军事医学2016，Vol.40Issue(8)：668-671,4.DOI:10.7644/j.issn.1674-9960.2016.08.012
超声多参数回归模型评估乳腺癌腋窝淋巴结转移的价值
Evaluation of axillary lymph node metastasis of breast cancer via an ultrasonic multi parameter regression model
郭凤娟 1陈翠京 2毛京宁 2张彦 2张紫杰 1范雪 2史秀云2
作者信息
- 1. 河北北方学院，河北张家口 075000
- 2. 军事医学科学院附属医院超声科，北京 100071
- 折叠
摘要
Abstract
Objective To evaluate conventional ultrasound combined with real-time elastography in differential diagnosis of metastatic axillary lymph nodes of breast cancer with a logistic regression model.Methods Conventional ultrasound and real-time elastography were performed in 112 breast cancer patients with 113 axillary lymph nodes.All the cases were confirmed with pathological examinations after surgery. A binary logistic regression model based on ultrasonographic features was developed.A receiver operator characteristic ( ROC) curve was constructed to assess the performance of the model.Results There were 28 nodes with no metastasis and 85 with metastasis in a total of 113 axillary lymph nodes.Three ultrasonographic features including the elastic strain ratio(SR), elastic score and shape were finally selected into the logistic regression model .The correct rate of the logistic regression model for predicting axillary lymph node metastasis was 93.8%, and the area under ROC curve was 0.962.Conclusion The binary classification logistic regression model has a good diagnostic efficacy in the diagnosis of benign and malignant axillary lymph nodes,while real-time elastography can improve the accuracy of conventional ultrasound in the diagnosis of axillary lymph nodes.关键词
乳腺癌/腋窝淋巴结/弹性成像/常规超声/二分类Logistic回归Key words
breast cancer/axillary lymph nodes/elastography/conventional ultrasound/binary classification logistic regression分类
医药卫生引用本文复制引用
郭凤娟,陈翠京,毛京宁,张彦,张紫杰,范雪,史秀云..超声多参数回归模型评估乳腺癌腋窝淋巴结转移的价值[J].军事医学,2016,40(8):668-671,4.
