彩色多普勒和应变弹性成像辅助 B 型超声诊断乳腺非肿块异常的实用性:BC-07 多中心研究 385 例病例的结果。

IF 1.9 4区 医学 Q3 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING Journal of Medical Ultrasonics Pub Date : 2024-08-13 DOI:10.1007/s10396-024-01485-1
Toshitaka Okuno, Takanori Watanabe, Takuhiro Yamaguchi, Sachiyo Konno, Rie Takaki, Ryoji Watanabe, Kanako Ban, Koichi Hirokaga, Masahiko Tsuruoka, Takako Morita
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引用次数: 0

摘要

目的:乳腺非肿块异常的概念在日本已应用了约 20 年。虽然 B 型超声波检查结果被归类为非肿块异常,但在 B 型超声波检查的基础上增加彩色多普勒超声波检查(US)和应变弹性检查的作用尚不明确。因此,我们开展了一项多中心研究(JABTS BC-07),以建立乳腺 US(包括彩色多普勒和弹性成像)对乳腺非肿块异常的诊断标准,并验证其诊断作用:我们登记了来自 13 家机构的乳腺非肿块异常的 US 图像及其临床和组织病理学数据(202 例恶性和 183 例良性非肿块病变)。此外,我们还评估了 B 型和彩色多普勒 US 诊断标准的集中图像解读实用性,以及在 B 型 US 的基础上增加彩色多普勒 US 和弹性成像的敏感性和特异性:乳腺中的回声灶(几率比 3.45,95% 置信区间 [CI]1.92-6.19,P 结论:虽然在 B 型超声波检查中增加彩色多普勒超声波检查和弹性成像检查,但乳腺中的回声灶并不明显:虽然在 B 型超声波检查的基础上增加彩色多普勒超声波和弹性成像可提高灵敏度,但诊断意义有限。因此,有必要采用包括乳腺 X 射线照相术和磁共振成像在内的综合诊断方法。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

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Usefulness of color Doppler and strain elastography adjunctive to B-mode ultrasonography in the diagnosis of non-mass abnormalities of the breast: results of the BC-07 multicenter study of 385 cases.

Purpose: The concept of non-mass abnormalities of the breast has been employed in Japan for approximately 20 years. Although B-mode findings are classified as non-mass abnormalities, the usefulness of adding color Doppler ultrasonography (US) and strain elastography to B-mode US is unclear. Therefore, we conducted a multicenter study (JABTS BC-07) to establish the diagnostic criteria for breast US, including color Doppler and elastography, for non-mass abnormalities of the breast and verify their diagnostic usefulness.

Methods: We registered US images of non-mass abnormalities of the breast and their clinical and histopathological data from 13 institutions (202 malignant and 183 benign non-mass lesions). Furthermore, we evaluated the centralized image interpretation usefulness of the diagnostic criteria for B-mode and color Doppler US, as well as the sensitivity and specificity when color Doppler US and elastography were added to B-mode US.

Results: Echogenic foci in the mammary gland (odds ratio 3.45, 95% confidence interval [CI] 1.92-6.19, p < 0.0001) and the configuration of internal solid components of the ducts (odds ratio 0.056, 95% CI 0.005-0.591, p < 0.0165) significantly differentiated benign and malignant non-mass abnormalities. The sensitivity of B-mode alone (83.7%) was significantly improved by adding color Doppler US (93.1%) (p = 0.0004); however, adding color Doppler US and elastography to B-mode US made no significant difference in either sensitivity or specificity.

Conclusion: Although adding color Doppler US and elastography to B-mode US improved sensitivity, the diagnostic significance was limited. Therefore, a comprehensive diagnostic method comprising mammography and magnetic resonance imaging is warranted.

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来源期刊
CiteScore
3.30
自引率
11.10%
发文量
102
审稿时长
>12 weeks
期刊介绍: The Journal of Medical Ultrasonics is the official journal of the Japan Society of Ultrasonics in Medicine. The main purpose of the journal is to provide forum for the publication of papers documenting recent advances and new developments in the entire field of ultrasound in medicine and biology, encompassing both the medical and the engineering aspects of the science.The journal welcomes original articles, review articles, images, and letters to the editor.The journal also provides state-of-the-art information such as announcements from the boards and the committees of the society.
期刊最新文献
Correction: Principle of contrast-enhanced ultrasonography. Evaluation under loading detects medial meniscus extrusion in patients with reconstructed anterior cruciate ligament and restricted knee extension. Resolution of oval thrombus in a case of external jugular venous aneurysm. Quantification of the size of subchorionic hematoma causing pregnancy-related complications: a retrospective cohort study. Correction: Third-look contrast-enhanced ultrasonography plus needle biopsy for differential diagnosis of magnetic resonance imaging-only detected breast lesions.
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