剪切波弹性成像彩色图像评分法诊断良恶性乳腺实性病变的应用

目的 探究采用剪切波弹性成像彩色图像评分法诊断良恶性乳腺实性病变的价值.方法 选取2016年2月至2017年2月收治的乳腺实性病变患者125例, 给予所有患者剪切波弹性成像检查, 通过图像类型评分法、图像颜色评分法鉴别诊断良恶性病灶之间的差异.结果 所有125例乳腺实性病变患者中有175个乳腺实性病灶, 其中85例 (119个) 为良性病灶, 占68.0%, 40例 (56个) 为恶性病灶, 占32.0%.乳腺良性病变类型评分及颜色评分与恶性病变之间的差异有统计学意义 (P<0.05) ;乳腺良恶性病灶剪切波弹性成像彩色图像类型评分与颜色评分具有较好相关性 (P<0.05) ;将病理结果作为金标准, 使用类型及颜色评分法诊断乳腺实性病灶良恶性ROC曲线下的面积之间的差异有统计学意义 (P<0.05) .类型评分法及颜色评分法以2分以上为诊断界值时, 有较高诊断效能.结论 剪切波弹性成像彩色图像评分法诊断良恶性乳腺实性病变有较高临床价值, 且对良性乳腺实性病变的诊断准确性较高.

Diagnosis of Bening and Malignant Breast Solid Lesions Using Shear Ware Elastography and Color Image Scoring

Objective To investigate the value of color image scoring with shear wave elastography in the diagnosis of benign and malignant breast solid lesions.Me thods From February 2016 to February 2017, 125 patients with breast lesions were given shear wave elastography score, by type of image scoring method, image color method for differential diagnosis between benign and malignant lesions. Re s ults Among all the 125 patients with breast solid lesions, 175 were solid lesions, of which 85 cases (119) were benign lesions, accounting for68%, and 40 (56) were malignant lesions, accounting for 32%. The difference of type and color score between benign breast lesions and malignant lesions was statistically significant (P < 0.05) . A positive correlation was fourd between color image type score and color score of benign and malignant breast lesion, using shear wave elastography (P < 0.05) . The pathological findings were used as a gold standard, and the difference in the area under ROC curves of benign and malignant lesions of the breast was statistically significant by using type and color scoring method (P < 0.05) . Type scoring method and color scoring method have higher diagnostic efficacy when the diagnostic value is above 2 points. Conclus ion The shear wave elastography color image scoring method is of high clinical value in the diagnosis of benign and malignant breast solid lesions, and it is of high accuracy for the diagnosis of benign breast solid lesions.