中华超声影像学杂志
中華超聲影像學雜誌
중화초성영상학잡지
Chinese Journal of Ultrasonography
2015年
10期
890-893
,共4页
朱巧英%周锋盛%周婉%陈俊%蒋骁%丁炎%吴鹏西
硃巧英%週鋒盛%週婉%陳俊%蔣驍%丁炎%吳鵬西
주교영%주봉성%주완%진준%장효%정염%오붕서
超声检查%微气泡%乳腺肿瘤%BI-RADS-US
超聲檢查%微氣泡%乳腺腫瘤%BI-RADS-US
초성검사%미기포%유선종류%BI-RADS-US
Ultrasonography%Microbubbles%Breast neoplasms%BI-RADS-US
目的 探讨超声造影(CEUS)对超声乳腺影像和数据报告系统(BI-RADS-US)4类病灶的鉴别诊断价值.方法 对123个BI-RADS-US 4类病灶行CEUS检查,依据病灶CEUS特征分别纳入5个恶性及良性指标,具备其中任意两项分别判为恶性或良性,以病理结果为金标准计算CEUS对BI-RADS 4类病灶的诊断效能.结果 123个BI-RADS-US 4类病灶CEUS提示恶性75个,良性48个;病理结果证实恶性72个,良性51个.4A类恶性占比16.2%,4B类恶性占比58.5%,4C恶性占比93.3%.CEUS诊断BI-RADS-US 4类病灶准确率、敏感性、特异性、阳性预测值及阴性预测值分别为92.7%、95.8%、88.2%、92.0%、93.7%.CEUS呈假阳性病灶在临床上是需要外科治疗的病灶,如间质生长活跃的纤维瘤、导管内乳头状瘤以及肉芽肿性乳腺炎等.结论 对于CEUS提示恶性的BI-RADS-US4类病灶可视为BI-RADIUS5类病灶,直接手术治疗,无需进行穿刺活检,CEUS提示良性的BI-RADS-US 4类病灶建议密切随访或穿刺活检.
目的 探討超聲造影(CEUS)對超聲乳腺影像和數據報告繫統(BI-RADS-US)4類病竈的鑒彆診斷價值.方法 對123箇BI-RADS-US 4類病竈行CEUS檢查,依據病竈CEUS特徵分彆納入5箇噁性及良性指標,具備其中任意兩項分彆判為噁性或良性,以病理結果為金標準計算CEUS對BI-RADS 4類病竈的診斷效能.結果 123箇BI-RADS-US 4類病竈CEUS提示噁性75箇,良性48箇;病理結果證實噁性72箇,良性51箇.4A類噁性佔比16.2%,4B類噁性佔比58.5%,4C噁性佔比93.3%.CEUS診斷BI-RADS-US 4類病竈準確率、敏感性、特異性、暘性預測值及陰性預測值分彆為92.7%、95.8%、88.2%、92.0%、93.7%.CEUS呈假暘性病竈在臨床上是需要外科治療的病竈,如間質生長活躍的纖維瘤、導管內乳頭狀瘤以及肉芽腫性乳腺炎等.結論 對于CEUS提示噁性的BI-RADS-US4類病竈可視為BI-RADIUS5類病竈,直接手術治療,無需進行穿刺活檢,CEUS提示良性的BI-RADS-US 4類病竈建議密切隨訪或穿刺活檢.
목적 탐토초성조영(CEUS)대초성유선영상화수거보고계통(BI-RADS-US)4류병조적감별진단개치.방법 대123개BI-RADS-US 4류병조행CEUS검사,의거병조CEUS특정분별납입5개악성급량성지표,구비기중임의량항분별판위악성혹량성,이병리결과위금표준계산CEUS대BI-RADS 4류병조적진단효능.결과 123개BI-RADS-US 4류병조CEUS제시악성75개,량성48개;병리결과증실악성72개,량성51개.4A류악성점비16.2%,4B류악성점비58.5%,4C악성점비93.3%.CEUS진단BI-RADS-US 4류병조준학솔、민감성、특이성、양성예측치급음성예측치분별위92.7%、95.8%、88.2%、92.0%、93.7%.CEUS정가양성병조재림상상시수요외과치료적병조,여간질생장활약적섬유류、도관내유두상류이급육아종성유선염등.결론 대우CEUS제시악성적BI-RADS-US4류병조가시위BI-RADIUS5류병조,직접수술치료,무수진행천자활검,CEUS제시량성적BI-RADS-US 4류병조건의밀절수방혹천자활검.
Objective To assess the value of contrast-enhanced ultrasound (CEUS) in differential diagnosis of BI-RADS-US 4 breast lesions.Methods A total of 123 lesions underwent CEUS.The CEUS features of lesions were categorized into 5 malignant or benign indexes respectively,lesions displaying any two of the five features were diagnosed as malignant or benign.The diagnostic effect of CEUS for BI-RADS-US 4 lesion was analyzed according to the pathological results as the gold standard.Results CEUS of the 123 BI-RADS-US 4 breast lesions indicated that 75 lesions were malignant while 48 were benign.Pathological results confirmed that there were 72 malignant lesions and 51 benign.The proportions of malignant lesions in 4A category,4B category and 4C category were 16.2 %,58.5 % and 93.3 % respectively.The accuracy,sensitivity,specificity,positive predictive value,and negative and positive predictive value of CEUS for the diagnosis of BI-RADS-US 4 lesions were calculated as 92.7%,95.8%,88.2%,92.0% and 93.7 % respectively.Lesions showing false positive in CEUS mainly needed surgical treatment,such as fibroma with active growth mesen-chyme,intraductal papilloma and granulomatous mastitts.Conclusions Surgical treatment rather than aspiration biopsy are suggested for those diagnosed being malignant in CEUS of the BI-RADS-US-4 lesions,as they can be treated as BI-RADS5 lesions.Short-term visit or aspiration biopsy are suggested for BI-RADS-US-4 lesions diagnosed being benign in CEUS.