超声剪切波E成像联合彩色多普勒血流显像在乳腺良恶性结节中的价值

Value of shear wave elastography combined with color Doppler flow imaging in the diagnosis of benign and malignant breast nodules

目的:探讨超声剪切波E成像联合彩色多普勒血流显像在乳腺良恶性结节中的价值。方法:选取2018年12月—2022年1月经穿刺活检/手术病理确诊的乳腺结节患者101例,比较彩色多普勒血流显像、E成像以及二者联合的诊断效能。结果:101例患者共129个结节,其中良性76个、恶性53个;彩色多普勒血流显像、E成像弹性图、E成像杨氏模量以及二者联合的诊断结节良恶性的差异具有统计学意义(P<0.001)。以病理诊断结果为金标准,彩色多普勒血流显像、E成像杨氏模量与多种超声成像模式联合诊断比较差异无统计学意义(P>0.05),其余差异有统计学意义(P <0.05)。结论:多种超声成像联合诊断可互相补充,辅助诊断,提高乳腺结节的鉴别诊断水平。

Objective The value of shear wave elastogrpphy combined with color Doppler flow imaging in the diagnosis of benign and malignant breast nodules.Methods From December 2018 to January 2022,101 patients with breast nodules confirmed by puncture biopsy/surgery and pathology were selected,compare the diagnostic efficacy of color Doppler flow imaging,E-imaging and their combination.Results Among the 129 nodules in 101 patients,76 were benign and 53 were malignant,The difference of color Doppler flow imaging,E-imaging elastogram,E-imaging Young’s modulus and their combination in the diagnosis of benign and malignant was statistically significant(P <0.001).Taking pathological diagnosis as the gold standard,the sensitivity,specificity and accuracy of color Doppler flow imaging,E-imaging elastogram and Young’s modulus as well as the combined diagnosis of benign and malignant breast nodules by multiple ultrasound imaging modes were calculated respectively.There was no significant difference between color Doppler flow imaging,E-imaging Young’s modulus and the combined diagnosis of multiple ultrasound imaging modes(P> 0.05),the other differences were statistically significant(P <0.05).Conclusion The combination of multiple ultrasound imaging forms can complement each other and assist in the diagnosis.