257个常规超声BI-RADS4类乳腺肿块的自动乳腺全容积成像检查结果分析

发布时间：2018-05-10 08:13

本文选题：乳腺肿块 + 常规超声　；参考：《山东医药》2017年24期

【摘要】：目的分析257个常规超声乳腺影像学报告及数据系统(BI-RADS)4类乳腺肿块的自动乳腺全容积成像(ABVS)检查结果,探讨对常规超声BI-RADS4类乳腺肿块进行ABVS再评估的临床价值。方法选择行常规超声检查并采用BI-RADS分类分为BI-RADS4类的乳腺肿块257个,其中4A类135个、4B类40个、4C类82个。肿块均行ABVS检查,然后用BI-RADS再次分类。分析本组乳腺肿块常规超声、ABVS检查BI-RADS分类结果的差异。将BI-RADS4A类肿块诊断为良性肿块,BI-RADS4B和BI-RADS4C类肿块诊断为恶性肿块,以病理检查结果为金标准,计算常规超声、ABVS诊断BI-RADS4类乳腺肿块良恶性的灵敏度、特异度和准确率。结果本组肿块ABVS检查后用BI-RADS分为4A类145个、4B类27个、4C类85个。ABVS诊断为良性肿块145个、恶性肿块112个,诊断灵敏度85.71%(96/112)、特异度91.03%(132/145)、准确率88.72%(228/257)。常规超声诊断为良性肿块135个、恶性肿块122个,诊断灵敏度77.05%(94/122)、特异度88.89%(120/135)、准确率83.27%(214/257)。ABVS诊断BI-RADS4类乳腺肿块良恶性的灵敏度、特异度和诊断准确性均高于常规超声(P均0.05)。结论对常规超声BI-RADS4类乳腺肿块行ABVS检查可以减少BI-RADS4B类诊断,提高乳腺肿块良恶性判断的准确率。
[Abstract]:Objective to analyze the results of automatic breast full volume imaging (ABVS) examination of 257 conventional ultrasound mammary imaging reports and data systems of BI-RADS type 4 breast masses, and to evaluate the clinical value of ABVS reassessment of conventional ultrasound BI-RADS4 breast masses. Methods conventional ultrasonography was performed and classified into 257 breast masses of BI-RADS4 by BI-RADS classification, of which 135 were classified as 4A, 135, 4B, 40, 4C, 82. All masses were examined by ABVS and then classified by BI-RADS. To analyze the difference of BI-RADS classification of breast masses with conventional ultrasonography. BI-RADS4B and BI-RADS4C tumors were diagnosed as benign masses by BI-RADS4A. The sensitivity, specificity and accuracy of conventional ultrasonography in the diagnosis of benign and malignant BI-RADS4 breast masses were calculated according to the results of pathological examination as gold standard. Results after ABVS examination, the masses were divided into 4 A, 145, 4B, 27, 4C, 85. ABVs were diagnosed as benign masses and 112 malignant masses. The diagnostic sensitivity was 85.71 and 96 / 112, the specificity was 91.033 / 132145and the accuracy was 88.72B. There were 135 benign masses and 122 malignant masses diagnosed by conventional ultrasound. The diagnostic sensitivity was 77.05 / 94 / 122, and the specificity was 88.89 / 120 / 135. The sensitivity, specificity and diagnostic accuracy of 83.27%(214/257).ABVS in the diagnosis of benign and malignant breast masses of BI-RADS4 type were higher than those of conventional ultrasound (P < 0.05). Conclusion ABVS examination for conventional BI-RADS4 breast masses can reduce the diagnosis of BI-RADS4B and improve the accuracy of benign and malignant breast masses.
【作者单位】：中国医科大学附属第一医院;
【基金】：国家自然科学基金资助项目(71273279)
【分类号】：R445.1;R737.9

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