乳腺查中的辅助自动化乳房超声波:系统性审查和元分析
Ghufran Jassim1, Fahad AlZayani2, Suchita Dsilva1
1Department of Family Medicine, School of Medicine, Royal College of Surgeons in Ireland-Medical University of Bahrain, Busaiteen 15503, Bahrain.
Journal of imaging
|January 27, 2026
概括
自动乳房超声波 (ABUS) 在与乳房扫描一起使用时,可显著改善乳房密度较高的女性的癌症检测. 虽然回忆率增加,但ABUS显示的准确性与手持超声波 (HHUS) 相同.
科学领域:
- 放射学和医学成像学 医学成像学
- 在瘤学瘤学.
- 诊断技术 诊断技术 诊断技术
背景情况:
- 乳房摄影敏感性在乳房密的女性中是有限的,这增加了间隔癌症的风险.
- 自动乳房超声波 (ABUS) 和超声波断层扫描 (UST) 正在成为补充查工具.
- 现有的审查缺乏对查设置和与手持超声波 (HHUS) 的直接比较的关注.
研究的目的:
- 系统地评估ABUS和UST作为乳房扫描查的辅助方法的有效性.
- 在查设置中,将ABUS和UST的诊断准确性与HUS进行比较.
- 评估ABUS对癌症检测率和乳腺密度高的妇女的召回率的影响.
主要方法:
- 在PubMed,Embase,Web of Science和Cochrane图书馆 (2000-2025) 的系统文献搜索.
- 包括18项研究 (超过20,000次) 评估ABUS/ABVS或UST作为乳房影像的辅助.
- 对敏感性和特异性的元分析,使用可比研究的随机效应模型.
主要成果:
- 将ABUS添加到乳房检查中,使灵敏度提高了6-35个百分点,每1000名女性中癌症检测率提高了2.4-4.3.
- 使用ABUS与更高的召回率和适度下降的特异性有关.
- 头对头比较显示ABUS灵敏度为0.90和特异性为0.89,与HHUS.US相比.
结论:
- 艾布斯是乳房扫描的实用和可扩展的辅助工具,可以提高乳房密度较高的女性的癌症检测能力.
- 增加癌症检测的好处伴随着更高的回忆和减少特异性的权衡.
- 由于在查计划中广泛采用之前,需要进一步进行高质量的试验,以研究异质性和偏差风险.
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