the SSEN is 0.84. [The SSPE is 0.88. [(95) the SSEN of C / C / C / C / C / C / C / C / C / C / C / C / C / C / C / C / C was 0.88. [The SSPE is 0.87. [(95 CI0.80 / 0.91) / SSEN = 0.85 / _ _ _). [The SSPE is 0.90. [[95] / E /\\\. The area under the curve was 0.950.93 / 0.93 respectively. Conclusion the elastic modulus parameter of shear wave is helpful in differentiating benign and malignant breast masses. Among them, the diagnosis efficiency of E _ S _ max) is the best.
【作者单位】：兰州大学第二医院超声3科;
【基金】：兰州市科技计划(2013-3-29)
【分类号】：R737.9;R445.1
【正文快照】： 乳腺癌是女性最常见的恶性肿瘤之一,近年来全球发病率呈现上升趋势,早期诊断和治疗十分重要。常规超声检查是目前最常用的乳腺肿瘤早期筛查技术。提高超声鉴别乳腺良恶性肿块的敏感度和特异度是近年来的研究热点。剪切波弹性成像(shear wave elastography,SWE)技术通过计算在

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