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通过添加二维和三维剪切波弹性图形来评估标准乳房超声波:一个前性的多中心试验
Jinshun Xu1,2, Lei Zhang3, Wen Wen1
1Department of Ultrasound Medicine, Institute of Ultrasound Medicine, West China Hospital of Sichuan University, Chengdu, China.
European radiology
|August 29, 2023
概括
将二维和三维剪切波弹性图 (2D + 3D SWE) 与标准乳腺超声波 (US) 结合起来,可以显著减少 BI-RADS 4-5 病变中不必要的良性乳腺活检. 这种先进的成像技术可以提高诊断准确度,而不会影响灵敏度.
科学领域:
- 医疗成像医学成像
- 诊断性的超声波检查
- 弹性图形学 弹性图形学 弹性图形学
背景情况:
- 减少对BI-RADS 4-5乳腺病变的良性活检至关重要.
- 标准的乳房超声波 (美国) 在区分良性和恶性病变方面存在局限性.
- 乳腺成像报告和数据系统 (BI-RADS) 的分类指导了损伤的评估.
研究的目的:
- 为了评估2D + 3D剪波弹性学 (SWE) 结合标准乳房美国的诊断性能.
- 确定2D + 3D SWE是否可以减少 BI-RADS 4-5 分类的良性乳腺病变的活检数量.
- 评估二维+三维SWE对乳腺病变的BI-RADS评估的影响.
主要方法:
- 总共分析了897个乳腺病变 (BI-RADS 3-5).
- 标准乳房US补充了2D SWE和2D + 3D SWE分析.
- 用SWE评估重新分类病变,对BI-RADS 3和4a分期进行了特定的切断.
主要成果:
- 添加2D + 3D SWE导致BI-RADS 4-5病变的良性活检减少了54.1% (123比268).
- 具体性从54%增加到79%,正预测值 (PPV) 从54%增加到71%.
- 灵敏度和负预测值 (NPV) 仅略有下降.
结论:
- 将2D + 3D SWE与标准乳腺US结合起来,有效地减少了BI-RADS 4-5乳腺病变中的良性活检.
- 这种综合方法提高了BI-RADS评估的诊断性能,提高了特异性和PPV.
- 该技术有可能减少不必要的程序,而不会显著损害诊断灵敏度.
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