万财凤,杜晶,李凤华,方华,王琳.常规超声与超声造影在乳腺病变诊断中的对比[J].中国医学影像技术,2011,27(9):1842~1845
常规超声与超声造影在乳腺病变诊断中的对比
Comparison on conventional ultrasound and contrast-enhanced ultrasound in differential diagnosis of breast lesions
投稿时间:2011-01-10  修订日期:2011-02-11
DOI:
中文关键词:  乳腺肿瘤  超声检查  超声检查,介入性  ROC曲线
英文关键词:Breast neoplasms  Ultrasonography  Ultrasonography, interventional  ROC curve
基金项目:上海市卫生局青年科研项目(2008Y109)、上海市科委自然科学基金(09ZR1418200)、上海市重点学科建设项目(S30203)。
作者单位E-mail
万财凤 上海交通大学医学院附属仁济医院超声科,上海 200127  
杜晶 上海交通大学医学院附属仁济医院超声科,上海 200127 beautydujing@163.com 
李凤华 上海交通大学医学院附属仁济医院超声科,上海 200127  
方华 上海交通大学医学院附属仁济医院超声科,上海 200127  
王琳 上海交通大学医学院附属仁济医院超声科,上海 200127  
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中文摘要:
       目的 比较常规超声(US)、CEUS单独及联合应用诊断乳腺病变的价值。 方法 对79例单发乳腺病变患者分别进行US和CEUS检查,分析病灶的US及CEUS增强特征,并与病理结果对照。采用评分法绘制ROC曲线,通过计算曲线下面积比较两种方法单独及联合应用的诊断效能。 结果 US、CEUS单独及联合应用ROC曲线下面积分别为0.878、0.884、0.953,Z检验结果显示联合应用的诊断价值优于单独使用US和CEUS检查(P<0.05)。 结论 US和CEUS检查均为有效的诊断方法,两者联合应用可提高对乳腺病变的诊断效能。
英文摘要:
      Objective To compare the value of conventional ultrasound (US), CEUS and the combination of them in differential diagnosis of breast lesions. Methods A total of 79 patients with single breast lesions underwent conventional US and CEUS, respectively. The sonographic appearances and enhancement characteristics of the breast lesions were evaluated and compared with pathologic findings. The receiver operating characteristic (ROC) curve generated by the method of score was used to evaluate the value of US, CEUS and the combination of them in differential diagnosis of breast lesions. Results The areas under the ROC curve of conventional US, CEUS and the combination of them were 0.878, 0.884 and 0.953, respectively. Results of Z test showed the diagnostic accuracy of combination was superior to the separate use of them (P<0.05). Conclusion Conventional US and CEUS are effective methods in differential diagnosis of breast lesions. The accuracy can be improved by the combination of them.
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