乳腺超声BI-RADS评分系统结合超声造影对乳腺肿块良恶性判断的价值

Value of BI-RADS Combined with Contrast-Enhanced Ultrasound on the Diagnosis of Breast Benign and Malignant Lesions

[目的]评价超声乳腺影像学报告及数据系统(BI-RADS)诊断标准结合超声造影(CEUS)诊断乳腺肿块良恶性的价值。[方法]对120例患者共122个实性肿块行常规超声检查,按照BIRADS评分标准进行分级诊断,然后行超声造影(CEUS)并做出诊断。比较BI-RADS分级、CEUS、BI-RADS分级+CEUS三种方法诊断的差异。[结果]BI-RADS分级诊断与CEUS诊断组间比较,其灵敏度、特异性、准确率无统计学差异(P>0.05),BI-RADS分级+CEUS诊断与单独CEUS诊断比较其灵敏度、特异性、准确率亦无统计学差异(P>0.05)。BI-RADS分级+CEUS诊断与单独BI-RADS分级诊断比较,其特异性、准确率差异有统计学意义(P均<0.05)。[结论]BI-RADS分级诊断与CEUS结合可以提高超声对乳腺肿瘤的诊断效率。

[Purposel To investigate the value of breast imaging reporting and data system（BI-RADS） combined with contrast-enhanced ultrasound （CEUS） on the diagnosis of breast benign and malignant lesions. [Methods] A total of 122 masses in 120 patients solid tumors were examined by uhrasonography,and diagonosed by the BI-RADS rating criteria and CEUS respectively. The diagnostic results of BI-RADS rating criteria, CEUS and BI-RADS rating criteria combined with CEUS based on pathologic diagnosis were compared. [Results] There was no statistical difference between BI-RADS grading and CEUS in the diagnostic sensitivity,specificity and accuracy （P〉0.05）,neither between BI-RADS rating criteria combined with CEUS and CEUS（P〉0.05）. There were significant statistical differences between the BI-RADS rating criteria combined with CEUS and BI-RADS rating criteria in the diagnostic speci- ficity and accuracy （P〈0.05）. [Conclusion ] BI-RADS grading diagnosis standard combined with CEUS can improve the ultrasonic diagnosis efficiency for breast tumors.