超声弹性成像对乳腺增生症伴纤维腺瘤与乳腺癌BI-RADS校正价值

发布时间：2018-04-15 07:03

  本文选题：弹性成像技术 + 乳腺纤维囊性病　； 参考：《重庆医学》2017年35期

【摘要】：目的探讨超声弹性成像应变率比值对乳腺增生症伴纤维腺瘤与乳腺癌BI-RADS分级的校正价值。方法回顾性分析2012年1月至2016年10月在该院经手术或穿刺活检证实的120例乳腺增生症伴纤维腺瘤与120例乳腺癌患者资料,总结其边界、形态、内部回声、后方回声、纵横比、钙化、血流分布、阻力指数、BI-RADS分级、超声弹性成像应变率比值等特点,分析超声弹性成像应变率比值对乳腺增生症伴纤维腺瘤与乳腺癌BI-RADS分级的校正价值。结果乳腺增生症伴纤维腺瘤与乳腺癌超声图像在边界、后方回声、纵横比、钙化、超声弹性成像应变率比值之间差异有统计学意义(P0.05);在形态、内部回声之间差异无统计学意义(P0.05);血流分布方面,乳腺增生症伴纤维腺瘤主要表现为0~Ⅰ级,阻力指数(RI)0.7,乳腺癌多表现为Ⅱ~Ⅲ级,RI≥0.7,差异有统计学意义(P0.05)。超声弹性成像应变率比值对两者BI-RADS分级校正后诊断符合率有明显提高。结论乳腺增生症伴纤维腺瘤与乳腺癌具有重叠超声表现,超声弹性成像应变率比值对两者BI-RADS分级校正后的定性诊断能力有提高,具有一定的临床价值。
[Abstract]:Objective to evaluate the value of strain rate ratio of ultrasound elastic imaging in correcting BI-RADS grade of breast hyperplasia with fibroadenoma and breast cancer.Methods from January 2012 to October 2016, 120 cases of breast hyperplasia with fibroadenoma and 120 cases of breast cancer confirmed by operation or puncture biopsy were analyzed retrospectively, and the boundary, shape, internal echo, rear echo, aspect ratio were summarized.Calcification, blood flow distribution, resistive index BI-RADS grade, and strain rate ratio of ultrasound elastic imaging were analyzed. The value of the ratio of strain rate in breast hyperplasia with fibroadenoma and BI-RADS grade of breast cancer was analyzed.Results there were significant differences in ultrasound images of breast hyperplasia with fibroadenoma and breast cancer between the boundary, posterior echo, aspect ratio, calcification, and strain rate ratio of ultrasound elastic imaging (P 0.05).There was no significant difference in internal echo between breast hyperplasia and fibroadenoma (P 0.05). In the distribution of blood flow, breast hyperplasia with fibroadenoma mainly showed 0 ~ 鈪，

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