CAJ | 학술논문

目的：探讨自动乳腺全容积成像（ABVS）系统检查在鉴别乳腺良恶性肿瘤中的临床价值。方法使用西门子Acuson S2000的ABVS系统扫查84例乳腺肿瘤患者的双侧乳腺，获取双侧乳腺横切面图像上的基本数据，系统自动进行三维数据重建，然后获得乳腺冠状面和矢状面图像。与常规二维超声检查相对比，并与术后或穿刺病理结果相对照，评价ABVS系统对乳腺良恶性肿瘤的鉴别诊断价值。结果ABVS系统诊断的灵敏度为90%，特异度为90%，准确度为90%；常规超声诊断的灵敏度为70%，特异度为90%，准确度为81%。结论 ABVS系统作为一种新的超声检查途径，提高了超声对乳腺良恶性肿瘤鉴别诊断的准确度，为临床提供更加准确、完整的诊断信息。
목적：탐토자동유선전용적성상（ABVS）계통검사재감별유선량악성종류중적림상개치。방법사용서문자Acuson S2000적ABVS계통소사84례유선종류환자적쌍측유선，획취쌍측유선횡절면도상상적기본수거，계통자동진행삼유수거중건，연후획득유선관상면화시상면도상。여상규이유초성검사상대비，병여술후혹천자병리결과상대조，평개ABVS계통대유선량악성종류적감별진단개치。결과ABVS계통진단적령민도위90%，특이도위90%，준학도위90%；상규초성진단적령민도위70%，특이도위90%，준학도위81%。결론 ABVS계통작위일충신적초성검사도경，제고료초성대유선량악성종류감별진단적준학도，위림상제공경가준학、완정적진단신식。
Objective To explore the clinical value of automate breast volume scanning (ABVS) in differential diagnosis of benign and malignant breast tumors. Methods Eighty-four patients were scanned with Acuson S2000 ABVS system. The scanning data was stored and automatically reconstructed , including sagittal and coronal image. At the same time all the patients accepted conventional ultrasound scanning. The results were compared with post-operative pathological results in order to evaluate the differential diagnosis value in detection of benign and malignant breast tumor. Results By the diagnosis of ABVS system, the sensitivity was 90%, the specificity was 90%, and the accuracy was 90%. In the conventional ultrasound scanning group, the sensitivity was 70%, the specificity was 90%, and the accuracy was 81%. Conclusion As a new approach for breast imaging, ABVS system can improve the accuracy in differentiating benign and malignant breast tumors, providing more information for the planning of surgical interventions.