转化医学杂志2024,Vol.13Issue(11):1830-1833,4.DOI:10.3639/j.issn.2095-3097.2024.11.006
超声BI-RADS超声量化评分联合弹性应变率比值对乳腺结节良恶性的诊断价值
Ultrasound BI-RADS Quantitative Ultrasound Score Combined with Elastic Strain Rate Ratio Diagnostic Value for Benign and Malignant Breast Nodules
摘要
Abstract
Objective To investigate the value of ultrasonic quantization score and elastic strain rate ratio(SR)com-bined with serum anticancer Pro153(CA153)in benign and malignant breast nodules by Ultrasonic Breast Imaging Report and Data System(BI-RADS).Methods A total of 83 patients with breast nodules(52 malignant and 31 benign),selected based on pathological tissue examination results as the"gold standard,"were included in this retrospective analysis.These patients were treated at the Physical Diagnosis Department of East Hospital of Jiamusi Central Hospital,from January 2022 to January 2024.The BI-RADS quantitative score,SR,and serum CA153 of all subjects were collected.The diagnostic prediction model was constructed by drawing a nomogram,and the predictive ability of the nomogram model was evaluated by drawing receiver characteristic curve(ROC curve)for internal verification.Results The accuracy of BI-RADS quantitative score and SR di-agnosis of breast nodules,evaluated based on pathological examination results as the"gold standard,were 84.34%and 86.75%,the sensitivity was 91.49%and 91.84%,and the specificity was 75.00%and 79.41%.The serum CA153 index of malignant breast nodules was higher than that of benign breast nodules(t=17.651,P<0.05).A nomogram prediction model was established,and the AUC value in the ROC curve was 0.999(95%CI:0.998-1),indicating that the clinical prediction model had a good risk prediction degree.Conclusion BI-RADS quantitative score,SR,and serum CA153 have high clinical value in the identifi-cation of benign and malignant breast nodules.The prediction model based on the above indicators can screen high-risk groups and provide theoretical guidance for clinical practice.关键词
乳腺结节/超声乳腺影像报告和数据系统/弹性应变率比值/联合诊断Key words
Breast nodules/Ultrasound breast imaging reporting and data system/Elastic strain rate ratio/Combined diagnosis分类
医药卫生引用本文复制引用
张修岭,付立禹,张伟娇,王晓慧..超声BI-RADS超声量化评分联合弹性应变率比值对乳腺结节良恶性的诊断价值[J].转化医学杂志,2024,13(11):1830-1833,4.基金项目
黑龙江省教育厅科研项目(2019-kyywf-1352) (2019-kyywf-1352)