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自动乳腺容积扫描仪联合虚拟触诊组织定量在乳腺良恶性病变鉴别诊断中的价值:与乳腺 X 线摄影术的对比研究。

The value of automated breast volume scanner combined with virtual touch tissue quantification in the differential diagnosis of benign and malignant breast lesions: A comparative study with mammography.

机构信息

Department of Ultrasound, Wuhu No. 2 People's Hospital, Wuhu, Anhui 241001.

Department of Radiology, Sir Run Run Shaw Hospital, Zhejiang University School of Medicine, Hangzhou, Zhejiang 310016, China.

出版信息

Medicine (Baltimore). 2021 Apr 23;100(16):e25568. doi: 10.1097/MD.0000000000025568.

DOI:10.1097/MD.0000000000025568
PMID:33879713
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8078319/
Abstract

This study aimed to evaluate the diagnostic value of automated breast volume scanner (ABVS) combined with virtual touch tissue quantification (VTQ) in the differential diagnosis of breast lesions.In this retrospective study, 183 patients (mean age, 49.8 ± 8.2 years) with 218 breast lesions underwent ABVS, VTQ, and mammography (MG). All lesions were confirmed by postoperative histopathology. A logistic regression model was constructed to generate a receiver operating characteristic (ROC) curve, calculate the area under the ROC curve (AUC), and compare and evaluate the diagnostic performance of ABVS, VTQ, MG, and ABVS combined with VTQ (ABVS-VTQ).The sensitivity, specificity, and accuracy of ABVS, VTQ, MG, and ABVS-VTQ in diagnosing breast lesions were 94.01% (110/117), 96.03% (97/101), and 94.95% (207/218); 80.34% (94/117), 94.05% (95/101), and 86.69% (189/218); 70.08% (82/117), 68.31% (69/101), and 69.26% (151/218); and 96.58% (113/117), 96.03% (97/101), and 96.33% (210/218), respectively. The AUC of ABVS-VTQ was higher than that of the other examinations alone. The detection rate of ABVS (100%, 218/218) was higher than that of MG (78.89%, 172/218), and the difference was statistically significant (χ2 = 51.426, P < .001).The combined application of ABVS and VTQ can improve the accuracy and specificity of the diagnosis and is a promising ultrasound method for the differential diagnosis of breast lesions.

摘要

本研究旨在评估自动乳腺全容积扫描(ABVS)联合声触诊组织量化技术(VTQ)在鉴别诊断乳腺病变中的应用价值。本回顾性研究纳入了 183 例(平均年龄 49.8±8.2 岁)218 个乳腺病变患者,所有患者均接受了 ABVS、VTQ 和乳腺 X 线摄影术(MG)检查。所有病变均经术后组织病理学证实。构建逻辑回归模型生成受试者工作特征(ROC)曲线,计算 ROC 曲线下面积(AUC),比较并评估 ABVS、VTQ、MG 和 ABVS 联合 VTQ(ABVS-VTQ)的诊断效能。ABVS、VTQ、MG 和 ABVS-VTQ 诊断乳腺病变的敏感度、特异度和准确度分别为 94.01%(110/117)、96.03%(97/101)和 94.95%(207/218)、80.34%(94/117)、94.05%(95/101)和 86.69%(189/218)、70.08%(82/117)、68.31%(69/101)和 69.26%(151/218)和 96.58%(113/117)、96.03%(97/101)和 96.33%(210/218)。ABVS-VTQ 的 AUC 高于其他单项检查。ABVS 的检出率(100%,218/218)高于 MG(78.89%,172/218),差异有统计学意义(χ2=51.426,P<0.001)。ABVS 联合 VTQ 应用可提高诊断的准确性和特异性,是一种有前途的超声鉴别诊断乳腺病变的方法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2b4b/8078319/35cece363f3f/medi-100-e25568-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2b4b/8078319/5ce3c13550f9/medi-100-e25568-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2b4b/8078319/71858e7c19b8/medi-100-e25568-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2b4b/8078319/35cece363f3f/medi-100-e25568-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2b4b/8078319/5ce3c13550f9/medi-100-e25568-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2b4b/8078319/71858e7c19b8/medi-100-e25568-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2b4b/8078319/35cece363f3f/medi-100-e25568-g003.jpg

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