超声弹性成像技术在乳腺病变中的临床应用进展

Progress in Clinical Application of Ultrasound Elastography Technology in Breast Lesions

我国乳腺癌发病人数及死亡人数均居世界首位,早发现、早诊治对乳腺癌患者至关重要。超声弹性成像技术(Ultrasonic Elastography, UE)可以提高常规超声诊断乳腺癌的准确性,UE技术主要分为应变式弹性成像技术、声辐射脉冲成像技术和剪切波弹性成像技术三大类,UE技术不只在乳腺病变良恶性的鉴别方面,还在乳腺影像报告和数据系统(Breast Imaging Reporting and Data System, BI-RADS)分类优化、新辅助化疗疗效和乳腺癌患者预后评估等方面发挥着重要作用。

The number of breast cancer cases and deaths in China ranks first in the world. Early diagnosis and treatment are crucial for breast cancer patients. Ultrasound elastography (UE) can help improve the accuracy of conventional ultrasound in the diagnosis of breast cancer, UE is mainly divided into three categories: Strain Elastography, Acoustic Radiation Force Imaging and Shear Wave Elasticity, which can not only play an important role in the differentiation of benign and malignant breast le-sions, but also plays an important role in optimizing the BI-RADS classification, the efficacy of neo-adjuvant chemotherapy and the prognosis evaluation of breast cancer patients.