摘要
目的:探讨乳腺超声BI-RADS 4类在乳腺癌患者良恶性鉴别中的应用价值。方法:回顾性分析2023年1月—10月在盐城市妇幼保健院治疗的50例乳腺影像报告和数据系统(BI-RADS)4类乳腺结节患者的临床资料,均实施乳腺超声检查,以病理检查结果为金标准,分析乳腺超声对乳腺结节良恶性的诊断效能,对比良恶性结节的超声征象。结果:病理结果显示,恶性14例,良性36例;乳腺超声检查显示,恶性15例,良性35例,乳腺超声检查的灵敏度为85.71%、特异度为91.67%、准确率为90.00%,Kappa值=0.849,与病理检查结果一致性良好;恶性结节与良性结节在年龄、单发或多发、内部回声、后方回声方面差异无统计学意义(P>0.05),但恶性结节直径大于良性结节,且形态、边缘、高回声声晕、微钙化、汇聚征、弹性评分、血流分布等与良性结节相比差异有统计学意义(P<0.05)。结论:乳腺超声BI-RADS 4类在乳腺良恶性鉴别中的应用效果显著,良恶性病灶具有不同的超声影像特征,能提高对乳腺癌的诊断效能。
Objective To investigate the application value of BI-RADS 4 ultrasound in the differentiation of benign and malignant breast cancer patients.Methods Clinical data of 50 patients with Breast Imaging Reporting and Data System(BI-RADS)4 of breast nodules treated in Yancheng Maternal and Child Health Hospital from January 2023 to October 2023 were retrospectively analyzed.All of them were subjected to breast ultrasound examination.The diagnostic efficacy of breast ultrasound on benign and malignant breast nodules was analyzed with pathological laboratory results as the gold standard.The ultrasound signs of benign and malignant nodules were compared.Results The pathological results showed that 14 cases were malignant and 36 cases were benign.Breast ultrasound showed that 15 cases were malignant and 35 cases were benign.The sensitivity,specificity and accuracy of breast ultrasound were 85.71%,91.67%and 90.00%,Kappa value=0.849,indicating a high degree of consistency with pathological examination results.There were no significant differences between malignant nodules and benign nodules in age,single or multiple occurrence,internal echo and rear echo(P>0.05),but the diameter of malignant nodules was larger than that of benign nodules,and there were significant differences between malignant nodules and benign nodules in shape,edge,high echo halo,microcalcification,convergence sign,elastic score and blood flow distribution(P<0.05).Conclusion The application of BI-RADS 4 in the differentiation of benign and malignant breast ultrasound is significant,showing the different image characteristics of benign and malignant lesions,and can improve the diagnostic efficiency of breast cancer.
作者
周彩虹
唐珊
ZHOU Caihong;TANG Shan(Department of Ultrasound,Yancheng Maternal and Child Health Hospital,Yancheng,Jiangsu 224002,China;Department of Ultrasound,Yancheng No.1 People's Hospital,Yancheng,Jiangsu 224006,China)
出处
《影像研究与医学应用》
2024年第3期29-31,34,共4页
Journal of Imaging Research and Medical Applications
