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超声弹性成像与BI-RADS评分在乳腺肿块诊断中的对比研究
引用本文:魏晏平,李智贤,曾健,韦康来,刘军杰,陈圆圆,冯卫连,韦柳,蒋芳艳.超声弹性成像与BI-RADS评分在乳腺肿块诊断中的对比研究[J].广西医学,2012,34(5):522-523,528.
作者姓名:魏晏平  李智贤  曾健  韦康来  刘军杰  陈圆圆  冯卫连  韦柳  蒋芳艳
作者单位:魏晏平 (广西医科大学第一附属医院超声科,南宁市,530021) ; 李智贤 (广西医科大学第一附属医院超声科,南宁市,530021) ; 曾健 (广西医科大学第一附属医院胃肠腺体外科,南宁市,530021) ; 韦康来 (广西医科大学第一附属医院病理科,南宁市,530021) ; 刘军杰 (广西医科大学第一附属医院超声科,南宁市,530021) ; 陈圆圆 (广西医科大学第一附属医院超声科,南宁市,530021) ; 冯卫连 (广西医科大学第一附属医院超声科,南宁市,530021) ; 韦柳 (广西医科大学第一附属医院超声科,南宁市,530021) ; 蒋芳艳 (广西医科大学第一附属医院超声科,南宁市,530021) ;
基金项目:广西科学研究与技术开发计划项目
摘    要:目的对比分析超声弹性成像(UE)与乳腺影像学报告及数据系统(BI-RADS)在乳腺肿块诊断中的价值。方法对483例(541个肿块)乳腺肿块患者(良性358个,恶性183个)分别进行BI-RADS评分及UE检查,以病理诊断为金标准,对比分析UE与BI-RADS评分诊断乳腺肿块良恶性的准确性。结果 UE诊断乳腺肿块的敏感性89.1%、特异性91.9%、准确性90.9%,BI-RADS评分诊断乳腺肿块的敏感性95.6%、特异性70.4%、准确性78.9%。结论 UE对乳腺肿块诊断的准确性高于BI-RADS评分,但临床上应将二者联合应用。

关 键 词:超声弹性成像  BI-RADS  乳腺肿块

Comparative Study of Ultrasonic Elastography and Breast Imaging Report and Data System in the Diagnosis of Breast Solid Lesions
WEI Yan-ping,LI Zhi-xian,ZENG Jian,WEI Kang-lai,LIU Jun-jie,CHEN Yuan-yuan,FENG Wei-lian,WEI Liu,JIANG Fang-yan.Comparative Study of Ultrasonic Elastography and Breast Imaging Report and Data System in the Diagnosis of Breast Solid Lesions[J].Guangxi Medical Journal,2012,34(5):522-523,528.
Authors:WEI Yan-ping  LI Zhi-xian  ZENG Jian  WEI Kang-lai  LIU Jun-jie  CHEN Yuan-yuan  FENG Wei-lian  WEI Liu  JIANG Fang-yan
Affiliation:1(1 Department of Ultrasound,2 Department of Gastrointestinal and Glands Surgery, 3 Department of Pathology,the First Affiliated Hospital,Guangxi Medical university,Nanning 530021,China)
Abstract:Objective To compare the value of ultrasonic elastography(UE) and breast imaging report and data system(BI-RADS) in the differential diagnosis of breast solid lesions.Methods Four hundred and eighty-three patients with 541 lesions(358 benign,183 malignant) were examined by UE and assessed by BI-RADS respectively.To use the pathologic diagnosis as the gold standard,the accuracies of UE and BI-RADS in the diagnosis of benign and malignant breast masses were comparatively analyzed.Results The sensitivity,specificity and accuracy of UE were 89.1%,91.9% and 90.9%,respectively,which of BI-RADS were 95.6% 70.4% and 78.9%,respectively.Conclusion The accuracy of UE is significantly higher than that of BI-RADS.The combination of both could be beneficial.
Keywords:Ultrasonic elastography  Breast imaging report and data system  Breast solid lesion
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