首页|术前2D超声及弹性成像在乳腺癌肿块体积测量中的价值研究

术前2D超声及弹性成像在乳腺癌肿块体积测量中的价值研究

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目的:探讨术前2D超声及弹性成像在乳腺癌肿块体积测量中的价值,为超声检查技术选择和手术方案制定提供参考.方法:回顾性纳入2019年1月至2022年12月期间我院诊治的198例乳腺癌患者,分析临床特征、超声及病理组织学检查资料.采用SPSS 19.0软件,通过单因素分析和Logistic回归模型多因素分析,评估2D超声和弹性成像测量乳腺癌肿块体积的准确性及其影响因素.结果:2D超声和弹性成像测量乳腺癌肿块体积与病理组织学结果高度一致,组内相关系数(intraclass correlation coefficients,ICC)分别为 0.82 和 0.80,Spearman 相关性(Spearman's rank correlation coefficient analysis,r)分别为 0.84和 0.80,均 P<0.01.Logistic 回归模型显示,肿块最大径、浸润性导管癌伴导管内原位癌及钙化情况对术前2D超声测量有显著影响(均P<0.05),钙化情况对术前弹性成像测量有显著影响(P<0.05).结论:术前2D超声及弹性成像均可准确测量乳腺癌肿块体积,且弹性成像受临床及影像学特征影响较小.
Clinical Value of Preoperative 2D Ultrasound and Ultrasound Strain Elastogra-phy Imaging in the Measurement of Breast Cancer Mass Volume
Objective:To investigate the clinical value of preoperative 2D ultrasound and ultrasound strain elastography imaging in the measurement of breast cancer mass volume to provide more reference for guiding the selection of ultrasound technique and formulation of surgical plan.Methods:198 patients with breast cancer diagnosed and treated in our hospital from January 2019 to December 2022 were retrospectively included,and the clinical features,ultrasound and histopathological examination data were analyzed.SPSS 19.0 software was used to evaluate the accuracy and influencing factors of 2D ultrasound and elastography in measuring breast cancer mass volume through univariate analysis and Logistic regression model multivariate analysis.Results:The volume of breast cancer mass measured by 2D ultrasound and elastography was highly consistent with the histopathological results,with intraclass correlation coefficients(ICC)of 0.82 and 0.80,respectively,and Spearman's rank correlation coefficient analysis(r)of 0.84 and 0.80,respectively,all with P<0.01.Logistic regression modelshowed that the maximum size of the mass,invasive ductal carcinoma with intraductal carcinoma in situ and calcification had significant effects on preoperative 2D ultrasound measurements(P<0.05),and calcification had significant effects on preoperative elastic imaging measurements(P<0.05).Conclusion:Both preoperative 2D ultrasound and ultrasound strain elastography can be used to measure breast cancer mass volume with similar accuracy,and the preoperative elastic imaging measurement is less affected by clinical and imaging characteristics.

ultrasoundstrain elastographybreast cancervolume

吴先华、韩江涛、卿建兵、蒋冬梅

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宜宾市第一人民医院超声科,四川 644000

绵阳市第三人民医院超声诊断科,四川 621000

超声 弹性成像 乳腺癌 体积

2025

影像科学与光化学
中国科学院理化技术研究所 中国感光学会

影像科学与光化学

影响因子:0.287
ISSN:1674-0475
年,卷(期):2025.43(1)