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下淋巴结阴性乳腺癌超声波评估的效果,灵敏度,特异性和准确性
Chun-Tian Hong1, Yong-Hao Yan2, Li-Yang Su3
1Chun-Tian Hong Department of Ultrasound, Quanzhou First Hospital Affiliated to Fujian Medical University, Fujian 362000, Quanzhou, P.R. China.
Pakistan journal of medical sciences
|September 8, 2023
概括
超声波有效诊断下淋巴结阴性乳腺癌 (ALNNBC),显示高灵敏度和特异性. 超声波特征和血液流动信号有助于准确的ALNNBC诊断.
科学领域:
- 医疗成像医学成像
- 在瘤学瘤学.
- 诊断性的超声波检查
背景情况:
- 准确诊断乳腺癌的分期对于治疗计划至关重要.
- 轴心淋巴结状况是乳腺癌的关键预后因素.
- 评估超声波对状淋巴结阴性乳腺癌 (ALNNBC) 的诊断效用是很重要的.
研究的目的:
- 调查ALNNBC患者的超声波的诊断价值.
- 为了确定超声波诊断的敏感性和特异性,与病理学检查相比.
- 在ALNNBC患者中分析超声波特征和血液流量等级.
主要方法:
- 对204名乳腺癌患者的回顾性分析.
- 轴心淋巴结阳性和阴性组之间的比较 (每组n=102).
- 颜色多普勒超声波用于诊断,病理诊断作为黄金标准.
主要成果:
- 群体之间超声波特征 (形态不规则,尖边缘,后背回声减弱,微化) 的显著差异 (p<0.05).
- 阴性组中2-3级超声波血流的比例较低 (32.4%与56.86%,p<0.05).
- 超声波诊断实现了88.24%的灵敏度,92.16%的特异性和90.20%的巧合率 (AUC=0.879).
结论:
- 对ALNNBC的超声波诊断是相对有效的.
- 超声波特征和超声波血流信号为ALNNBC诊断提供了科学基础.
- 超声波在识别ALNNBC时具有显著的诊断价值.
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