诊断学理论与实践Issue(3)：239-243,5.DOI:10.16150/j.1671-2870.2015.03.011
BI-RADS-US第二版超声弹性成像在乳腺疾病诊断中的应用价值
Using ultrasound elastography with BI-RADS-US (second edition) in diagnosis of breast disease
摘要
Abstract
Objective To investigate the value of ultrasound elastography in differentiating breast diseases using the second edition of BI-RADS-US. Methods: Two hundred and fifty-three patients with 263 lesions were included in this studies. All of them underwent conventional ultrasonography and ultrasonic elastography before surgery. The histopatholo-gic results were used as gold standards. Results:The sensitivity for diagnosing malignant breast disease by SR (strain ra-tio) of elastography combined with conventional ultrasonography was 92.31%, which was slightly higher than the combining of conventional ultrasonography with Itoh's 5 scores and 2nd edition of BI-RADS-US classification of elastography, and was significantly higher than using each of these methods of elastography alone. The biopsy applied rate of benign le-sions was the highest in conventional ultrasounography (46.62%), and was 27.82% in SR of elastography combined with conventional ultrasounography, 30.83% in 2nd edition BI-RADS-US classification of elastography combined with conven-tional ultrasounography, 39.85% in Itoh′s 5 scores of elastography combined with conventional ultrasounography. Con-clusions: Despite the limitation of elastography in the differentiation of breast diseases, elastography combined with con-ventional ultrasonography could reduce unnecessary biopsy and finally benefit the patients.关键词
超声弹性成像/乳腺影像学报告及数据系统(BI-RADS)/乳腺疾病/弹性应变率比值Key words
Ultrasound elastography/Breast Imaging Reporting and Data System/Breast disease/Strain ratio分类
医药卫生引用本文复制引用
陈晓姣,潘自来,李丽蟾,牛建梅,陈曼,贾宛儒..BI-RADS-US第二版超声弹性成像在乳腺疾病诊断中的应用价值[J].诊断学理论与实践,2015,(3):239-243,5.基金项目
国家临床重点专科建设项目；国家自然科学基金 （）
