The value of contrast-enhanced ultrasound combined with ultrasound elastography scores in differential diagnosis of breast imaging reporting and data system 3-4 breast lesions
10.3877/cma.j.issn.1672-6448.2017.10.010
- VernacularTitle:超声造影联合超声弹性成像积分法对乳腺影像报告和数据系统3～4类乳腺肿物的诊断价值
- Author:
Yutong XU
1
;
Tingting AN
;
Jiuwei ZHANG
;
Xiuhua YANG
Author Information
1. 150001,哈尔滨医科大学第一临床医学院腹部超声科
- Keywords:
Breast lesions;
Ultrasonic elastography;
Contrast-enhanced ultrasound
- From:
Chinese Journal of Medical Ultrasound (Electronic Edition)
2017;14(10):766-770
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the value of contrast-enhanced ultrasound (CEUS) scores, ultrasonic elastography (UE) and their combined scores in diagnosing breast lesions of breast imaging reporting and data system (BI-RADS) 3-4. Methods From October 2015 to March 2016, 60 BI-RADS 3-4 solid breast masses diagnosed by conventional ultrasound underwent UE and CEUS. According to the relevant indicators, all cases were scored and proved by surgical pathology. The diagnostic sensitivity, specificity and accuracy of CEUS scores, UE and their combined scores were evaluated, and the receiver operating characteristic (ROC) curve was drawn. Results Twenty-nine benign and 31 malignant lesions were confirmed by pathology. The area under the ROC curve of CEUS combined with UE scores was 0.971 which was higher than that of CEUS Scores and UE alone (0.916 and 0.908, respectively). Moreover, the sensitivity, specificity and accuracy were 87.1%, 96.6% and 92.0% for CEUS combined with UE Scores, 77.4%, 93.1% and 85.0% for CEUS Scores, 74.2%, 93.1% and 83.3% for UE, respectively. Conclusion CEUS combined with UE scores can improve the differetial diagnostic accuracy for BI-RADS 3-4 breast lesions.
