Diagnostic value of superb microvascular imaging combined with virtual touch tissue quantification in differentiating breast malignancy

ZHU Yicheng; ZHANG Yuan; DENG Shuhao; JIANG Quan

doi:10.19732/j.cnki.2096-6210.2019.03.005

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Diagnostic value of superb microvascular imaging combined with virtual touch tissue quantification in differentiating breast malignancy

更新时间：2025-12-15

- Diagnostic value of superb microvascular imaging combined with virtual touch tissue quantification in differentiating breast malignancy
- Vol. 28, Issue 3, Pages: 149-155(2019)
- 作者机构：
- 作者简介：
- 基金信息：
- DOI：10.19732/j.cnki.2096-6210.2019.03.005
  CLC：
- Published Online：19 July 2019，
  
  Published：19 July 2019
- 稿件说明：
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朱一成,张渊,邓舒昊,等. 联合应用超微血流成像与声触诊组织量化技术诊断乳腺肿瘤的价值[J]. 肿瘤影像学, 2019, 28(3): 149-155 https://doi.

org/10.19732/j.cnki.2096-6210.2019.03.005
朱一成,张渊,邓舒昊,等. 联合应用超微血流成像与声触诊组织量化技术诊断乳腺肿瘤的价值[J]. 肿瘤影像学, 2019, 28(3): 149-155 https://doi. DOI： 10.19732/j.cnki.2096-6210.2019.03.005.

org/10.19732/j.cnki.2096-6210.2019.03.005 DOI：

摘要

目的：

研究超微血流成像（superb microvascular imaging，SMI）和声触诊组织量化技术（virtual touch tissue quantification，VTQ）鉴别良恶性乳腺病变的临床价值。

方法：

选取上海健康医学院附属浦东新区人民医院2016年6月2017年12月期间因乳腺肿块收治的134例女性患者，共计136个乳腺病变，所有病变均行二维超声、彩色多普勒血流显像（color Doppler flow imaging，CDFI）、SMI及VTQ检查。以病理学检查结果为金标准，构建受试者工作特征（receiver operating characteristic，ROC）曲线，比较超声、超声+VTQ、超声+SMI及超声+VTQ+SMI鉴别诊断良恶性乳腺病变的价值。

结果：

136个乳腺病灶中，良性病灶82个，恶性病灶54个。比较4种方法，超声+VTQ+SMI诊断乳腺恶性病灶的灵敏度、特异度和准确率最高，分别为88.89%（48/54）、90.24%（74/82）和89.71%（122/136），即联合诊断的效率最高（

＜0.05）。

结论：

在常规超声检查的基础上，SMI联合VTQ鉴别诊断乳腺良恶性病灶的灵敏度和准确率最高，是较为可靠的检查方法。

Abstract

Objective:

To explore the diagnostic value of superb microvascular imaging (SMI) combined with virtual touch tissue quantification (VTQ) in differentiating malignant from benign breast lesions.

Methods:

A total of 134 patients with 136 breast lesions in Pudong New Area People's Hospital Affiliated to Shanghai University of Medicine and Health Sciences from Jun. 2016 to Dec. 2017 were enrolle

d. All lesions underwent convenient ultrasound (US)

color Doppler flow imaging (CDFI)

SMI and VTQ examinations. The receiver operating characteristic (ROC) curve was established with histopathological results as gold standard to further assess the diagnostic performances of US

US+VTQ

US+SMI

and US+VTQ+SMI.

Results:

The 136 pathologically proven breast masses included 82 benign and 54 malignant lesions. The sensitivity (88.89%

48/54)

specificity (90.24%

74/82) and accuracy (89.71%

122/136) of US+VTQ+SMI were the highest compared with other three methods. SMI combined with VTQ presented better diagnostic performance (

＜0.05).

Conclusion:

The combined modality of SMI and VTQ presents the best sensitivity

specificity and accuracy

with a better diagnostic value in differentiating malignant breast neoplasms.

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