摘要
目的探讨超声弹性成像（UE）-超声弹性应变率比值（SR）法与X射线钼靶对乳腺影像报告和数据系统（BI-RADS）Ⅳ级合并乳腺癌诊断的相关性。方法选择2013年1月至2015年6月该院手术切除并经病理学证实的乳腺恶性肿瘤患者60例,其X射线钼靶BI-RADSⅣ级及以上,对60例患者的UE评分及SR进行回顾性分析,并对SR值与X射线钼靶分级进行相关性分析。结果 60例患者中,BI-RADSⅣ、Ⅴ、Ⅵ级平均UE评分/平均SR值结果分别为（4.15±0.15）分/3.09±0.14、（4.40±0.09）分/3.41±0.11、（4.85±0.15）分/3.88±0.12;BI-RADSⅣ~Ⅵ级间仅BI-RADSⅣ级平均UE评分、平均SR与Ⅴ级比较,差异无统计学意义（P〉0.05）;SR值与BI-RADSⅣ~Ⅵ级呈正相关（r=0.086、0.154、0.282,P〈0.05）,且相关系数随等级上升而增大。结论 SR值与BI-RADS分级有较高相关性,二者联合应用对BI-RADSⅣ级及以上肿块有较高诊断价值。
Objective To investigate the correlation between the ultrasound elastography strain ratio（UE-SR） method and molybdenum target X-ray mammography for diagnosing the grade Ⅳ complicating breast cancer. Methods 60 cases of breast imaging reporting and data system（BI-RADS） grade Ⅳ or more were selected from the patients with malignant breast tumor treated by operation resection and confirmed by pathology in our hospital from Jan. 2013 to Jun. 2015 and their UE scores and SR re-sults were retrospectively analyzed. Furthermore the correlation of SR value and molybdenum target grade was analyzed. Results Among 60 cases,the average UE scores and SR values of BI-RADS grade Ⅳ,Ⅴ,Ⅵ were（4.15±0.15） points/（3.09±0.14）,（4.40±0.09） points/（3.41±0.11） and（4.85±0.15） points/（3.88±0.12） respectively. The average UE scores and SR values had no statistical differences only between the BI-RADS grade Ⅳ and BI-RADS grade Ⅴ（P〉0.05）. The SR value had a positive correlation with the BI-RADS grade Ⅳ~Ⅵ（r=0.086,0.154,0.282,P〈0.05）,moreover the correlation coefficient was increased with the grade increase. Conclusion SR has higher correlation with BI-RADS grade. Their combination application has higher diagnostic value for diagnosing the mass with BI-RADS grade Ⅳ or more.
出处
《现代医药卫生》
2015年第21期3212-3213,3216,共3页
Journal of Modern Medicine & Health
基金
江苏省镇江市社发支撑项目(SH2013025)
江苏大学临床专项基金资助项目(JDLCZX010)
江苏大学临床专项基金资助项目(JDLCZX017)
关键词
弹性成像技术
超声检查
多普勒
彩色
乳房X线摄影术
乳腺肿瘤
钼
Elasticity imaging techniques
Ultrasonography
doppler
color
Mammography
Breast neoplasms
Molybdenum
