疑难病杂志Issue(11)：1158-1161,4.DOI:10.3969/j.issn.1671-6450.2015.11.019
声辐射力脉冲成像在乳腺肿块诊断中的应用价值
The diagnostic value of acoustic radiation force impulse in breast lesions
张捷思 1马琳 2薛红元 3翟秀兰 3赵荣梅 3李丽3
作者信息
- 1. 063000 唐山，华北理工大学研究生院 原河北联合大学
- 2. 华北理工大学附属医院超声科
- 3. 050051石家庄，河北省人民医院功能科
- 折叠
摘要
Abstract
Objective To investigate the diagnostic value of acoustic radiation force impulse imaging ( ARFI) in the diagnosis of breast lesions.Methods There were 76 breast lesions underwent acoustic palpation of tissue imaging ( VTI) and acoustic touch tissues quantification ( VTQ) , scored and measured mass’ s VTI image area and the two-dimensional image area ratio ( AR) , using VTQ to measure the shear wave velocity ( SWV) of VTI images, including inner of the lesion and surround-ing tissue and off-side’ s same depth’ s normal thyroid tissue.All cases were constructed according to the pathological results of the ROC curve, the diagnostic efficacy of the technique for breast masses was evaluated, and the diagnostic values of all pa-rameters were determined.Results AR and SWV values under the ROC curve area were 0.84 and 0.83, differences between the two diagnostic efficacy showed no statistical significance ( Z =0.24, P >0.05).VTI score greater than or equal to 4 points, AR value greater than or equal to 1.52, SWV measured value higher than or equal to 3.70 m/s as the diagnosis cutoff values, the three parameters’ diagnosis accurate rate, sensitivity, specificity were 85.5%, 73.1%and 92.0%;81.6%and 65.4%, 90.0%and 84.2%, 69.2% and 92.0%, respectively.Three parameters combination’ s diagnosis accurate rate, sensitivity, specificity were 90.8%, 96.2% and 88.0%, respectively.Three parameters combination’ s diagnosis efficacy was better than that of single parameter ( P <0.05).Conclusion VTI and VTQ have certain clinical application value in the differential diagnosis of benign and malignant breast tumors.2 kinds of techniques can improve the diagnostic efficiency of breast tumor.关键词
乳腺肿块/声辐射力脉冲成像/声触诊组织成像/声触诊组织量化/超声检查Key words
Breast lesion/Acoustic radiation force impulse/Virtual touch image/Virtual touch quantification/Ultra-sonography引用本文复制引用
张捷思,马琳,薛红元,翟秀兰,赵荣梅,李丽..声辐射力脉冲成像在乳腺肿块诊断中的应用价值[J].疑难病杂志,2015,(11):1158-1161,4.
