Cheng Y, Xia Q, Wang J, Xie H, Yu Y, Liu H, Yao Z, Hu J
Department of Ultrasound, Anqing First People's Hospital Affiliated to Anhui Medical University, Anqing 246001, China.
Nan Fang Yi Ke Da Xue Xue Bao. 2022 Jul 20;42(7):1044-1049. doi: 10.12122/j.issn.1673-4254.2022.07.12.
To evaluate the value of ultrasound S-Detect in the diagnosis of breast masses.
A total of 85 breast masses in 62 female patients were diagnosed by S-Detect technique and conventional ultrasound. The diagnostic efficacy of conventional ultrasound and S-Detect technique was analyzed and compared with postoperative pathological results as the gold standard.
When operated by junior physicians, the diagnostic efficacy of conventional ultrasound was significantly lower than that of S-Detect technique ( < 0.05), but this difference was not observed in moderately experienced and senior physicians (>0.05). S-Detect technique was positively correlated with the diagnostic results of senior physicians (=0.97). Using S-Detect technique, the diagnostic efficacy did not differ significantly between the long axis section and its vertical section (>0.05). Routine ultrasound showed a better diagnostic efficacy than S-Detect for breast masses with a diameter below 20 mm ( < 0.05), but for larger breast masses, its diagnostic efficacy was significantly lower than that of SDetect ( < 0.05).
S-Detect can be used in differential diagnosis of benign and malignant breast masses, and its diagnostic efficiency can be comparable with that of BI-RADS classification for moderately experienced and senior physicians, but its diagnostic efficacy can be low for breast masses less than 20 mm in diameter.
评估超声S-Detect技术在乳腺肿块诊断中的价值。
采用S-Detect技术和传统超声对62例女性患者的85个乳腺肿块进行诊断。以术后病理结果为金标准,分析并比较传统超声和S-Detect技术的诊断效能。
由低年资医师操作时,传统超声的诊断效能显著低于S-Detect技术(<0.05),但在中年资和高年资医师操作时未观察到这种差异(>0.05)。S-Detect技术与高年资医师的诊断结果呈正相关(=0.97)。使用S-Detect技术时,长轴切面与其垂直切面的诊断效能差异无统计学意义(>0.05)。对于直径小于20 mm的乳腺肿块,常规超声的诊断效能优于S-Detect技术(<0.05),但对于较大的乳腺肿块,其诊断效能显著低于S-Detect技术(<0.05)。
S-Detect技术可用于乳腺良恶性肿块的鉴别诊断,对于中年资和高年资医师,其诊断效率可与BI-RADS分类相当,但对于直径小于20 mm的乳腺肿块,其诊断效能较低。