Yang Min, Gu Xiao-ning, Liu Fang, Wang Ying-ying, Cai You-li, Liu Dong-mei, Zhou Wei-jun
Department of Ultrasound, Affiliated Beijing Shijitan Hospital, Capital Medical University; No. 9 Affiliated Clinic Hospital, Beijing University, Beijing 100038, China. Email:
Department of Ultrasound, Affiliated Beijing Shijitan Hospital, Capital Medical University; No. 9 Affiliated Clinic Hospital, Beijing University, Beijing 100038, China.
Zhonghua Yi Xue Za Zhi. 2013 Oct 22;93(39):3125-7.
To explore the diagnostic values of breast imaging and reporting data system (BI-RADS) and ultrasonic elastography (UE) for benign and malignant breast lesions.
A total of 122 breast lesions were studied with BI-RADS and UE scoring to compare the sensitivity and specificity according to the pathologic results. Receiver operating characteristic (ROC) curves were used to assess the diagnostic value of BI-RADS, UE and combination.
Among them, pathological examinations showed that there were 72 benign and 50 malignant cases. Statistically significant differences in specificity existed between BI-RADS lexicon (as ≥ 4) and UE or combination (P < 0.05) while sensitivity showed no difference (P > 0.05); Statistically significant differences in sensitivity existed between BI-RADS (as ≥ 4B) and UE or combination (P < 0.05) while there was no difference in specificity (P > 0.05); No statistically significant differences existed between UE or combination. The area under the ROC curve was above 0.7.
Both BI-RADS and UE have a great diagnostic value for breast disease. UE is somewhat superior to BI-RADS. However, the value of combination may be more significant.
探讨乳腺影像报告和数据系统（BI-RADS）及超声弹性成像（UE）对乳腺良恶性病变的诊断价值。
对122例乳腺病变进行BI-RADS及UE评分，根据病理结果比较其敏感性和特异性。采用受试者操作特征（ROC）曲线评估BI-RADS、UE及两者联合的诊断价值。
其中，病理检查显示良性72例，恶性50例。BI-RADS分类（≥4类）与UE或两者联合在特异性上存在统计学差异（P<0.05），而敏感性无差异（P>0.05）；BI-RADS（≥4B类）与UE或两者联合在敏感性上存在统计学差异（P<0.05），而特异性无差异（P>0.05）；UE或两者联合之间无统计学差异。ROC曲线下面积均大于0.7。
BI-RADS和UE对乳腺疾病均有较大诊断价值。UE在一定程度上优于BI-RADS。然而，两者联合的价值可能更显著。
