张亦青,徐 栋,汪琴娟.乳腺超声BI-RADS评分系统结合超声造影对乳腺肿块良恶性判断的价值[J].肿瘤学杂志,2014,20(2):148-151.
乳腺超声BI-RADS评分系统结合超声造影对乳腺肿块良恶性判断的价值
Value of BI-RADS Combined with Contrast-Enhanced Ultrasound on the Diagnosis of Breast Benign and Malignant Lesions
投稿时间:2013-06-07  
DOI:10.11735/j.issn.1671-170X.2014.02.B015
中文关键词:  BI-RADS  超声造影  乳腺肿块
英文关键词:breast imaging reporting and data system  contrast-enhanced ultrasound  breast lesion
基金项目:杭州市科技发展计划(20110833B45)
作者单位
张亦青 浙江萧山医院 
徐 栋 浙江萧山医院 
汪琴娟 浙江萧山医院 
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中文摘要:
      摘 要:[目的] 评价超声乳腺影像学报告及数据系统(BI-RADS)诊断标准结合超声造影(CEUS)诊断乳腺肿块良恶性的价值。[方法] 对120例患者共122个实性肿块行常规超声检查,按照BI-RADS评分标准进行分级诊断,然后行超声造影(CEUS)并做出诊断。比较BI-RADS分级、CEUS、BI-RADS分级+CEUS三种方法诊断的差异。[结果] BI-RADS分级诊断与CEUS诊断组间比较,其灵敏度、特异性、准确率无统计学差异(P>0.05),BI-RADS分级+CEUS诊断与单独CEUS诊断比较其灵敏度、特异性、准确率亦无统计学差异(P>0.05)。BI-RADS分级+CEUS诊断与单独BI-RADS分级诊断比较,其特异性、准确率差异有统计学意义(P均<0.05)。[结论] BI-RADS分级诊断与CEUS结合可以提高超声对乳腺肿瘤的诊断效率。
英文摘要:
      Abstract:[Purpose] To investigate the value of breast imaging reporting and data system(BI-RADS) combined with contrast-enhanced ultrasound(CEUS) on the diagnosis of breast benign and malignant lesions.[Methods] A total of 122 masses in 120 patients solid tumors were examined by ultrasonography,and diagonosed by the BI-RADS rating criteria and CEUS respectively. The diagnostic results of BI-RADS rating criteria,CEUS and BI-RADS rating criteria combined with CEUS based on pathologic diagnosis were compared.[Results] There was no statistical difference between BI-RADS grading and CEUS in the diagnostic sensitivity,specificity and accuracy(P>0.05),neither between BI-RADS rating criteria combined with CEUS and CEUS(P>0.05). There were significant statistical differences between the BI-RADS rating criteria combined with CEUS and BI-RADS rating criteria in the diagnostic specificity and accuracy(P<0.05).[Conclusion] BI-RADS grading diagnosis standard combined with CEUS can improve the ultrasonic diagnosis efficiency for breast tumors.
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