[1]王羽翎,孙佳威,周显礼.二维及三维实时剪切波弹性成像在乳腺肿块评估中的应用[J].医学信息,2020,33(11):42-45.[doi:10.3969/j.issn.1006-1959.2020.11.014]
 WANG Yu-ling,SUN Jia-wei,ZHOU Xian-li.Application of 2D and 3D Real-time Shear Wave Elastography in Breast Mass Evaluation[J].Medical Information,2020,33(11):42-45.[doi:10.3969/j.issn.1006-1959.2020.11.014]
点击复制

二维及三维实时剪切波弹性成像在乳腺肿块评估中的应用()
分享到:

医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
33卷
期数:
2020年11期
页码:
42-45
栏目:
综述
出版日期:
2020-06-01

文章信息/Info

Title:
Application of 2D and 3D Real-time Shear Wave Elastography in Breast Mass Evaluation
文章编号:
1006-1959(2020)11-0042-04
作者:
王羽翎孙佳威周显礼
(哈尔滨医科大学附属第二临床医学院住院处超声科,黑龙江 哈尔滨 150001)
Author(s):
WANG Yu-lingSUN Jia-weiZHOU Xian-li
(Department of Ultrasound,Inpatient Department,the Second Affiliated Medical College of Harbin Medical University,Harbin 150001,Heilongjiang,China)
关键词:
超声剪切波弹性成像乳腺肿块淋巴结新辅助化疗免疫组化
Keywords:
UltrasoundShear wave elastographyBreast massesLymph nodesNeoadjuvant chemotherapyImmunohistochemistry
分类号:
R445.1;R737.9
DOI:
10.3969/j.issn.1006-1959.2020.11.014
文献标志码:
A
摘要:
超声弹性成像是通过对组织施加压力从而获得组织硬度信息的一种成像方式。实时剪切波弹性成像(SWE)作为一种新型的超声弹性成像技术,能够实时、定性、定量地获取组织的弹性信息,具有高度的可重复性,它不仅能够根据乳腺肿块硬度对其良恶性进行鉴别,还可以对恶性乳腺肿块的病理分型、新辅助化疗的疗效、淋巴结状态及病理范围进行评估。二维(2D)SWE在评估乳腺肿块性质及预后时发挥重要作用,三维(3D)SWE在乳腺疾病的确诊中展现了良好的诊断性能。本文主要从2D及3D SWE技术评估乳腺肿块性质及预后方面进行综述,旨在为其广泛应用于临床提供更多理论依据。
Abstract:
Ultrasound elastography is an imaging method that obtains tissue hardness information by applying pressure to the tissue. Real-time shear wave elastography (SWE), as a new type of ultrasonic elastography technology, can obtain tissue elasticity information in real time, qualitatively and quantitatively, and has a high degree of repeatability. For identification, the pathological classification of malignant breast masses, the efficacy of neoadjuvant chemotherapy, lymph node status and pathological extent can also be evaluated. Two-dimensional (2D) SWE plays an important role in assessing the nature and prognosis of breast masses. Three-dimensional (3D) SWE has demonstrated good diagnostic performance in the diagnosis of breast diseases. This article mainly reviews the nature and prognosis of breast masses with 2D and 3D SWE techniques, and aims to provide more theoretical basis for its wide application in clinic.

参考文献/References:

