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自动乳房超声波在机会性查和诊断评估中提供了可比的诊断性能
Kartini Rahmat1, Nazimah Ab Mumin2, Wei Lin Ng1
1Department of Biomedical Imaging, Universiti Malaya Research Imaging Centre, Faculty of Medicine, Universiti Malaya, Kuala Lumpur, Malaysia.
Ultrasound in medicine & biology
|October 15, 2023
概括
自动乳房超声波 (ABUS) 有效地补充了数字乳房图解合成 (DBT) 用于机会性查和诊断目的,改善了女性的癌症检测.
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:
- 数字乳腺图解合成 (DBT) 是乳腺癌查和诊断的关键成像方式.
- 自动乳房超声波 (ABUS) 提供了一个补充成像技术.
- 评估ABUS和DBT的联合性能对于优化乳腺癌检测策略至关重要.
研究的目的:
- 评估自动乳房超声波 (ABUS) 作为数字乳房图解合成 (DBT) 的辅助方法的有效性.
- 评估ABUS-DBT在查和诊断性乳房造影设置中的性能.
- 确定ABUS和DBT联合对癌症检测率和诊断产量的影响.
主要方法:
- 一项涉及1089名从2019年12月到2022年3月接受DBT和ABUS的妇女的横截面研究.
- 包括机会性查,有针对性的查和症状诊断病例.
- 计算关键性能指标,包括活检 (PPV3),活检率和癌症检测收益率的积极预测值.
主要成果:
- 总共分析了1089次ABUS检查,其中909次用于查,180次用于诊断.
- 总体活检率为53.2% (579个活检),确定了100个恶性病变 (9.2%).
- 仅ABUS在9例病例中检测到恶性瘤,而仅DBT在19例病例中检测到恶性瘤,突出了附加值.
结论:
- 自动乳房超声波 (ABUS) 证明了作为数字乳房图解合成 (DBT) 的辅助工具的实用性.
- 结合方法在机会性查和诊断性乳房镜片设置中是有益的.
- 将ABUS与DBT整合起来可以提高乳腺恶性瘤的检测.
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