首页|应变弹性成像和彩色多普勒技术对二维超声诊断的乳腺非肿块型病变的诊断价值

应变弹性成像和彩色多普勒技术对二维超声诊断的乳腺非肿块型病变的诊断价值

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目的:探讨应变弹性成像(strain elastography,SE)和彩色多普勒技术(color Doppler flow image,CDFI)对二维超声(two-dimensional ultrasound,2D US)诊断的乳腺非肿块型病变(non-mass-like lesions,NML)的诊断价值,提高乳腺非肿块型病变的检出率.方法:回顾性分析102例经2D US、CDFI及SE诊断、并经病理学证实的乳腺非肿块型病变,计算2DUS、CDFI及SE的诊断效能,来区分乳腺非肿块型病变的良恶性.结果:102例中,良性46个,恶性56个.2D US诊断敏感度75.00%、特异度56.67%、准确率66.7%、AUC 0.662;SE诊断敏感度86.11%、特异度83.33%、准确率 84.85%、AUC 0.902;CDFI诊断敏感度 80.56%、特异度 66.67%、准确率 74.24%、AUC 0.828;2D US+SE+CDFI诊断敏感度91.67%、特异度90.00%、准确率90.91%、AUC 0.974.结论:2D US联合SE和CDFI可以提高乳腺非肿块型病变的诊断价值,有助于预测非肿块型乳腺恶性病变.
Diagnostic Value of Strain Elastography and Color Doppler Techniques for Non-mass-type Lesions of the Breast Diagnosed by Two-dimensional Ultrasound
Objective:To investigate the diagnostic value of strain elastography(SE)and color Dop-pler Flow Image(CDFI)for non-mass-like lesions(NML)diagnosed by two-dimensional ultrasound(2D US).The diagnostic value of two-dimensional ultrasound(2D US)in the diagnosis of non-mass-like le-sions(NML)in the breast,and to improve the detection rate of non-mass-like lesions in the breast.Meth-ods:102 cases of non-mass-like lesions diagnosed by 2D US,CDFI and SE and confirmed by pathology were retrospectively analyzed,and the diagnostic efficacies of 2D US,CDFI and SE were calculated to dif-ferentiate the benignness and malignancy of non-mass-like lesions.Results:Among the 102 cases,46 were benign and 56 were malignant.2D US had a diagnostic sensitivity of 75.00%,a specificity of 56.67%,an accuracy of 66.7%,and an AUC of 0.662.SE had a diagnostic sensitivity of 86.11%,a speci-ficity of 83.33%,an accuracy of 84.85%,and an AUC of 0.902.CDFI had a diagnostic sensitivity of 80.56%,a specificity of 66.67%,an accuracy of 74.24%,and an AUC of 0.828.2D US+SE+CDFI diag-nostic had a sensitivity of 91.67%,a specificity of 90.00%,an accuracy of 90.91%,and an AUC of 0.974.Conclusion:2D US in combination with SE and CDFI can increase the diagnostic value of non-mass-type lesions of the breast,and can help to predict non-mass-type breast malignant lesions.

Non-mass-like lesionsStrain elastographyColor Doppler flow image

李琳、孙俊旗、肖雨雄、单菲菲

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汕头大学医学院附属粤北人民医院超声诊断科,广东 512000

汕头大学医学院附属粤北人民医院影像诊断科,广东 512000

乳腺非肿块型病变 应变弹性成像 彩色多普勒技术

2024

影像技术
中国感光学会 全国轻工感光材料信息中心

影像技术

影响因子:0.37
ISSN:1001-0270
年,卷(期):2024.36(3)
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