[1]张文欣,张含祺,李 浴,等.剪切波弹性成像技术对乳腺钙化肿块的诊断价值[J].医学信息,2023,36(10):161-164.[doi:10.3969/j.issn.1006-1959.2023.10.036]
　ZHANG Wen-xi,ZHANG Han-qi,LI Yu,et al.Diagnostic Value of Shear Wave Elastography in Breast Calcified Masses[J].Journal of Medical Information,2023,36(10):161-164.[doi:10.3969/j.issn.1006-1959.2023.10.036]
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剪切波弹性成像技术对乳腺钙化肿块的诊断价值()
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医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
36卷
期数:
2023年10期
页码:
161-164
栏目:
论著
出版日期:
2023-05-15

文章信息/Info

Title:
Diagnostic Value of Shear Wave Elastography in Breast Calcified Masses
文章编号:
1006-1959（2023）10-0161-04
作者:
张文欣; 张含祺; 李 浴; 等
（安徽医科大学第一附属医院超声科，安徽 合肥 230022）
Author(s):
ZHANG Wen-xi; ZHANG Han-qi; LI Yu; et al.
(Department of Ultrasound,the First Affiliated of Anhui Medical University,Hefei 230022,Anhui,China)
关键词:
剪切波弹性成像; 钙化; 乳腺肿块; 超声
Keywords:
Shear wave elastography; Calcification; Breast mass; Ultrasound
分类号:
R445.1；R737.9
DOI:
10.3969/j.issn.1006-1959.2023.10.036
文献标志码:
A
摘要:
目的 探讨剪切波弹性成像技术（SWE）对伴有钙化的乳腺肿块的诊断价值。方法 收集2020年1月-2022年2月在我院收治的201例女性患者临床资料，共205个乳腺肿块。纳入伴有钙化且BI-RADS分类结果为4a及以上的乳腺肿块193个，其中良性110个，恶性83个。使用SWE技术比较最大弹性值（Emax）和平均弹性值（Emean）在良恶性组中的差异，分析SWE的诊断效能。结果 恶性组的Emax和Emean值高于良性组，差异有统计学意义（P＜0.01）；Emax和Emean两个指标具有较高的特异度和阳性预测值，分别为90.91%、87.01%及93.64%、90.00%。Emax和Emean的AUC值分别为0.92（0.89~0.96）和0.91（0.87~0.95），两者具有良好且相似的诊断效能。结论 SWE对所有伴钙化的乳腺肿块具有良好的诊断效能，Emax与Emean两弹性指标的特异度均较高，在保证灵敏度的同时，其特异度的提高有利于减少对可疑结节的穿刺活检。
Abstract:
Objective To investigate the diagnostic value of shear wave elastography (SWE) in breast masses with calcification.Methods The clinical data of 201 female patients admitted to our hospital from January 2020 to February 2022 were collected, with a total of 205 breast masses. A total of 193 breast masses with calcification and BI-RADS classification results of 4a and above were included, including 110 benign and 83 malignant. The SWE technique was used to compare the difference between the maximum elasticity value (Emax) and the average elasticity value (Emean) in the benign and malignant groups, and to analyze the diagnostic efficacy of SWE.Results The Emax and Emean values of the malignant group were higher than those of the benign group, and the difference was statistically significant (P<0.01). Emax and Emean had higher specificity and positive predictive value, which were 90.91%, 87.01% and 93.64%, 90.00%, respectively. The AUC values of Emax and Emean were 0.92(0.89-0.96) and 0.91(0.87-0.95), respectively, with good and similar diagnostic efficacy.Conclusion SWE has good diagnostic efficacy for all breast masses with calcification. The specificity of Emax and Emean elasticity indexes is high. While ensuring the sensitivity, the improvement of its specificity is conducive to reducing the biopsy of suspicious nodules.

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更新日期/Last Update: 1900-01-01