Abstract：Objective: To compare the value of the modified ultrasound elastography score and the ultrasound elastic strain ratio in the differential diagnosis of four types of breast benign and malignant lesions in breast imaging reporting and data system for ultrasound (BI-RADS). Methods: A total of 83 cases of breast lesions (96 breast masses) in our hospital were selected, who were graded by modified ultrasound elastography, and the elastic strain ratio of ultrasound was measured. According to the results of operation and pathology, and by plotting the receiver operating characteristic (ROC) curve of the subjects, the diagnostic efficacy of the modified ultrasound elastography and strain ratio in the differential diagnosis of BI-RADS 4 types of breast benign and malignant lesions was evaluated. Results: Among the 96 breast masses, 41 of 4A, 32 of 4B and 23 of 4C were diagnosed by ultrasonography before operation, 56 of them were malignant and 40 of them were benign. The sensitivity, specificity, accuracy and yoden index of the two methods were 69.64% (39 / 56), 73.21% (41 / 56), 72.50% (29 / 40), 82.50% (33 / 40) and 70.83% (68 / 96), 77.08% (74 / 96) respectively. The ROC curve analysis showed that the area under the ROC curve was 0.86, which was higher than that of the modified elastography (0.74). Conclusion: The modified elasto-sonography score and the elastic-strain ratio of ultrasound have important guiding value in the differentiation of four types of breast benign and malignant lesions in BI-RADS, but the elastic-strain ratio of ultrasound may be more reliable and objective, which has a good diagnostic value in the differentiation of four types of breast benign and malignant lesions in BI-RADS.
汪金, 韦萍, 赵静, 李诺, 钱晓凤贾绘, 谌辉, 熊鹃, 徐晓婷, 常新. 两种不同超声评估方法在BI-RADS 4类乳腺病变良恶性鉴别中的价值比较[J]. 河北医学, 2021, 27(6): 1009-1012.
WANG Jin, et al. Comparison of Two Different Ultrasound Evaluation Methods in the Differential Diagnosis of BI-RADS 4 Breast Lesions. HeBei Med, 2021, 27(6): 1009-1012.
[1] 张波,高峡.沉默TRIM26表达对乳腺癌MCF-7细胞增殖、凋亡、侵袭与迁移能力的影响[J].郑州大学学报(医学版),2020,55(4):516~520. [2] 都旭东,陈波,严金兰,等.超声引导穿刺活检诊断乳腺肿块良恶性的应用价值[J].中国基层医药,2019,26(7):852~855. [3] 中国抗癌协会乳腺癌专业委员会.中国抗癌协会乳腺癌诊治指南与规范(2019年版)[J].中国癌症杂志,2019,29(8):609~679. [4] 杨璐,尚进,张丽,等.超声自动容积成像与乳腺影像报告和数据系统在乳腺肿物诊断中的应用价值[J].实用临床医药杂志,2019,23(5):32~34. [5] Yamamoto N,Yoshizako T,Yoshida R,et al.Usefulness of digital breast tomosynthesis for non-calcified benign breast masses[J].Clin Imaging,2019,54(1):84~90. [6] 解丽丽,白仁静,郑义,等.动态增强MRI对乳腺FFDM检出的BI-RADS4-5类非肿块型微钙化病灶的诊断价值[J].河北医学,2020,26(6):988~993. [7] Ciurea AI,Iacoban CG,Herta HA,et al.Breast cystic lesions:Not so simple after all an ultrasonographic tactical approach[J].Med Ultrason,2018,1(1):95~99. [8] Pistolese CA,Tosti D,Citraro D,et al.Probably benign breast nodular lesions (BI-RADS 3):correlation between ultrasound features and histologic findings[J].Ultrasound Med Biol,2019,45(1):78~84. [9] Yang L,Zhou C.Comparison of ultrasound and digital mammography plus tomosynthesis in determining benign and malignant breast lesions using pathology as a gold standard,in 102 Chinese women[J].Hell Nucl Med,2019,22(1):36~42. [10] Xiang H,Tang G,Li Y,et al.Value of hand-held ultrasound in the differential diagnosis and accurate breast imaging reporting and data system subclassification of complex cystic and solid breast lesions[J].Ultrasound Med Biol,2020,46(5):1111~1118. [11] Xu P,Yang M,Liu Y,et al.Breast non-mass-like lesions on contrast-enhanced ultrasonography:feature analysis,breast image reporting and data system classification assessment[J].World Clin Cases,2020,8(4):700~712.
2021, Vol. 27 
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