超声自动乳腺全容积扫查对乳腺肿块诊断额外临床价值的研究

发布时间：2018-03-01 21:10

本文关键词： 超声自动乳腺全容积扫查乳腺肿块手动超声　出处：《中国超声医学杂志》2017年05期 　论文类型：期刊论文

【摘要】：目的探讨超声自动乳腺全容积扫查(ABVS)在乳腺肿块诊断中对比手动超声是否具有额外的临床价值。方法对124例行乳腺肿块切除的患者,行手动超声和ABVS检查,比较ABVS是否较手动超声多发现新的肿块,以及ABVS是否在冠状面有特殊发现并据此对BI-RADS分级校正。结果 124例患者手动超声发现166个肿块,其中恶性肿块50个,良性肿块116个。ABVS较手动超声多发现8个肿块,其中恶性肿块4个,良性肿块4个。ABVS冠状面"汇聚征","火山口征","太阳征"对乳腺肿块良恶性的鉴别诊断的灵敏度为37.0%、特异度为92.5%,乳腺肿块经ABVS扫查,BI-RADS分类校正前后,ROC曲线下面积分别为0.89和0.93,两组比较差异无统计学意义(P0.05)。结论 ABVS在鉴别诊断乳腺肿块良恶性的临床价值上,较手动超声多的有限;但其连续的不间断的自动扫查,有助于发现手动超声忽略的微小病灶。
[Abstract]:Objective to investigate the clinical value of automatic breast volume scan (ABVS) in the diagnosis of breast masses. To compare whether ABVS found more new masses than manual ultrasound, and whether ABVS had special findings on the coronal plane and corrected the BI-RADS grade accordingly. Results 166 masses were detected by manual ultrasound in 124 patients, 50 of which were malignant ones. Benign masses 116. ABVS found 8 more masses than manual ultrasound, including 4 malignant masses. 4. ABVS coronal "convergence sign", "crater sign" and "sun sign" in the differential diagnosis of benign and malignant breast masses, the sensitivity is 37.0 and the specificity is 92.5. After ABVS examination of breast masses by BI-RADS classification correction, the integral under the ROC curve is obtained. The difference between the two groups was 0.89 and 0.93.The difference was not statistically significant (P 0.05). Conclusion ABVS is valuable in differential diagnosis of benign and malignant breast masses. It is more limited than manual ultrasound, but its continuous continuous automatic scanning is helpful to find the small lesions neglected by manual ultrasound.
【作者单位】：复旦大学附属华东医院超声科;
【基金】：上海市科学技术委员会医学引导课题(No.134119a9200) 上海市申康医院发展中心临床辅助科室能力建设课题(No.SHDC22015013)
【分类号】：R445.1;R737.9

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