剪切波弹性成像在乳腺癌腋窝淋巴结转移诊断中的价值及其与乳腺肿块分子分型的相关性
The Value of Shear Wave Elastography in the Diagnosis of Breast Cancer Axillary Lymph Node Metastasis and Its Correlation With Molecular Classification of Breast Masses.
作者信息
Luo Changyun, Lu Li, Zhang Weifu, Li Xiangqi, Zhou Ping, Ran Zhangshen
机构信息
Regular Physical Examination Centre, The Second Affiliated Hospital of Shandong First Medical University, Taian, China.
Ultrasonography Department, The Second Affiliated Hospital of Shandong First Medical University, Taian, China.
出版信息
Front Oncol. 2022 Mar 17;12:846568. doi: 10.3389/fonc.2022.846568. eCollection 2022.
OBJECTIVE
To explore the diagnostic value of shear wave elastography examination (SWE) on axillary node metastasis (ANM) in breast cancer, this study aimed to evaluate the correlation between the SWE features and different molecular types of breast cancer, and to check the elastic modulus differences among the molecular types.
METHODS
Breast cancer patients from November 2020 to December 2021 were subjected to both conventional ultrasonic examination (CUE) and SWE before ultrasound-guided percutaneous biopsy or axillary lymph node dissection (ALND). We used the pathological results as the gold standard to draw the receiver operating characteristic (ROC) curve.
RESULTS
SWE outperforms CUE, but their conjunctive use is the best option. No significant correlation was found between the elastic modulus values and the molecular types of breast cancer.
CONCLUSION
SWE can be used as an routine auxiliary method of CUE for ANM.
目的
为探讨剪切波弹性成像检查（SWE）对乳腺癌腋窝淋巴结转移（ANM）的诊断价值，本研究旨在评估SWE特征与不同分子类型乳腺癌之间的相关性，并检测分子类型之间的弹性模量差异。
方法
选取2020年11月至2021年12月的乳腺癌患者，在超声引导下经皮活检或腋窝淋巴结清扫（ALND）前，对其进行常规超声检查（CUE）和SWE检查。以病理结果作为金标准绘制受试者操作特征（ROC）曲线。
结果
SWE优于CUE，但二者联合使用是最佳选择。未发现弹性模量值与乳腺癌分子类型之间存在显著相关性。
结论
SWE可作为CUE诊断ANM的常规辅助方法。
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