[1]Rheinbay E,Parasuraman P,Grimsby J,et al.Recurrent and functional regulatory mutations in breast cancer[J].Nature,2017,547(7661):55-60.[2]Xiang L,Ma F,Yao M,et al.Benign lesion evaluation:Factors causing the"stiff rim"sign in breast tissues using shear-wave elastography[J].Br J Radiol,2019,92(1094):20180602.[3]Ng W,Rahmat K,Fadzli F,et al.Shear wave elastography increases diagnostic accuracy in characterization of breast lesions[J].Medicine,2016,95(10):e3146.[4]Shiina T,Nightingale K,Palmeri M,et al.WFUMB guidelines and recommendations for clinical use of ultrasound elastography:Part 1:basic principles and terminology[J].Ultrasound in Medicine&Biology,2015,41(5):1126-1147.[5]Song E,Sohn Y,Seo M.Diagnostic performances of shear-wave elastography and B-mode ultrasound to differentiate benign and malignant breast lesions:the emphasis on the cutoff value of qualitative and quantitative parameters[J].Clin Imaging,2018(50):302-307.[6]Xue Y,Yao S,Li X,et al.Value of shear wave elastography in discriminating malignant and benign breast lesions:A meta-analysis[J].Medicine (Baltimore),2017,96(42):e7412.[7]Choi H,Seo M,Sohn Y,et al.Shear wave elastography for the diagnosis of small(≤2 cm)breast lesions:added value and factors associated with false results[J].Br J Radiol,2019,92(1097):20180341.[8]Au F,Ghai S,Moshonov H,et al.Diagnostic performance of quantitative shear wave elastography in the evaluation of solid breast masses:determination of the most discriminatory parameter[J].AJR Am J Roentgenol,2014,203(3):W328-W336.[9]Park H,Shin H,Shin K,et al.Comparison of peritumoral stromal tissue stiffness obtained by shear wave elastography between benign and malignant breast lesions[J].Acta Radiol,2018,59(10):1168-1175.[10]Choi H,Sohn Y,Seo M.Comparison of 3D and 2D shear-wave elastography for differentiating benign and malignant breast masses:focus on the diagnostic performance[J].Clinical Radiology,2017,72(10):878-886.[11]Wang Q,Li X,He Y,et al.Three-dimensional shear wave elastography for differentiation of breast lesions:An initial study with quantitative analysis using three orthogonal planes[J].Clinical Hemorheology and Microcirculation,2019,71(3):311-324.[12]Tian J,Liu Q,Wang X,et al.Application of 3D and 2D quantitative shear wave elastography(SWE)to differentiate between benign and malignant breast masses[J].Scientific Reports,2017(7):412-416.[13]Cong R,Li J,Wang X.Comparing Performance of Combinations of Shear Wave Elastography and B-Mode Ultrasound in Diagnosing Breast Masses:Is It Influenced by Mass Size[J].Ultrasound Med Biol,2017,43(10):2133-2143.[14]Hari S,Paul S,Vidyasagar R,et al.Breast mass characterization using shear wave elastography and ultrasound[J].Diagn Interv Imaging,2018,99(11):699-707.[15]Tozaki M,Fukuma E.Pattern classification of Shear Wave Elastography images for differential diagnosis between benign and malignant solid breast masses[J].Acta Radiol,2011,52(10):1069-1075.[16]Lin X,Chang C,Wu C,et al.Confirmed value of shear wave elastography for ultrasound characterization of breast masses using a conservative approach in Chinese women:a large-size prospective multicenter trial[J].Cancer Manag Res,2018(10):4447-4458.[17]Hong S,Woo O,Shin H,et al.Reproducibility and diagnostic performance of shear wave elastography in evaluating breast solid mass[J].Clinical Imaging,2017(44):42-45.[18]Chen Y,Chang C,Zeng W,et al.3-Dimensional shear wave elastography of breast lesions:Added value of color patterns with emphasis on crater sign of coronal plane[J].Medicine(Baltimore),2016,95(39):e4877.[19]Cho E,Ko E,Han B,et al.Shear-wave elastography in invasive ductal carcinoma:correlation between quantitative maximum elasticity value and detailed pathological findings[J]. Acta Radiol,2016,57(5):521-528.[20]Chang J,Park I,Lee S,et al.Stiffness of tumours measured by shear-wave elastography correlated with subtypes of breast cancer[J].European Radiology,2013,23(9):2450-2458.[21]Kang H,Kim J,Lee N,et al.Three-dimensional versus two-dimensional shear-wave elastography:Associations of mean elasticity values with prognostic factors and tumor subtypes of breast cancer[J].Clinical Imaging,2018(48):79-85.[22]Tadros A,Yang W,Krishnamurthy S,et al.Identification of Patients With Documented Pathologic Complete Response in the Breast After Neoadjuvant Chemotherapy for Omission of Axillary Surgery[J].JAMA Surgery,2017,152(7):665-670.[23]Jing H,Cheng W,Li Z,et al.Early Evaluation of Relative Changes in Tumor Stiffness by Shear Wave Elastography Predicts the Response to Neoadjuvant Chemotherapy in Patients With Breast Cancer[J].Journal of Ultrasound in Medicine,2016,35(8):1619-1627.[24]Ma Y,Zhang S,Zang L,et al.Combination of shear wave elastography and Ki-67 index as a novel predictive modality for the pathological response to neoadjuvant chemotherapy in patients with invasive breast cancer[J].Eur J Cancer,2016(69):86-101.[25]Evans A,Whelehan P,Thompson A,et al.Prediction of Pathological Complete Response to Neoadjuvant Chemotherapy for Primary Breast Cancer Comparing Interim Ultrasound,Shear Wave Elastography and MRI[J].Ultraschall Med,2018,39(4):422-431.[26]Evans A,Rauchhaus P,Whelehan P,et al.Does shear wave ultrasound independently predict axillary lymph node metastasis in women with invasive breast cancer[J].Breast Cancer Res Treat,2014,143(1):153-157. [27]Dixon J,Newlands C,Dodds C,et al.Association between underestimation of tumour size by imaging and incomplete excision in breast-conserving surgery for breast cancer[J].Br J Surg,2016,103(7):830-838. [28]Farrokh A,Treu L,Ohlinger R,et al.A Prospective Two Center Study Comparing Breast Cancer Lesion Size Defined by 2D Shear Wave Elastography,B-Mode Ultrasound,and Mammography with the Histopathological Size[J].Ultraschall Med,2019,40(2):212-220.[29]Farrokh A,Maass N,Treu L,et al.Accuracy of tumor size measurement: comparison of B-mode ultrasound,strain elastography,and 2D and 3D shear wave elastography with histopathological lesion size[J].Acta Radiol,2019,60(4):451-458.

