摘要
目的：探讨超声自动乳腺容积扫描（ABVS）对乳腺肿块良恶性鉴别诊断的价值。方法：回顾性分析93例患者120个乳腺肿块术前ABVS影像学资料，并与其X线钼靶成像影像学资料进行对比研究，所有肿块均有术后病理结果。结果：ABVS与X线钼靶对乳腺肿块总病灶检出率分别为95%（114/120）、80%（96/120），两者间比较有统计学意义（P<0.05）；恶性肿块中两者检出分别为98.3%（58/59）、83.1%（49/59）（P＜0.05）；良性肿块中两者检出分别为91.8%（56/61）、77.0%（47/61）（P＜0.05）。对小病灶两者检出率分别为91.8%（67/73）、79.5%（58/73）（P＜0.05）；两者对小病灶恶性肿瘤检出率分别为91.4%（32/35）、80%（28/35）（P＜0.05）。ABVS冠状面“汇聚征”在恶性和良性肿块中出现率分别为89.7%（52/58）、3.6%（2/56）（P<0.01）；小病灶恶性和良性肿块的“汇聚征”的出现率分别为91.4%（32/35）、5.3%（2/38）（P<0.01）。结论：ABVS系统提供乳腺肿块全方位的影像学评估信息，较X线钼靶检查具有更高的病灶检出率及准确性，其“汇聚征”可作为鉴别肿块良恶性的特征性指标。
Abstract
Objective: To assess the value of automated breast volume scanner(ABVS) for the diagnosis of benign and malignant breast masses. Methods: ABVS images and molybdenum X-ray imaging information of 93 patients, 120 breast masses were analyzed retrospectively. All the masses had pathological findings after operations. Results: Compared total lesion detection rate, ABVS relevance ratio was 95%(114/120). Molybdenum X-ray relevance ratio was 80%(96/120), it had statistical significance(P<0.05). Compared relevance rate of malignant breast tumors, ABVS relevance ratio was 98.3%(58/59), molybdenum X-ray relevance ratio was 83.1%(49/59), it had statistical significance(P<0.05). Compared relevance rate of benign masses, ABVS relevance ratio was 91.8%(56/61), molybdenum X-ray relevance ratio was 77.0%(47/61), it had statistical significance(P<0.05). There were 35 malignant lesions less than 2 centimeter. ABVS examined 32 lesions, relevance ratio was 91.4%. Molybdenum X-ray examination found 28 lesions, relevance ratio was 80%, it had statistical significance(P<0.05). Occurrence rate of masses in the coronal section of ABVS presented with “crater” sign was 89.7%（52/58), whereas it was 3.6%（2/56) in molybdenum X-ray. The detection rate of malignant lesions of less than 2 centimeter presented with “crater” sign was 91.4%(32/35), whereas it was 5.3% in benign lesions. “Crater” sign are specific indicators for differentiation between malignant and benign breast tumors. Conclusion: ABVS system provides the omni-directional imaging breast masses of information. Compared with molybdenum X-ray, ABVS imaging system provides much more useful information on lesions with a higher detection rate and accuracy. The “crater” sign can serve as indicators of differential characteristics between malignant and benign masses.
关键词
乳腺肿瘤 /
乳腺疾病 /
超声检查 /
多普勒 /
彩色
Key words
Breast neoplasms /
Breast diseases /
Ultrasonography /
Doppler /
color /
Diagnosis /
differential
李 敏;蒋贤辉;马晓棠;涂美琳;王灵燕;徐子宁;张竹君.
自动容积扫描对乳腺肿块良恶性鉴别价值的应用探讨[J]. 中国临床医学影像杂志. 2013, 24(9): 622-625
LI Min;JIANG Xian-hui;MA Xiao-tang;TU Mei-lin;WANG Ling-yan;XU Zi-ning;ZHANG Zhu-jun.
Diagnostic value of automated breast volume scanner images on benign and malignant breast masses[J]. Journal of China Clinic Medical Imaging. 2013, 24(9): 622-625
中图分类号：
Ｒ737.9
R655.8：Ｒ445.1
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