超声MicroPure成像对BI-RADS4级的乳腺肿块微钙化检出的价值

发布时间：2018-05-26 23:02

本文选题：MicroPure成像技术 + BI-RADS分级　；参考：《安徽医科大学学报》2015年11期

【摘要】：目的评价应用超声Micro Pure成像技术对BI-RADS分级为4级的乳腺肿块中微钙化的检测价值。方法对56例发现乳腺肿块并且BI-RADS分级为4级的患者分别应用X线钼靶、传统灰阶超声及Micro Pure成像技术进行肿块微钙化的检测,以钼靶为金标准,对传统灰阶超声和Micro Pure检测结果进行比较。同时结合术后病理结果进行分析。结果56例乳腺肿块中,钼靶发现43个病灶有微钙化,传统灰阶超声发现其中22个病灶有微钙化,Micro Pure成像技术发现40个病灶有微钙化。传统灰阶超声检测病灶内部及周边微钙化的敏感性为51.2%,特异性为92.3%,ROC曲线下面积为0.717;Micro Pure成像技术检测病灶内部及周边微钙化的敏感性为93.0%,特异性为100.0%,ROC曲线下面积为0.965。结论在BI-RADS分级为4级的乳腺肿块微钙化的检测中,超声Micro Pure成像技术明显优于传统灰阶超声,有助于乳腺癌的临床诊断。
[Abstract]:Objective to evaluate the value of ultrasound Micro Pure imaging in detecting microcalcification in breast masses with BI-RADS grade 4. Methods the microcalcification of breast masses was detected by X-ray molybdenum target, traditional gray-scale ultrasound and Micro Pure imaging in 56 cases of breast masses with BI-RADS grade 4. The molybdenum target was used as the gold standard. The results of traditional gray scale ultrasound and Micro Pure were compared. At the same time, combined with postoperative pathological results were analyzed. Results among 56 breast masses, 43 lesions were found to have microcalcification on molybdenum target, and 22 lesions were found to have microcalcification by conventional gray scale ultrasound. Microcalcification was found in 40 lesions by Pure imaging. The sensitivity of traditional gray-scale ultrasound in detecting microcalcification inside and around the lesion was 51.2, and the specificity was 92.3%. The sensitivity and specificity of traditional gray-scale ultrasound in detecting microcalcification inside and around the lesion was 93.0 and 0.965 respectively, and the area under the ROC curve was 0.717 Pure. Conclusion in the detection of microcalcification of breast masses with BI-RADS grade 4, ultrasound Micro Pure imaging is superior to traditional gray-scale ultrasound, which is helpful to the clinical diagnosis of breast cancer.
【作者单位】：安徽医科大学第一附属医院超声科;安徽医科大学第一附属医院肿瘤科;
【基金】：安徽省科技攻关项目(编号:1301042214)
【分类号】：R445.1;R737.9

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