相似文献/References:

[1]姚玉琳,王小红,覃开凤.大动脉转位的产前超声诊断评价[J].医学信息,2018,31(05):153.[doi:10.3969/j.issn.1006-1959.2018.05.055]
 YAO Yu-lin,WANG Xiao-hong,QIN Kai-feng.Prenatal Ultrasound Diagnosis of Transposition of Great Arteries[J].Medical Information,2018,31(11):153.[doi:10.3969/j.issn.1006-1959.2018.05.055]
[2]翟 蓓,周 洋,周 薇,等.超声检查、磁共振及血清CA125测定诊断 子宫腺肌病的临床评价[J].医学信息,2018,31(11):154.[doi:10.3969/j.issn.1006-1959.2018.11.050]
 ZHAI Bei,ZHOU Yang,ZHOU Wei,et al.Clinical Evaluation of Ultrasonography,Magnetic Resonance Imaging and Serum CA125 in Diagnosis of Adenomyosis[J].Medical Information,2018,31(11):154.[doi:10.3969/j.issn.1006-1959.2018.11.050]
[3]王文平,吕小勇.常规超声对乳腺X线单纯微钙化病灶的诊断价值[J].医学信息,2018,31(12):6.[doi:10.3969/j.issn.1006-1959.2018.12.002]
 WANG Wen-ping,LV Xiao-yong.Diagnostic Value of Conventional Ultrasound for Breast X Ray Simple Microcalcification Lesions[J].Medical Information,2018,31(11):6.[doi:10.3969/j.issn.1006-1959.2018.12.002]
[4]夏 斌,陈 剑.甲状腺影像报告和数据系统的发展及临床应用[J].医学信息,2018,31(12):43.[doi:10.3969/j.issn.1006-1959.2018.12.014]
 XIA Bin,CHEN Jian.Development and Clinical Application of Thyroid Imaging Reporting and Data System[J].Medical Information,2018,31(11):43.[doi:10.3969/j.issn.1006-1959.2018.12.014]
[5]刘雪静,路 红,徐熠琳,等.乳腺影像与容积导航技术初步应用的临床分析[J].医学信息,2022,35(11):161.[doi:10.3969/j.issn.1006-1959.2022.11.043]
 LIU Xue-jing,LU Hong,XU Yi-lin,et al.Clinical Analysis of the Preliminary Application of Breast Imaging and Volume Navigation Technology[J].Medical Information,2022,35(11):161.[doi:10.3969/j.issn.1006-1959.2022.11.043]
[6]张 玉,唐 静,董虹美.超声检测早孕期卵黄囊的临床意义[J].医学信息,2018,31(18):22.[doi:10.3969/j.issn.1006-1959.2018.18.009]
 ZHANG Yu,TANG Jing,Dong Hong-mei.Clinical Significance of Detecting Yolk Sac in Early Pregnancy by Ultrasonography[J].Medical Information,2018,31(11):22.[doi:10.3969/j.issn.1006-1959.2018.18.009]
[7]尹淑红,王淑云.乳腺纤维腺病的超声分析[J].医学信息,2018,31(18):157.[doi:10.3969/j.issn.1006-1959.2018.18.051]
 YIN Shu-hong,WANG Shu-yun.Ultrasound Analysis of Fibroadenosis of Breast[J].Medical Information,2018,31(11):157.[doi:10.3969/j.issn.1006-1959.2018.18.051]
[8]楼浩男,张 矛,刘 洪.超声引导下泡沫硬化治疗小隐静脉曲张的临床疗效分析[J].医学信息,2018,31(18):182.[doi:10.3969/j.issn.1006-1959.2018.18.060]
 LOU Hao-nan,ZHANG Mao,LIU Hong.Clinical Analysis of Ultrasound-guided Foam Sclerotherapy for Small Saphenous Vein[J].Medical Information,2018,31(11):182.[doi:10.3969/j.issn.1006-1959.2018.18.060]
[9]龚英姿,吴建华.乳腺超声检查中BI-RADS分级诊断标准对乳腺原位癌的诊断价值[J].医学信息,2018,31(19):161.[doi:10.3969/j.issn.1006-1959.2018.19.050]
 GONG Ying-zi,WU Jian-hua.Diagnostic Value of BI-RADS Grading Diagnostic Criteria for Breast Carcinoma in Situ in Breast Ultrasound[J].Medical Information,2018,31(11):161.[doi:10.3969/j.issn.1006-1959.2018.19.050]
[10]欧德福.超声评价老年心血管病患者颈动脉粥样硬化的价值[J].医学信息,2018,31(23):158.[doi:10.3969/j.issn.1006-1959.2018.23.046]
 Ou De-fu.Cardiovascular Disease[J].Medical Information,2018,31(11):158.[doi:10.3969/j.issn.1006-1959.2018.23.046]
[11]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.[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].Medical Information,2023,36(11):161.[doi:10.3969/j.issn.1006-1959.2023.10.036]

更新日期/Last Update: 1900-01-01