自动乳腺全容积成像技术及常规超声检查鉴别诊断乳腺影像报告和数据系统4类病灶良恶性的价值比较

发布时间：2018-02-09 16:34

本文关键词： 自动乳腺全容积成像常规超声检查乳腺影像报告和数据系统乳腺疾病　出处：《中华医学超声杂志(电子版)》2016年12期 　论文类型：期刊论文

【摘要】：目的比较自动乳腺全容积成像(ABVS)及常规超声检查鉴别诊断对乳腺影像学报告及数据系统(BI-RADS)4类病灶良恶性的价值。方法选择2014年1至12月杭州市第一人民医院收治的经手术或穿刺活检病理证实的乳腺疾病患者217例共239个病灶。入选病灶常规超声检查和ABVS检查均评为BI-RADS 4类。绘制常规超声检查、ABVS鉴别诊断BI-RADS 4类乳腺病灶良恶性的操作者工作特征(ROC)曲线,计算常规超声检查、ABVS鉴别诊断BI-RADS 4类乳腺病灶良恶性的敏感度、特异度、准确性及曲线下面积。结果 217例患者239个病灶中良性病灶154个,交界性病灶2个,恶性病灶83个;常规超声检查鉴别诊断BI-RADS 4类乳腺病灶良恶性的敏感度、特异度、准确性和曲线下面积分别为91.80%、80.20%、84.10%和0.833;ABVS鉴别诊断BI-RADS 4类乳腺病灶良恶性的敏感度、特异度、准确性和曲线下面积分别为96.10%、84.30%、89.30%和0.952。结论 ABVS较常规超声检查能够提高鉴别诊断BI-RADS 4类乳腺病灶良恶性的敏感度、特异度、准确性,能更好检出早期或者不典型乳腺癌,可作为一种无创和可靠的方法对常规超声检查做一补充。
[Abstract]:Objective to compare the value of ABVS (automatic full Volume Imaging of mammary gland) and conventional ultrasonography in benign and malignant breast imaging reporting and data system. Methods from 2014 to December, we selected the first people's Hospital of Hangzhou. A total of 217 patients with breast diseases confirmed by operation or biopsy pathology were included in the study. The lesions were classified as BI-RADS 4 by conventional ultrasound and ABVS. The differential diagnosis of BI-RADS 4 breast lesions by conventional ultrasound was performed. Malignant operator's working characteristics (ROC) curve, The sensitivity, specificity, accuracy and area under curve were calculated for differential diagnosis of benign and malignant BI-RADS 4 breast lesions by conventional ultrasonography. Results 154 benign lesions, 2 borderline lesions and 83 malignant lesions were found in 217 patients. The sensitivity, specificity, accuracy and area under the curve of conventional ultrasound in differential diagnosis of benign and malignant breast lesions of BI-RADS type 4 were 91.80 and 84.10% and 0.833 respectively. The accuracy and area under the curve were 96.10% and 89.30%, respectively. Conclusion ABVS can improve the sensitivity, specificity and accuracy of differential diagnosis of benign and malignant breast lesions of BI-RADS type 4, and can better detect early or atypical breast cancer. It can be used as a non-invasive and reliable method to supplement routine ultrasound examination.
【作者单位】：杭州市第一人民医院超声科;
【基金】：杭州市卫生科技计划项目(2013A16)
【分类号】：R445.1;R655.8;R737.9

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