吴嘉仪,罗葆明,赵子卓,杨海云,梁铭,欧冰.声速匹配技术诊断不同大小乳腺病灶[J].中国医学影像技术,2015,31(11):1697~1700
声速匹配技术诊断不同大小乳腺病灶
Sound speed correction technique in diagnosis of breast lesions with different size
投稿时间:2014-12-17  修订日期:2015-06-01
DOI:10.13929/j.1003-3289.2015.11.024
中文关键词:  超声检查  乳腺病灶  声速匹配  声速
英文关键词:Ultrasonography  Breast lesions  Sound speed correction  Sound speed
基金项目:
作者单位E-mail
吴嘉仪 中山大学孙逸仙纪念医院超声科, 广东 广州 510120  
罗葆明 中山大学孙逸仙纪念医院超声科, 广东 广州 510120  
赵子卓 中山大学孙逸仙纪念医院超声科, 广东 广州 510120  
杨海云 中山大学孙逸仙纪念医院超声科, 广东 广州 510120  
梁铭 中山大学孙逸仙纪念医院超声科, 广东 广州 510120  
欧冰 中山大学孙逸仙纪念医院超声科, 广东 广州 510120 oubing77@163.com 
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中文摘要:
      目的 探讨声速匹配(SSC)技术在不同大小乳腺病灶中的诊断价值。方法 对经病理证实的483个乳腺肿物行SSC检查,获得其声速匹配值(ZSI)及声速(SV)。根据最大径将病灶分为≤2 cm组和>2 cm组。构建ROC曲线,确定临界值。结果 总样本组、≤2 cm组与>2 cm组良性病灶及恶性病灶的SV差异均有统计学意义(P均<0.05);3组曲线下面积(AUC)分别为0.875、0.862、0.889,两两比较差异无统计学意义(P均>0.05);以1560.00 m/s作为SV临界值,3组的敏感度分别为81.15%(99/122)、79.73%(59/74)、83.33%(40/48);特异度分别为90.03%(325/361)、90.20%(267/296)、89.23%(58/65);准确率分别为87.78%(424/483)、88.11%(326/370)、86.73%(98/113)。结论 SSC在不同大小乳腺良恶性肿物的鉴别诊断中具有较好的临床价值,且诊断效能相似,SV临界值为1560.00 m/s。
英文摘要:
      Objective To investigate the diagnostic value of sound speed correction (SSC) technique for breast lesions with different size. Methods Four hundred and eighty-three pathologically proved lesions were included. By the SSC technique, the zone speed index (ZSI) and sound speed (SV) of the lesions were calculated. According to maximum diameter, the lesions were divided into ≤2 cm group and>2 cm group. The ROC curve was constructed to evaluate the cut-off point of SV in different groups. Results The SV in all lesions group, ≤2 cm group and >2 cm group had statistically significant difference in benign or malignant breast lesions (all P<0.05). The area under curve (AUC) of ROC was 0.875, 0.862, 0.889, respectively. There was no significant difference between the AUC of any two groups (all P>0.05). The cut-off point of SV was determined as 1560.00 m/s, with the sensitivity of 81.15% (99/122), 79.73% (59/74), 83.33% (40/48), the specificity of 90.03% (325/361), 90.20% (267/296), 89.23% (58/65), and the accuracy of 87.78% (424/483), 88.11% (326/370), 86.73% (98/113), respectively. Conclusion SSC technique has a good and similar clinical value for diagnosis of benign and malignant breast lesions in different size with a cut-off point of 1560.00 m/s.
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