The diagnostic value of CEUS combined with 2DUS in the diagnosis of differentiating benign and malignant breast lesions&nbsp;

ZHANG Shen; LIU Yunyun; ZHANG Yifeng; XU Huixiong

doi:10.19732/j.cnki.2096-6210.2024.01.010

您当前的位置：

首页 >

文章列表页 >

The diagnostic value of CEUS combined with 2DUS in the diagnosis of differentiating benign and malignant breast lesions

更新时间：2025-12-15

- The diagnostic value of CEUS combined with 2DUS in the diagnosis of differentiating benign and malignant breast lesions
- Vol. 33, Issue 1, Pages: 69-74(2024)
- 作者机构：
  
  1. 南京医科大学上海十院临床医学院,上海,200072
  2. 同济大学附属第十人民医院超声科,上海,200072
- 作者简介：
- 基金信息：
- DOI：10.19732/j.cnki.2096-6210.2024.01.010
  CLC：
- Published Online：07 March 2024，
  
  Published：07 March 2024
- 稿件说明：
移动端阅览
张　绅,刘云云,张一峰,徐辉雄. CEUS联合2DUS对乳腺良恶性病变的诊断价值肿瘤影像学, 2024, 33(1): 69-74 https://doi.

org/10.19732/j.cnki.2096-6210.2024.01.010
张　绅,刘云云,张一峰,徐辉雄. CEUS联合2DUS对乳腺良恶性病变的诊断价值肿瘤影像学, 2024, 33(1): 69-74 https://doi. DOI： 10.19732/j.cnki.2096-6210.2024.01.010.

org/10.19732/j.cnki.2096-6210.2024.01.010 DOI：

摘要

目的：

以病理学检查为“金标准”，探讨超声造影（contrast-enhanced ultrasound，CEUS）联合二维超声（2D ultrasound，2DUS）对乳腺良恶性病变的鉴别诊断价值。

方法：

收集2018年2月—2023年8月于同济大学附属第十人民医院行乳腺2DUS及CEUS检查并经病理学检查确诊的1 299例女性乳腺病变患者。患者进行2DUS乳腺影像报告和数据系统（Breast Imaging Reporting and Data System，BI-RADS）分类和CEUS联合2DUS检查，对比分析乳腺良恶性病变的CEUS特征，以及两种检查方式下的灵敏度、特异度、准确度、阳性预测值和阴性预测值。

结果：

根据病理学检查结果将1 299例患者分为良性病变组807例和恶性病变组492例，与2DUS BI-RADS分类检查相比较，CEUS联合2DUS检查的灵敏度（96.1%）及准确度（88.8%）均明显提高，并且针对BI-RADS 4类病变良恶性检出具有较高的灵敏度（95.9%）。

结论：

CEUS联合2DUS能够显著提高对乳腺良恶性病变的鉴别诊断效能，具有较高的诊断价值。

Abstract

Objective:

To assess the diagnostic accuracy of contrast-enhanced ultrasound (CEUS) in conjunction with 2D ultrasound (2DUS) in the diagnosis of the breast benign and malignant lesions

with pathological histological analysis serving as the gold standard.

Methods:

A total of 1 299 female breast lesions patients who underwent breast 2DUS and CEUS in Tenth People’s Hospital of Tongji University from February 2018 to August 2023

with pathological histological examinat

ion were included in this study

and patients underwent examination with 2DUS Breast Imaging Reporting and Data System (BI-RADS) and CEUS combined with 2DUS

and were compared and analyzed for the CEUS features of breast benign and malignant lesions as well as the sensitivity

specificity

accuracy

positive predictive value

and negative predictive value under the two examination modalities.

Results:

Based on the findings from pathological histological examinations

the 1 299 patients were distributed into two groups

with 807 cases falling under the benign lesion group and 492 cases classified as malignant lesions group. 2DUS BI- RADS and CEUS combined with 2DUS examination were performed respectively

the sensitivity (96.1%) and accuracy rate (88.8%) of CEUS combined with 2DUS examination was significantly higher than the 2DUS BI-RADS examination

which suggested that the diagnostic value of CEUS combined with 2DUS was higher

and it also had a high sensitivity (95.9%) for the detection of benign and malignant 4 types of BI-RADS lesions.

Conclusion:

CEUS combined with 2DUS can be used together in the differential diagnosis of breast benign and malignant lesions

and the combined detection of the two has a high diagnostic value and can improve the diagnostic accuracy.

关键词

Keywords

references

Views

390

下载量

CNKI被引量

Alert me when the article has been cited

提交

Tools

Publicity Resources

The clinical application value of the contrast-enhanced ultrasound scoring method in readjusting the BI-RADS category 4 assessment of the breast

The additional value of contrast-enhanced ultrasound and ultrasonic elastography for non-palpable BI-RADS category 4 breast lesions

A study of the diagnostic efficacy of multi-parametric ultrasonography in the mucinous breast carcinoma

The value of multimodal ultrasound in preoperative evaluation of sentinel lymph nodes of breast cancer

Association between the characteristics of conventional ultrasound combined with CEUS and the recurrence or metastasis of postoperative breast cancer

Related Author

Jun YIN

Jun XIN

Jiying GU

Xiao JIANG

Fang WANG

Yuqing ZHOU

ZHAO Lei

LI Fan

Related Institution

Department of Ultrasound, Shidong Hospital, Yangpu District, Shidong Hospital Affiliated to University of Shanghai for Science and Technology

Department of Ultrasound, Shanghai Fourth People’s Hospital

School of Health Science and Engineering, University of Shanghai for Science and Technology

Department of Ultrasound, Shanghai Chest Hospital, Shanghai Jiao Tong University School of Medicine

Department of Ultrasound, Shanghai General Hospital, Shanghai Jiao Tong University School of Medicine

AI问答

⁰