CAJ | 학술논문

目的：：探讨弹性应变比值联合超声乳腺影像报告和数据系统( BI-RADS)在乳腺小肿块定性诊断中的应用价值。方法：以常规超声诊断为BI-RADS 2~4级实性乳腺肿块120个为研究对象,在弹性成像模式下对所有肿块进行弹性应变比值检测,综合2种方法作出定性诊断,并与病理诊断对照分析。结果：120个乳腺肿块病理诊断结果均为良性,其中纤维腺瘤79个,乳腺腺病39个,导管内乳头状瘤1个,脂肪坏死1个。 BI-RADS分级情况：2级4个,3级76个,4级40个。120个乳腺肿块弹性应变比值为0.43~3.04,平均应变比值1.78±1.30。联合应用BI-RADS评分和弹性应变比值法诊断120个乳腺肿块均为良性,诊断符合率100%。结论：超声弹性成像联合BI-RADS能够提高对乳腺小肿块的定性诊断价值,可为微创旋切选择合适的病例。
목적：：탐토탄성응변비치연합초성유선영상보고화수거계통( BI-RADS)재유선소종괴정성진단중적응용개치。방법：이상규초성진단위BI-RADS 2~4급실성유선종괴120개위연구대상,재탄성성상모식하대소유종괴진행탄성응변비치검측,종합2충방법작출정성진단,병여병리진단대조분석。결과：120개유선종괴병리진단결과균위량성,기중섬유선류79개,유선선병39개,도관내유두상류1개,지방배사1개。 BI-RADS분급정황：2급4개,3급76개,4급40개。120개유선종괴탄성응변비치위0.43~3.04,평균응변비치1.78±1.30。연합응용BI-RADS평분화탄성응변비치법진단120개유선종괴균위량성,진단부합솔100%。결론：초성탄성성상연합BI-RADS능구제고대유선소종괴적정성진단개치,가위미창선절선택합괄적병례。
Objective:To evaluate the diagnostic value of elastography strain ratio combined with breast imaging repaoting and data system( BI-RADS) in the nature of breast small mass. Methods:The elastography strain ratios of 120 cases with BI-RADS grade 2 to 4 solid mammary masses diagnosed by ultrasound were detected. The nature of breast small masses were identified using the combined two methods,which was compared with the pathological result. Results:All breast masses were benign, which included 79 cases of fibroadenoma,39 cases of adenosis,1 case of intraductal papillomas and 1 case of fat necrosis. The grade 2 in 4 cases, grade 3 in 76 cases and grade 4 in 40 cases were identified by BI-RADS grade. The minimum,maximum and average? elastography strain ratio in 120 cases were 0. 43 to 3. 04 and(1. 78 ± 1. 30),respectively. The 120 benign breast masses were diagnosed by the elastography strain ratio combined with BI-RADS,the diagnostic accordance rate of which was 100%. Conclusions:The elastography strain ratio combined with BI-RADS can improve the qualitative diagnosis of small breast mass,which can provide the appropriate case for mammotome.