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| Analysis of Diagnostic Value of BIRADS Combined with Elastography for Breast Cancer Diagnosis |
| LI Ping, SHENG Wenwei |
| Huai'an First Hospital, Nanjing Medical University, Jiangsu Huai'an 223300, China |
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Abstract Objective: To explore the diagnostic value of BIRADS grade combined with elastography for breast cancer. Methods: A total of 105 patients with highly suspected breast cancer admitted to our hospital from January 2020 to December 2021 were selected as the study subjects, and all patients underwent BIRADS grade and elastography examination, taking the pathological test results of patients as the gold standard to explore the diagnostic value of BIRADS, elastography and the combined application. Results: This study included a total of 105 patients and 156 lesions. Pathological examination results showed that 49 lesions were benign, including 19 cases of proliferative adenoma, 14 cases of intraductal papilloma, 11 cases of fibroadenoma, and 5 cases of mastitis. The remaining 107 lesions were malignant, including 41 cases of infiltrating carcinoma, 37 cases of infiltrating ductal carcinoma, 13 cases of ductal carcinoma in situ, 8 cases of lobular carcinoma, 4 cases of mucinous carcinoma, 2 cases of papillary carcinoma, 1 case of signet ring cell carcinoma, and 1 case of sarcomatoid carcinoma. The accuracy rate of BIRADS diagnosis for breast malignancy was 81.41%, with a sensitivity of 77.57%, a specificity of 89.80%, a positive predictive value of 94.32%, and a negative predictive value of 64.71%. The accuracy rate of elasticity imaging diagnosis for breast malignancy was 85.26%, with a sensitivity of 87.85%, a specificity of 79.59%, a positive predictive value of 90.38%, and a negative predictive value of 75.00%. The accuracy rate of combined BIRADS and elasticity imaging diagnosis for breast malignancy was 91.67%, with a sensitivity of 90.65%, a specificity of 93.88%, a positive predictive value of 97.00%, and a negative predictive value of 82.14%. The accuracy of combined diagnosis was higher (91.67%) than BIRADS (81.41%) and elastography (85.26%), with statistically significant (P<0.05). Conclusion: BIRADS and elastography combined diagnosis can improve the diagnostic accuracy, specificity and sensitivity of malignant breast lesions, and have high diagnostic value.
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2023, Vol. 29 
