Diagnostic value of automated breast volume scanning and hand-hold ultrasound for BI-RADS category 4 breast lesions

MIN Xian; SHI Mingli; SHI Liqun; HUANG Lu; WANG Meichen

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Diagnostic value of automated breast volume scanning and hand-hold ultrasound for BI-RADS category 4 breast lesions

更新时间：2026-06-18

- Diagnostic value of automated breast volume scanning and hand-hold ultrasound for BI-RADS category 4 breast lesions
- Vol. 27, Issue 2, Pages: 114-117(2018)
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- Online First：16 May 2018，
  
  Published：16 May 2018
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闵贤,师明莉,史丽群,等. 自动乳腺全容积成像与手持超声对钼靶BI-RADS 4类乳腺肿块的对比研究[J]. 肿瘤影像学, 2018, 27(2): 114-117
DOI：

闵贤,师明莉,史丽群,等. 自动乳腺全容积成像与手持超声对钼靶BI-RADS 4类乳腺肿块的对比研究[J]. 肿瘤影像学, 2018, 27(2): 114-117 DOI：

摘要

目的：

对比研究自动乳腺全容积成像（automated breast volume scanning，ABVS）与手持超声（hand-held ultrasound，HHUS）对钼靶判定为乳腺影像报告和数据系统（Breast Imaging Reporting and Data System，BI-RADS）4类乳腺肿块的诊断效能。

方法：

对钼靶判定为BI-RADS 4类的64例患者的乳腺进行ABVS和HHUS检查，比较两种方法对乳腺肿块检出数目的一致性。将判定为BI-RADS-US 2~4A类归为良性病灶，BI-RADS-US 4B~5类归为恶性病灶，以病理学检查结果为金标准，对比两种超声方法诊断钼靶BI-RADS 4类乳腺肿块的效能。

结果：

64例患者中，ABVS检出病灶89个，HHUS检出病灶81个。两种方法共同检出病灶74个，病灶检出数目有极强的一致性（=0.842）。ABVS诊断钼靶BI-RADS 4类乳腺肿块的灵敏度、特异度、准确率、阳性预测值和阴性预测值分别为93.33%、90.25%、91.55%、87.53%和95.87%，而HHUS的上述结果分别为84.33%、85.35%、87.95%、81.17%和89.16%，两组间差异无统计学意义（

均0.05）。两者的受试者工作特征（receiver operating characteristic，ROC）曲线的曲线下面积分别为0.82和0.80，差异无统计学意义（

0.05）。

结论：

ABVS与HHUS对钼靶BI-RADS 4类乳腺肿块的检测和诊断一致性极高，诊断效能相近。

Abstract

Objective:

To compare the diagnostic efficacy of automated breast volume scanning (ABVS) with hand-held ultrasound (HHUS) in breast lesions of Breast Imaging Reporting and Data System category 4 proved by mammography.

Methods:

ABVS and HHUS were performed in 64 patients with breast lesions of BIRADS category 4 proved by mammography. The consisten

cy of the number of breast lesions detected by the two methods was investigated. BI-RADS-US categories 4B to 5 were classified as malignant

and categories 2 to 4A as benign. The pathological results were taken as gold standard.

Results:

Among 64 patients

89 lesions were detected by ABVS and 81 lesions by HHUS. There were 74 lesions detected by both methods. There was a strong consistency between the two methods (=0.842). The sensitivity

specificity

accuracy

positive predictive value and negative predictive value of ABVS in diagnosing breast tumor of BI-RADS category 4 were 93.33%

90.25%

91.55%

87.53% and 95.87%

respectively

while those of HHUS were 84.33%

85.35%

87.95 %

81.17%

89.16%

respectively. There was no significant difference between the two groups in the diagnostic efficiency (

0.05). The area under the receiver operating characteristic (ROC) curve was 0.82 and 0.80

respectively

with no significant difference (

0.05).

Conclusion:

ABVS and HHUS are highly consistent and have similar efficacy in the detection and diagnosis of breast lesions of BI-RADS category 4.

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