基于自动乳腺全容积成像多模态超声模型对肿块型乳腺炎与乳腺恶性肿瘤诊断价值
Diagnostic value of multimodal ultrasound model based on automated breast volume scanner for mass type mastitis and breast malignant tumors
陈姝婷 1蒋南 2杨子漪 2逄婉玉 2冯千清 2于馨 2张筠 2金壮 2曹军英2
作者信息
- 1. 中国医科大学北部战区总医院研究生培养基地,辽宁 沈阳 110016
- 2. 北部战区总医院 超声科,辽宁 沈阳 110016
- 折叠
摘要
目的 分析基于自动乳腺全容积成像(ABVS)的多模态超声模型对肿块型乳腺炎与乳腺恶性肿瘤的诊断价值.方法 回顾性分析2023 年 3-11 月于北部战区总医院行 ABVS检查并确诊为乳腺癌或肿块型乳腺炎的 45 例女性患者(51 个肿块)的临床资料.采用ABVS、二维超声、弹性成像等多项指标全面评估肿块特征.以病理结果为"金标准",将肿块分为恶性组(n=31)与炎性组(n=20).进行单因素分析,将筛选有意义的指标进行赋分、汇总,建立多模态超声诊断模型.采用受试者工作特征(ROC)曲线分析不同多模态超声评分模型的诊断效能.结果 炎性组与恶性组年龄、弹性应变率比值(SR)、剪切波速度(SWV)max、SWVmean、微钙化、"汇聚征"、成角比较,差异均有统计学意义(P<0.05).基于ABVS的多模态超声模型的ROC曲线下面积高于SWVmax+SWVmean模型、ABVS特征模型、SR模型,其灵敏度、特异度分别为 87.1%、85.0%.结论 基于ABVS的多模态超声模型对肿块型乳腺炎与乳腺恶性肿瘤的诊断具有较高的灵敏度、特异度,诊断价值较高.
Abstract
Objective To analyze the diagnostic value of a multimodal ultrasound model based on automatic breast volume scanner(ABVS)for mass type mastitis and breast malignant tumors.Methods The clinical data of 45 female patients(51 masses)who were diagnosed as breast cancer or mass mastitis by ABVS from March to November 2023 in the General Hospital of Northern Theater Com-mand were retrospectively analyzed.Multiple indicators such as ABVS,two-dimensional ultrasound,and elastography were used to com-prehensively evaluate the characteristics of the tumor.Using pathological results as the gold standard,the tumor was divided into malig-nant group(n=31)and inflammatory group(n=20)for univariate analysis.Significant indicators were selected for scoring and summa-rizing,and a multimodal ultrasound diagnostic model was established.Used receiver operating characteristic(ROC)curves to analyze the diagnostic performance of different multimodal ultrasound scoring models.Results The results showed that there were statistically significant differences in age,strain ratio(SR),shear wave velocity(SWV)max,SWVmean,microcalcification,convergence sign,and angularity between the inflammatory group and the malignant group(P<0.05).The area under the ROC curve value of the multimodal ultrasound model based on ABVS was higher than that of the SWVmax+SWVmean model,ABVS feature model,and SR model,with sensitivity and specificity of 87.1%and 85.0%,respectively.Conclusion The multimodal ultrasound model based on ABVS has high sensitivity,specificity,and diagnostic value in the diagnosis of mass type mastitis and breast malignant tumors.
关键词
肿块型乳腺炎/自动乳腺全容积成像/多模态超声/诊断价值Key words
Mass type mastitis/Automated breast volume scanner/Multimodal ultrasound/Diagnostic value引用本文复制引用
基金项目
辽宁省科技计划(2020020092-JHz/103)
沈阳市科技计划(20-205-4-058)
出版年
2024
NETL
NSTL
万方数据