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1. 喀什地区第二人民医院超声医学科,新疆
2. ,乌鲁木齐
3. 复旦大学附属肿瘤医院超声科,复旦大学上海医学院肿瘤学系,上海
4. 新疆医科大学附属肿瘤医院超声科,新疆
网络出版:2021-06-28,
纸质出版:2021-06-28
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唐雪莲,常才,马富成,等. 超声造影在南疆高原及平原地区乳腺癌诊断中的应用价值研究[J]. 肿瘤影像学, 2021, 30(3): 168-173 https://doi.
org/10.19732/j.cnki.2096-6210.2021.03.005
唐雪莲,常才,马富成,等. 超声造影在南疆高原及平原地区乳腺癌诊断中的应用价值研究[J]. 肿瘤影像学, 2021, 30(3): 168-173 https://doi. DOI: 10.19732/j.cnki.2096-6210.2021.03.005.
org/10.19732/j.cnki.2096-6210.2021.03.005 DOI:
目的:
分析超声造影在南疆高原及平原地区乳腺癌诊断中的应用价值。
方法:
选取喀什地区第二人民医院自2018年9月2021年4月收治的100例疑似乳腺癌患者为研究对象,按照地区不同,分为试验组(高原地区)50例,对照组(平原地区)50例,收集两组患者的超声图像的特征性参数,以病理学检查结果为金标准,比较超声对不同地区乳腺癌的诊断准确度;比较不同地区乳腺癌超声造影参数的差异;采用受试者工作特征(receiver operating characteristic,ROC)曲线分析有统计学意义的参数的诊断效能。
结果:
以病理学检查结果为金标准,超声诊断试验组的准确度为83.87%(26/31),超声诊断对照组的准确度为88.87%(29/33),差异无统计学意义(
P
>0.05);两组患者在达峰时间、平均渡越时间和局部血流量等方面差异无统计学意义(
P
>0.05),试验组的峰值强度、弹性成像得分和局部血容量明显高于对照组(
P
<0.05);峰值强度、弹性成像得分和局部血容量在南疆高原地区乳腺癌诊断中的最佳截断值分别为45.52%、3.93分、2 170.15 mL,灵敏度分别为71.00%、71.00%、93.50%,特异度分别为63.20%、84.20%、63.20%,曲线下面积(area under curve,AUC)值分别为0.694、0.733和0.812;ROC曲线分析显示,峰值强度、弹性成像得分和局部血容量在平原地区乳腺癌诊断中的最佳截断值分别为35.25%、4.36分、1 619.40 mL,灵敏度分别为60.60%、69.70%、93.90%,特异度分别为88.20%、94.10%、64.70%,AUC值分别为0.738、0.818和0.879。
结论:
超声造影对南疆高原及平原地区乳腺癌患者均具有良好的诊断参考价值,但两者在峰值强度、弹性成像得分和局部血容量等参数上有所差异,临床医师在应用超声影像分析乳腺结节时,还需考虑地区因素。
Objective:
To analyze the value of contrast-enhanced ultrasound in the diagnosis of breast cancer in souther
n Xinjiang plateau and plain areas.
Methods:
A total of 100 suspected breast cancer patients in Second People's Hospital of Kashi Prefecture from September 2018 to April 2021 were selected as the research objects. According to different regions
patients were divided into 50 cases in the experimental group (highland area) and 50 cases in the control group (plain area). The characteristic parameters of ultrasound images of patients were collected. Pathological diagnosis was used as the gold standard in the group
and the accuracies of ultrasound images in diagnosis of breast cancer in different regions were compared; the parameters of contrast-enhanced ultrasoundin diagnosis of breast cancer in different regions were also compared; receiver operating characteristic (ROC) curves were used to analyze the diagnostic efficiency of parameters with statistically significant differences.
Results:
Taking pathological examination as the gold standard
the accuracy of ultrasound in diagnosis of the experimental group was 83.87% (26/31)
and accuracy of the control group was 88.87% (29/33)
the difference was not statistically significant (
P
>0.05). There was no significant difference in peak time
average transit time
and local blood flow (
P
0.05). The peak intensity
elastography score and local blood volume of the experimental group were significantly higher than those of the control group (
P
<0.05); The best cut-off values of the peak intensity
elastography score and local blood volume in diagnosis of breast cancer in southern Xinjiang plateau were 45.52%
3.93 points
2 170.15 mL
and area under curve (AUC) values were 0.694
0.733
and 0.812
respectively; ROC curve analysis showed that peak intensity
elastography score
and local blood in experimental group were higher than those in control group. The best cut-off values of capacity in the diagnosis of breast cancer in plain areas were 35.25%
4.36 points
1 619.40 mL; AUC values were 0.738
0.818
and 0.879
respectively.
Conclusion:
Contrast-enhanced ultrasound in the diagnosis of breast cancer patients in both southern Xinjiang plateau and plain areas has good diagnostic reference value
but there are differences in parameters such as peak intensity
elastography score
and local blood volume. Clinicians use ultrasound images for breast cancer. In the analysis of nodules
regional factors need to be considered.
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