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灰阶超声检查在评估乳腺肿块性病变中的诊断性能

Diagnostic Performance of Grayscale Ultrasonography in the Evaluation of Mass-forming Breast Lesions.

作者信息

Madhuri H, Aruna Devi M, Sravani G

机构信息

Department of Radiology, Nizam's Institute of Medical Sciences, Hyderabad, Telangana, India.

出版信息

Ann Afr Med. 2024 Oct 1;23(4):529-534. doi: 10.4103/aam.aam_101_23. Epub 2024 Aug 19.

Abstract

In our study, we evaluated the diagnostic performance of grayscale ultrasonography (USG) in risk stratification of mass-forming breast lesions. Our study included 90 cases, in which 88 were females and 2 cases were male with age ranging from 16 to 73 years. Out of 90 lesions, 51 (58%) lesions were benign and 39 (39%) lesions were malignant. High-resolution USG done in all 90 lesions revealed sensitivity (90.2%), specificity (74.36%), positive predictive value (PPV) (82.14%), negative predictive value (NPV) (85.29%), and accuracy (83.33%). Calculated weighted kappa value 0.665, indicating better level of agreement in predicting malignant lesions compared to gold standard. Our study revealed that USG is sensitive and specific test in detecting malignant lesions with high PPV and NPV; the calculated weighted kappa value was 0.665, indicating better level of agreement in predicting malignant lesions compared to gold standard.

摘要

在我们的研究中,我们评估了灰阶超声检查(USG)在乳腺肿块性病变风险分层中的诊断性能。我们的研究纳入了90例病例,其中88例为女性,2例为男性,年龄范围为16至73岁。在90个病变中,51个(58%)病变为良性,39个(39%)病变为恶性。对所有90个病变进行的高分辨率USG显示,敏感性为90.2%,特异性为74.36%,阳性预测值(PPV)为82.14%,阴性预测值(NPV)为85.29%,准确性为83.33%。计算得出的加权kappa值为0.665,表明与金标准相比,在预测恶性病变方面具有更好的一致性水平。我们的研究表明,USG在检测恶性病变方面是一种敏感且特异的检查,具有较高的PPV和NPV;计算得出的加权kappa值为0.665,表明与金标准相比,在预测恶性病变方面具有更好的一致性水平。

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