广西医科大学学报2017，Vol.34Issue(3)：379-382,4.DOI:10.16190/j.cnki.45-1211/r.2017.03.014
超声诊断体系对乳腺良、恶性病变的鉴别诊断价值
The value of ultrasound diagnostic system in the differential diagnosis of benign and malignant breast lesions
摘要
Abstract
Objective:To evaluate the value of ultrasound diagnostic system,which was established referring to the breast imaging reporting and data system (BLRADS),in the differential diagnosis of breast masses.Methods:A total of 1,895 breast lesions among 1,637 patients were examined by conventional ultrasound and ultrasonic elastography (UE).Breast lesions were classified and evaluated by ultrasound diagnostic system established referring to BI-RADS:the blood supply in lesions was rated with the Adler semi-quantitative method and the mass elasticity was graded hy the improved 5-point scoring system with UE.The diagnostic value of BI-RADS classification and ultrasound diagnostic system was compared by receiver operating characteristic curve (ROC).Results:(1) The two-dimensional ultrasound (2DUS) signs of most positive predictive value in the diagnosis of breast cancer were as follows.spiculated margin,not parallel orientation,microcalcifications,angular and decreased posterior echoes.(2) The area under ROC curve of ultrasound diagnostic system was significantly higher than that of BI-RADS classification (0.894 vs.0.926,P ＜0.001).Conclusion:Ultrasound diagnosis system had high clinical value in the differential diagnosis of benign and malignant breast lesions and could avoid the unnecessary preoperative biopsy.关键词
乳腺癌/超声/彩色多普勒/弹性成像/乳腺影像报告和数据系统Key words
breast cancer/ultrasonography/color Doppler/elastography/breast imaging reporting and data system分类
医药卫生引用本文复制引用
陈圆圆,李智贤,廖新红,曾健,韦康来,王斯达,黄雪,王缉寒,卢柳欢..超声诊断体系对乳腺良、恶性病变的鉴别诊断价值[J].广西医科大学学报,2017,34(3):379-382,4.基金项目
国家自然科学基金资助项目(No.81160280) （No.81160280）
广西科技厅基金资助项目(No.2015CXJHA002) （No.2015CXJHA002）
