| 陈敏1 刘青2 聂影3 王瑞芳4 刘阳1.剪切波弹性成像在乳腺实性病变良恶性鉴别中的诊断价值[J].,2014,14(36):7144-7146 |
| 剪切波弹性成像在乳腺实性病变良恶性鉴别中的诊断价值 |
| The Value of Shear Wave Elastography in Differential Diagnosis of Benignand Malignant Solid Breast Lesions |
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| DOI： |
| 中文关键词: 剪切波弹性成像 乳腺实性病变 良恶性鉴别 诊断价值 |
| 英文关键词: Shear wave elasticity imaging Solid lesions breast lesions Differential diagnosis of benign and malignant Diagnostic
value |
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| 中文摘要: |
| 目的：探讨剪切波弹性成像在乳腺实性病变良恶性鉴别中的诊断价值。方法：收集2012 年3 月-2013 年6 月于我院收治的
乳腺实性病变患者54 例，共65 个病灶，先后给予乳腺二维超声检查与剪切波弹性成像检查，采用弹性模量值与钼靶BI-RADS分
级方法诊断，比较两种方法诊断的准确性。结果：良性病灶组弹性最小、最大值以及平均值、标准差与恶性病灶组比较差异具有统
计学意义（P<0.05）；ROC曲线分析显示，在乳腺实性病变良恶性的鉴别中，弹性最大值明显优于平弹性均值；剪切波弹性成像对
乳腺实性病变良恶性鉴别的敏感度、特异度、准确度、阳性预测值、阴性预测值高于二维超声技术（P<0.05）。结论：剪切波弹性成像
在乳腺实性病变良恶性鉴别中具有良好的诊断价值，能够提高诊断的准确性。 |
| 英文摘要: |
| Objective:To investigate the value of shear wave elastography in differential diagnosis of benign and malignantsolid
breast lesions.Methods:54 cases of patients with breast solid lesions who were treated in our hospital from March 2012 to June 2013
year ,with 65 lesions, were successively given the breast ultrasound examination and shear wave elasticity imaging, the elastic modulus
and mammography diagnosis accuracy of BI-RADS classification method were used, the veracity of two diagnostic methods were
compared.Results:the elastic minimum, maximum value and average value, standard deviation of the benign lesions group had
significant difference compared with the malignant lesions group(P<0.05); ROC curve analysis showed that, for the differential diagnosis
of benign and malignant breast solid lesions, elastic maximum value was significantly better than that of elastic average value.The
sensitivity, specificity,accuracy, positive predictive value, and negative predictive value of shear wave elastography in differentiating
benign and malignant breast solid lesions was higher than those of the two-dimensional ultrasound technology (P<0.05).Conclusion:Shear wave elasticity imaging has a good diagnostic value in the differential diagnosis of benign and malignant solid breast lesions, it can
improve the accuracy of diagnosis. |
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