The value of ultrasound BI-RADS classification combined with SWE in the diagnosis of benign and malignant breast tumors

LI Ya; TANG Sixin; ZHANG Heng

doi:10.19732/j.cnki.2096-6210.2020.04.010

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The value of ultrasound BI-RADS classification combined with SWE in the diagnosis of benign and malignant breast tumors

更新时间：2025-12-15

- The value of ultrasound BI-RADS classification combined with SWE in the diagnosis of benign and malignant breast tumors
- Vol. 29, Issue 4, Pages: 393-396(2020)
- 作者机构：
- 作者简介：
- 基金信息：
- DOI：10.19732/j.cnki.2096-6210.2020.04.010
  CLC：
- Published Online：28 August 2020，
  
  Published：28 August 2020
- 稿件说明：
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李娅,汤四新,张恒. 超声BI-RADS分级结合SWE技术在诊断乳腺良恶性病变中的价值[J]. 肿瘤影像学, 2020, 29(4): 393-396 https://doi.

org/10.19732/j.cnki.2096-6210.2020.04.010
李娅,汤四新,张恒. 超声BI-RADS分级结合SWE技术在诊断乳腺良恶性病变中的价值[J]. 肿瘤影像学, 2020, 29(4): 393-396 https://doi. DOI： 10.19732/j.cnki.2096-6210.2020.04.010.

org/10.19732/j.cnki.2096-6210.2020.04.010 DOI：

摘要

目的：

探讨超声乳腺影像报告和数据系统（Breast Imaging Reporting and Data System，BI-RADS）分级结合实时剪切波弹性成像（shear wave elastography，SWE）技术在诊断乳腺良恶性病变中的价值。

方法：

选取2017年8月2018年12月泰州市第四人民医院收治的105例乳腺疾病患者（共105个乳腺病灶），术前病灶行常规超声并进行BI-RADS分级；行SWE检查，测量剪切波速度，以病理学检查结果为金标准，二者结合分析对乳腺良恶性病变的诊断价值。

结果：

105例患者，共105个病灶，其中良性病灶67个，恶性病灶38个。依据常规超声BI-RADS标准进行分级，3类37例，4A类38例，4B类12例，4C类11例，5类7例，诊断灵敏度、特异度、准确率分别为78.4%、71.2%、76.1%。加入SWE指标后，调整BI-RADS分级，结果为3类32例，4A类30例，4B类15例，4C类18例，5类10例，诊断灵敏度、特异度、准确率分别为85.2%、91.3%、84.2%，差异有统计学意义（

＜0.05）。

结论：

超声BI-RADS分级结合SWE能够提高乳腺良恶性病变诊断的准确率。

Abstract

Objective:

The value of ultrasound Breast Imaging Reporting and Data System (BI-RADS) grading combined with real-time shear wave elastography (SWE) in the diagnosis of benign and malignant breast lesions.

Methods:

A total of 105 patients with breast diseases (105 breast lesions) admitted to The Fourth Peoples Hospital of Taizhou from Aug. 2017 to Dec. 2018 were selected. Preoperative lesions were graded by conventional ultraso

und BI-RADS. SWE examination was performed and shear wave velocity was measured. Pathological results were taken as the gold standard to evaluate the diagnostic significance of the combination of the two for benign and malignant breast lesions.

Results:

There were 105 patients with 105 lesions

of which 67 were benign lesions and 38 were malignant lesions. According to conventional ultrasound BI-RADS standards

37 cases were classified as 3 types

38 cases were classified as 4A

12 cases were classified as 4B

11 cases were classified as 4C

and 7 cases were classified as 5; the diagnostic sensitivity

specificity

and accuracy were 78.4%

71.2%

and 76.1%

respectively. After adding the SWE index

the BI-RADS classification was adjusted

and the results were 32 cases of type 3

30 cases of type 4A

15 cases of type 4B

18 cases of type 4C

and 10 cases of type 5; the diagnostic sensitivity

specificity

and accuracy were 85.2%

91.3%

84.2%

respectively. The difference was statistically significant (

＜0.05).

Conclusion:

BI-RADS classification combined with SWE can improve the accuracy of the diagnosis of benign and malignant breast lesions.

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