女孩早期乳房发育:灰度超声波和超声波电磁图的力量
Merter Keçeli1, Nesibe Akyürek2
1Ankara City Hospital Pediatric Radiology Department, Health Sciences University, Ankara 06800, Turkey.
The British journal of radiology
|February 8, 2024
概括
区分中部青春期早发症 (PP) 和早发症 (PT) 对于女孩来说至关重要. 乳房超声波 (US) 和乳房超声波 (SE) 显示出差异,但需要进一步研究才能在诊断乳房体积增加时可靠的临床使用.
科学领域:
- 儿科内分泌学 儿科内分泌学
- 医学成像医学成像
- 诊断技术 诊断技术 诊断技术
背景情况:
- 准确区分中部青春期早发症 (PP) 和早发症 (PT) 对于女孩的适当临床管理至关重要.
- 灰度超声波 (US) 和超声波 (SE) 都是用于评估乳腺组织特征的成像方式.
研究的目的:
- 评估乳腺US和延伸弹性图 (SE) 在识别女孩乳腺体积增加时的诊断性能.
- 为了比较US和SE在区分PP和PT方面的有效性.
主要方法:
- 一项前性研究包括63名8岁前乳腺发育的女孩,诊断出PP或PT.
- 测量包括基底激素水平 (LH,FSH,雌激素),乳房芽直径 (中侧[ML]和前后[AP]),美国分级和SE的应变指数 (SI).
- 进行了US和SE发现与实验室和临床诊断的统计比较.
主要成果:
- 在研究的121个乳腺芽中,39个与PP和82个与PT有关.
- 在PP中,平均ML直径显著高于PP (P < .01),平均AP显示出中等差异 (P < .06).
- 平均SI值在PP和PT之间有显著差异 (P<.004),ML的敏感度为71%和SI的72%,ML的特异性为61%和SI的特异性为56%.
结论:
- 乳房US测量 (ML) 和分级显示了区分PP与PT的潜力.
- 电磁共振 (SE) 和其应变指数 (SI) 显示了PP和PT之间的差异,但尚未足够可靠,用于常规的临床应用.
- 需要进一步的研究来确定SE在早期乳腺发育条件的诊断中的作用.
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