首页|多模态超声在乳腺非肿块型病变鉴别诊断中的应用价值探析

多模态超声在乳腺非肿块型病变鉴别诊断中的应用价值探析

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目的 探析多模态超声在乳腺非肿块型病变鉴别诊断中的应用价值。方法 选择2022年3月-2023年3月本院收治的94例乳腺非肿块型病变患者为研究对象,对其进行常规超声、超声血流成像、超声弹性成像检查,以病理检查结果作为金标准,分析多模态超声(三者联合)在乳腺非肿块型病变鉴别诊断中的应用价值。结果 94例乳腺非肿块型病变患者经病理检查,其中41例确诊为乳腺癌,53例确诊为良性乳腺病变。常规超声、超声血流成像、超声弹性成像及多模态超声鉴别诊断乳腺非肿块型病变与病理检查的一致性kappa值分别为0。411、0。617、0。742、0。913。多模态超声检查鉴别诊断乳腺非肿块型病变的灵敏度为95。12%(39/41)、特异度为96。23%(51/53)、准确度为95。74%(90/94)、阳性预测值为95。12%(39/41)、阴性预测值为96。23%(51/53),高于单独的常规超声、超声血流成像、超声弹性成像的鉴别诊断结果,差异显著,具有统计学意义(P<0。05)。结论 多模态超声在乳腺非肿块型病变鉴别诊断中的应用价值较高,与病理结果的一致性较高,可提升诊断准确性。
Application Value Exploration of Multimodal Ultrasound in Differential Diagnosis of Non Mass Breast Lesions
Objective To explore application value of multimodal ultrasound in differential diagnosis of non mass breast lesions.Methods The paper chose 94 patients with non mass breast lesions in Daqing Longnan Hospital from March 2022 to March 2023,with routine ultrasound,ultrasound blood flow imaging and ultrasound elastography examinations,and analyzed application value of multimodal ultrasound(combined with the three)in differential diagnosis of non mass breast lesions with gold standard of pathological examination results.Results 41 of 94 patients with non mass breast lesions were diagnosed as breast cancer and 53 as benign breast lesions by pathological examination.Consistency kappa values of routine ultrasound,ultrasound blood flow imaging,ultrasound elastography,and multimodal ultrasound for differential diagnosis of non mass breast lesions and pathological examination were 0.411,0.617,0.742,and 0.913.Sensitivity,specificity,accuracy,positive predictive value,and negative predictive value of multimodal ultrasound in differential diagnosis of non mass breast lesions were 95.12%(39/41),96.23%(51/53),95.74%(90/94),95.12%(39/41),and 96.23%(51/53)respectively,higher than routine ultrasound,ultrasound blood flow imaging,and ultrasound elastography only.Difference was statistically significant(P<0.05).Conclusion Multimodal ultrasound can achieve high application value in differential diagnosis of non mass breast lesions,with high consistency with pathological results,and can improve diagnostic accuracy.

Non mass breast lesionsMultimodal ultrasoundUltrasound blood flow imagingShear wave ultrasonic elastography

李春雨、王艳、宋文卿、陈艳丽

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大庆龙南医院/齐齐哈尔医学院附属第五医院物理诊断科,黑龙江 大庆 163453

乳腺非肿块型病变 多模态超声 超声血流成像 剪切波超声弹性成像

大庆市科技局项目

zdy-2021-15

2024

智慧健康

智慧健康

ISSN:
年,卷(期):2024.10(14)