| 万永林,傅晓红,刘秋云,等.超声剪切波弹性成像技术在乳腺良恶性肿块诊断中的应用价值[J].安徽医药,2020,24(5):912-914. |
| 超声剪切波弹性成像技术在乳腺良恶性肿块诊断中的应用价值 |
| Clinical study of shear wave elastography in the diagnosis of benign and malignant breast tumors |
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| DOI：10.3969/j.issn.1009?6469.2020.05.016 |
| 中文关键词: 乳腺疾病 超声检查，乳房 弹性成像技术 诊断 |
| 英文关键词: Breast diseases Ultrasonography,mammary Elasticity imaging techniques Diagnosis |
| 基金项目:上海市浦东新区公利医院青年基金资助计划( 2016YQNJJ?12) |
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| 中文摘要: |
| 目的应用超声剪切波弹性成像技术定量测定乳腺实性肿块的弹性模量值，探究乳腺肿块良恶性病变的弹性硬度的差异及规律。方法选取 2017年 3月至 2018年 12月上海市浦东新区公利医院超声科就诊检查的女性乳腺肿瘤病人 51例 54个病灶，测量乳腺肿块的弹性模量值，比较乳腺良恶性病灶的各弹性参数的差异。结果 54个乳腺病灶中，恶性病灶 23个，良性病灶 31个。乳腺良性病灶与恶性病灶的 SWE指标即最大值( Emax)［(34.9±9.9)比( 72.1±23.7)kPa］、平均值( Emean)［(25.7±8.0)比( 47.8±11.3)kPa］、最小值( Emin)［(16.4±5.2)比( 28.7±9.1)kPa］、标准差( Esd)［(5.7±2.0)比( 17.3±10.0)kPa］、病变 /脂肪弹性比( Eratio)［(4.5±2.8)比( 10.7±3.3)kPa］比较，均差异有统计学意义( P＜0.05)。把 SWE指标值绘制 ROC曲线， Emax、Emean、 Emin、Esd、Eratio的R OC曲线下面积( AUC)分别为 0.955、0.931、0.879、0.926和 0.898，Emax的 AUC高于 Emean、Emin、Eratio。结论超声剪切波弹性成像技术对乳腺肿块良恶性的鉴别诊断有较好的应用价值。 |
| 英文摘要: |
| Objective To determine the elastic modulus of breast solid mass quantitatively by shear wave elastography and explorethe differences and regularity of elastic hardness of benign and malignant breast lesions.Methods From March 2017 to December 2018，54 lesions of 51 female breast cancer patients diagnosed by surgery or biopsy，were selected from the ultrasound department ofShanghai Pudong New Area Gongli hospital.The elastic modulus of the breast mass was measured and the differences in elastic pa?rameters of benign and malignant breast lesions were compared.Results Among the 54 breast lesions，23 were malignant lesions and 31 were benign lesions.The SWE index between the benign and malignant breasts，maximum value(Emax)［(34.9±9.9)vs.(72.1±23.7)kPa］，mean value(Emean)［(25.7±8.0)vs.(47.8±11.3)kPa］，minimum value(Emin)［(16.4±5.2)vs.(28.7±9.1)kPa］，standard deviation(Esd)［(5.7±2.0)vs.(17.3±10.0)kPa］，lesion/fat elasticity ratio(Eratio)［(4.5±2.8)vs.(10.7±3.3)kPa］were statistically sig? nificant(P＜0.05).The SWE index values were plotted as ROC curves.The AUC of Emax，Emean，Emin，Esd，Eratio were 0.955，0.931，0.879，0.926 and 0.898，in which the AUC of Emax was higher than that of Emean，Emin，and Eratio. Conclusion The new re? al?time shear wave elastography has a good application value in the differential diagnosis of benign and malignant breast tumors. |
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