瘤的动态对比增强超声波特征:VueBoxTM定量分析
Ning Li1, Ziyue Hu2,3, Yang Liu1
1Department of Ultrasound, North China University of Science and Technology Affiliated Hospital, Tangshan, Hebei, China.
Clinical hemorheology and microcirculation
|September 24, 2023
概括
增强对比的超声波 (CEUS) 与定量分析有助于区分良性和恶性脏瘤. 结合增强模式和VueBox参数,为手术前诊断提供了高准确度.
科学领域:
- 放射学 放射学是一门学科.
- 在瘤学瘤学.
- 医疗成像医学成像
背景情况:
- 在使用动态对比增强超声波 (DCE-US) 的定量研究中,VueBox已被用于对比分析.
- DCE-US是医学成像定量研究的一个有价值的工具.
研究的目的:
- 评估DCE-US对脏瘤的差异诊断值.
- 使用增强模式和VueBox参数来提高诊断准确度.
主要方法:
- 对24名患有脏瘤的患者 (7名良性,17名恶性) 的回顾性分析.
- DCE-US增强模式和VueBox参数 (FT,RT) 与组织学发现的相关性.
- 接收器操作特征 (ROC) 分析以评估诊断性能.
主要成果:
- 在良性和恶性瘤之间观察到的显著差异是增强程度 (P=0.017),伪囊存在 (P=0.009),以及VueBox参数FT (P=0.045) 和RT (P=0.039).
- 综合增强模式参数的AUC值为0.815.
- 综合VueBox参数 (RT和FT) 的AUC值为0.798.8.
- 结合DCE-US两种模式的综合指数实现了最高的AUC (0.916),精度为87.50%,灵敏度为76.50%,特异性为85.70%.
结论:
- DCE-US,结合增强模式和定量分析,有助于脏瘤的手术前差异诊断.
- 增强模式和VueBox参数的组合显著提高了脏瘤的诊断准确性.
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