CAJ | 학술논문

目的：评价自动乳腺全容积成像技术（ABVS）测量乳腺肿块大小的准确性。方法选取2012年2月至2014年12月在温州大学附属东阳市人民医院行常规超声及ABVS检查，并经乳腺外科手术获得最终病理诊断的59例患者62个乳腺肿块，比较分析常规超声，ABVS检查及病理检查结果。结果62个乳腺肿块中恶性肿块21个，良性肿块41个。ABVS测量良性与恶性肿块大小，测量值与病理测量值比较，差异均无统计学意义（Z=1.761、0.262，P =0.078、0.794）。常规超声测量良性肿块大小，测量值与病理测量值比较，差异无统计学意义（Z=1.935， P =0.053）；但常规超声对恶性肿块的测量值明显小于病理测量值，差异具有统计学意义（Z=3.743， P=0.000）。常规超声及ABVS对良性与恶性肿块的测量值均与术后病理测量值呈正相关（r=0.935、0.964，r=0.870、0.964），但ABVS的相关系数均高于常规超声的相关系数。结论 ABVS较常规超声可准确评估乳腺肿块的大小，尤其对乳腺恶性肿块的测量值更接近病理测量值。
목적：평개자동유선전용적성상기술（ABVS）측량유선종괴대소적준학성。방법선취2012년2월지2014년12월재온주대학부속동양시인민의원행상규초성급ABVS검사，병경유선외과수술획득최종병리진단적59례환자62개유선종괴，비교분석상규초성，ABVS검사급병리검사결과。결과62개유선종괴중악성종괴21개，량성종괴41개。ABVS측량량성여악성종괴대소，측량치여병리측량치비교，차이균무통계학의의（Z=1.761、0.262，P =0.078、0.794）。상규초성측량량성종괴대소，측량치여병리측량치비교，차이무통계학의의（Z=1.935， P =0.053）；단상규초성대악성종괴적측량치명현소우병리측량치，차이구유통계학의의（Z=3.743， P=0.000）。상규초성급ABVS대량성여악성종괴적측량치균여술후병리측량치정정상관（r=0.935、0.964，r=0.870、0.964），단ABVS적상관계수균고우상규초성적상관계수。결론 ABVS교상규초성가준학평고유선종괴적대소，우기대유선악성종괴적측량치경접근병리측량치。
ObjectiveTo investigate the accuracy of automated breast volume scanning (ABVS) for the measurement of breast tumor size.MethodsSixty-two breast tumors in 59 patients were included in this study and were examined using conventional ultrasound and ABVS to measure the maximal diameters of the tumors. And the measurement results were compared with the pathological maximal diameters.Results There were 21 malignant and 41 benign tumors according to histopathological evaluation. There were no signifi cant differences between the maximal diameters on ABVS and on pathological measurements for both benign tumors and malignant tumors (Z=1.761, 0.262,P=0.078, 0.794). However, for malignant tumors, the maximal diameters on conventional ultrasound were significantly smaller than those on pathological measurements (Z=3.743,P=0.000). For benign tumors, the maximal diameters on conventional ultrasound were similar with those on pathological measurements (Z=1.935,P=0.053). The measurement values of conventional ultrasound and ABVS were both positively correlated with those on pathological values (r=0.935, 0.964,r=0.870, 0.964). And the correlation coeffi cients between ABVS and pathological measurement values were higher than those between conventional ultrasound and pathological measurement values for both benign and malignant tumors. ConclusionABVS can assess the size of breast tumor more accurately than conventional ultrasound, especially for the malignant tumors.