CAJ | 학술논문

目的评价MicroPure辅助诊断技术对钙化超声显示率及提高乳腺癌诊断准确率的应用价值.方法对我院63例患者的68个病灶行常规超声、X线钼靶及配有MicroPure辅助诊断技术的超声检查,分别描述病灶钙化及BI-RADS分级情况,全部病灶行穿刺活检或手术得以病理确诊.结果 ①以钼靶显示病灶钙化作为对照,常规超声的钙化显示率为80.6%,MicroPure技术的钙化显示率为100%.②常规超声、钼靶、MicroPure辅助诊断技术对诊断乳腺良恶性病灶的ROC曲线下面积分别为0.916、0.857和0.970.③常规超声BI-RADS分级为3级的3个病灶经MicroPure技术诊断为4级,病理结果为恶性.结论 MicroPure辅助诊断系统可以显著提高微小钙化的超声显示率,同时可以提高超声诊断乳腺癌的准确率,尤其对常规超声BI-RADS分级3～4级之间的患者,提高倾向性比率.
목적 평개MicroPure보조진단기술대개화초성현시솔급제고유선암진단준학솔적응용개치.방법 대아원63례환자적68개병조행상규초성、X선목파급배유MicroPure보조진단기술적초성검사,분별묘술병조개화급BI-RADS분급정황,전부병조행천자활검혹수술득이병리학진.결과 ①이목파현시병조개화작위대조,상규초성적개화현시솔위80.6%,MicroPure기술적개화현시솔위100%.②상규초성、목파、MicroPure보조진단기술대진단유선량악성병조적ROC곡선하면적분별위0.916、0.857화0.970.③상규초성BI-RADS분급위3급적3개병조경MicroPure기술진단위4급,병리결과위악성.결론 MicroPure보조진단계통가이현저제고미소개화적초성현시솔,동시가이제고초성진단유선암적준학솔,우기대상규초성BI-RADS분급3～4급지간적환자,제고경향성비솔.
Objective To evaluate the value of MicroPure software system in the display of calcification and diagnostic accuracy of breast carcinoma.Methods Sixty-three patients with 68 breast lesions were checked by conventional ultrasound,X-ray and MicroPure software technique.The calcification was described and the lesions were classified with BI-RADS.All cases were pathologically confirmed by biopsy or operation.Results ①Compared to the detection rate for calcification of X-ray,the display rate of conventional ultrasound was 80.6% ,and the display rate of MicroPure software technique was 100%.②The area under the curve of diagnosing benign and malignant of breast lesions was 0.916,0.857 and 0.970 respectively with ultrasound,X-ray and MicroPure software technique.③Three lesions was classified Ⅲ in BI-RADS with conventional ultrasound,and Ⅳ in BI-RADS with MicroPure software.The pathologic results were malignant.Conclusions MicroPure software system obviously raised the ultrasonic display rate of calcification,meanwhile,it raised the diagnostic accurate rate of breast cancer.It especially raised the tendency rate for the patients who were classified between Ⅲ and Ⅳ in BI-RADS.