彩色多普勒超声与CT联合用于诊断乳腺癌。
Combination of color Doppler ultrasound and CT for diagnosing breast cancer.
作者信息
Wen Ruquan, Dong Jianjun, Wang Yan, Wang Lei
机构信息
Image Center, Dongying Shengli Hospital of Shangdong Province Dongying 257055, Shangdong Province, China.
出版信息
Am J Transl Res. 2021 Sep 15;13(9):10771-10776. eCollection 2021.
OBJECTIVE
This research aimed to estimate the diagnostic value of the combination of color Doppler ultrasound (CDU) and computed tomography (CT) in breast cancer (BC).
METHODS
Among the 90 BC patients treated in our hospital from May 2018 to December 2020, 43 were examined by CDU before surgery and they served as the control group (CG), while the other 47 were examined with CDU and CT and were considered as the research group (RG). Lesions were confirmed as BC by postoperative pathological examination. The diagnosis rate for BC in the two groups was recorded, and the diagnostic value was analyzed by the receiver operating characteristic (ROC) curve. The imaging features were compared. The diagnostic accuracy for T, N and M stages was evaluated, as well as the diagnosis rate for axillary lymph node metastasis (ALNM) in BC.
RESULTS
The RG showed a higher diagnosis rate for BC (P<0.05) and sharper imaging features, with an area under the curve (AUC) of 0.843 (P<0.05). The diagnostic accuracy for T, N and M stages and the diagnosis rate for ALNM in the RG were higher than those in the CG (P<0.05 for each comparison).
CONCLUSION
The combination of CDU and CT has a high diagnostic value in BC, which is worthy of clinical promotion.
目的
本研究旨在评估彩色多普勒超声（CDU）与计算机断层扫描（CT）联合应用于乳腺癌（BC）的诊断价值。
方法
选取2018年5月至2020年12月在我院接受治疗的90例BC患者，其中43例在手术前行CDU检查，作为对照组（CG），另外47例接受CDU和CT检查，作为研究组（RG）。术后病理检查确诊病变为BC。记录两组BC的诊断率，采用受试者操作特征（ROC）曲线分析诊断价值。比较影像学特征。评估T、N和M分期的诊断准确性，以及BC腋窝淋巴结转移（ALNM）的诊断率。
结果
RG对BC的诊断率更高（P<0.05），影像学特征更清晰，曲线下面积（AUC）为0.843（P<0.05）。RG中T、N和M分期的诊断准确性以及ALNM的诊断率均高于CG（各比较P<0.05）。
结论
CDU与CT联合应用对BC具有较高的诊断价值，值得临床推广。
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