Hashim Hashim A, Mahmoud Mustafa Z, Alonazi Batil, Aldosary Hassan, Alrashdi Jameelah S, Alabdulrazaq Fahad A, Almowalad Anood H
Radiology and Medical Imaging Department, King Fahad Medical City, Riyadh, Saudi Arabia.
Radiology and Medical Imaging Department, College of Applied Medical Sciences, Prince Sattam bin Abdulaziz University, Al-Kharj, Saudi Arabia.
J Clin Imaging Sci. 2019 Jul 12;9:36. doi: 10.25259/JCIS_51_2019. eCollection 2019.
The aim of the study was to identify the pathological characteristics of benign and malignant breast lesions among Saudi females using brightness mode (B-mode) and color Doppler ultrasound (US).
This study was retrospectively carried out in a single center in the Radiology and Medical Imaging Department, King Fahad Medical City, Riyadh, Saudi Arabia. A convenient method of sampling was used to include all patients referred for different diagnosis during the period of January 2016 and December 2018. A sample size of 100 cases was selected with 50% of the cases being benign breast lesions, while the rest were malignant. The data collection instruments comprised data collection sheets, while a Philips US system with a 9 MHz linear probe was used to give the differential results. The results were considered significant when < 0.05. The statistical diagnostic test was used to detect sensitivity, specificity, and accuracy of US in the differential diagnosis of breast lesions in Saudi females.
B-mode and color Doppler US findings of breast mass measurements, shape, echotexture, and the presence and absence of vascularity present a sensitivity, specificity, and accuracy of 97.09%, 80.65%, and 93.28% in the diagnosis of benign and malignant breast masses.
In Saudi females with dense breasts, the risk of breast cancer development is increased. Moreover, B-mode in combination with color Doppler US was highly determined the results of differential diagnosis for any breast lesions.
本研究的目的是利用亮度模式（B 模式）和彩色多普勒超声（US）确定沙特女性良性和恶性乳腺病变的病理特征。
本研究在沙特阿拉伯利雅得法赫德国王医疗城放射学和医学影像科的一个单一中心进行回顾性研究。采用方便抽样的方法纳入 2016 年 1 月至 2018 年 12 月期间因不同诊断而转诊的所有患者。选取 100 例样本，其中 50%为良性乳腺病变，其余为恶性病变。数据收集工具包括数据收集表，同时使用配备 9MHz 线性探头的飞利浦超声系统得出鉴别结果。当 P<0.05 时，结果被认为具有统计学意义。采用统计诊断试验检测超声对沙特女性乳腺病变鉴别诊断的敏感性、特异性和准确性。
乳腺肿块测量、形状、回声纹理以及血管有无的 B 模式和彩色多普勒超声表现，在良性和恶性乳腺肿块诊断中的敏感性、特异性和准确性分别为 97.09%、80.65%和 93.28%。
在乳腺致密的沙特女性中，患乳腺癌的风险增加。此外，B 模式结合彩色多普勒超声能高度确定任何乳腺病变的鉴别诊断结果。
