CAJ | 학술논문

目的：对比研究自动乳腺全容积扫描(ABVS)三个不同切面对观察乳腺良恶性肿块边缘特征的应用价值。方法选取病理证实的208例女性患者,共237个(良性120个,恶性117个)乳腺肿块,比较 ABVS 三个切面上肿块边缘特征的检出率,通过 ROC 曲线评价三个切面上肿块边缘特征对诊断乳腺良恶性肿块的价值。结果矢状面对恶性肿块边缘成角的检出率(41.9%)大于冠状面(22.2%)和横切面(26.5%),差异有统计学意义(P =0.001,0.013)；冠状面对恶性肿块边缘毛刺的检出率(42.7%)大于矢状面(11.1%)和横切面(17.1%),差异有统计学意义(P <0.001)。三个切面对良性肿块所有边缘特征检出率的两两比较,差异均无统计学意义(P >0.05)。边缘成角在矢状面上的 ROC 曲线下面积(0.693)大于冠状面(0.607)及横切面(0.624)；边缘毛刺在冠状面上的曲线下面积(0.697)大于矢状面(0.551)及横切面(0.573)；边缘模糊在横切面上的曲线下面积(0.606)大于冠状面(0.552)及矢状面(0.552)；边缘细分叶在横切面上的曲线下面积(0.825)大于冠状面(0.778)及矢状面(0.817)。结论 ABVS 三个不同切面对观察肿块边缘特征各有优势。
목적：대비연구자동유선전용적소묘(ABVS)삼개불동절면대관찰유선량악성종괴변연특정적응용개치。방법선취병리증실적208례녀성환자,공237개(량성120개,악성117개)유선종괴,비교 ABVS 삼개절면상종괴변연특정적검출솔,통과 ROC 곡선평개삼개절면상종괴변연특정대진단유선량악성종괴적개치。결과시상면대악성종괴변연성각적검출솔(41.9%)대우관상면(22.2%)화횡절면(26.5%),차이유통계학의의(P =0.001,0.013)；관상면대악성종괴변연모자적검출솔(42.7%)대우시상면(11.1%)화횡절면(17.1%),차이유통계학의의(P <0.001)。삼개절면대량성종괴소유변연특정검출솔적량량비교,차이균무통계학의의(P >0.05)。변연성각재시상면상적 ROC 곡선하면적(0.693)대우관상면(0.607)급횡절면(0.624)；변연모자재관상면상적곡선하면적(0.697)대우시상면(0.551)급횡절면(0.573)；변연모호재횡절면상적곡선하면적(0.606)대우관상면(0.552)급시상면(0.552)；변연세분협재횡절면상적곡선하면적(0.825)대우관상면(0.778)급시상면(0.817)。결론 ABVS 삼개불동절면대관찰종괴변연특정각유우세。
Objective To compare the application value of three different planes obtained by automated breast volume scanner for the observation of margin characteristics of breast masses.Methods Two hundred and eight women patients with 237 masses (120 benign and 1 1 7 malignant,confirmed by pathology)were included in this study.The detection rates of mass margin characteristics in three different planes were compared.The diagnostic performance of mass margin characteristics in differentiating benign and malignant breast masses in three different planes was compared by area under the ROC curve (AUC). Results The detection rate of angular margins for malignant masses in sagittal planes(41 .9%)was higher than that in coronal planes(22.2%)and axial planes(26.5%)with statistical difference (P =0.001 ,0.013);the detection rate of spiculated margins for malignant masses in coronal planes(42.7%)was higher than that in sagittal planes (1 1 .1 %)and axial planes (1 7.1 %)with statistical difference (both P < 0.001 ).No significant difference was found between any two of the three planes in the detection rates of margin characteristics for benign masses.The AUC of angular margins in sagittal planes (0.693)was higher than that in coronal planes (0.607)and axial planes (0.624);the AUC of spiculated margins in coronal planes (0.697)was higher than that in sagittal planes (0.55 1 )and axial planes (0.573 );the AUC of indistinct margins in axial planes(0.606)was higher than that in coronal planes (0.552)and sagittal planes (0.552);the AUC of microlobulated margins in axial planes (0.825)was higher than that in coronal planes (0.778) and sagittal planes (0.81 7).Conclusions Three different planes of ABVS have their own advantages for the observation of margin characteristics of breast masses.