S⁃Detect技术与常规超声不同联合方案在乳腺结节评估中的应用
作者:
作者单位:

作者简介:

通讯作者:

中图分类号:

基金项目:

江苏省妇幼健康科研项目(F201949)


The application in evaluation of breast nodules by different combined schemes of S⁃Detect technique and conventional ultrasound
Author:
Affiliation:

Fund Project:

  • 摘要
  • |
  • 图/表
  • |
  • 访问统计
  • |
  • 参考文献
  • |
  • 相似文献
  • |
  • 引证文献
  • |
  • 资源附件
  • |
  • 文章评论
    摘要:

    目的:探讨S-Detect技术与常规超声不同联合方案在乳腺结节评估中的应用价值。方法:收集2019年5月—2020年4月175个乳腺结节的常规超声图像,术前由低、中、高年资的超声医师各自进行常规超声乳腺影像报告和数据系统(breast imaging report and data system,BI-RADS),分类,并分别以4种不同方案联合S-Detect结果进行调整,术后以病理结果为金标准,评估S-Detect的诊断价值,同时比较不同年资医师联合不同方案前后的诊断效能。结果:单用S-Detect的诊断特异性高于超声医师,差异均有统计学意义(P < 0.01)。低、中年资医师联合诊断的AUC值显著提高,且差异有统计学意义(P<0.01),其中联合方案三、四显著优于方案一、二(P<0.05);高年资医师联合后AUC值降低。结论:S-Detect技术具有较高的诊断特异性,低、中年资医师联合S-Detect技术进行BI-RADS分类可以提高诊断效能,其中联合方案三、四较优。

    Abstract:

    Objective:This study aims to explore the application value of different combined schemes of S-Detect technique and conventional ultrasound in the evaluation of breast nodules. Methods:The routine ultrasound images of 175 breast nodules from May 2019 to April 2020 were collected. BI-RADS category was performed by low-,middle-and senior-aged sonographers before the surgery,and adjusted by four different schemes combined with S-Detect results. The pathological results were used as the gold standard after surgery to evaluate the S-Detect diagnostic value,and compare the diagnostic efficacy of sonographers with different seniority before and after combining different schemes. Results:The diagnostic specificity of S-Detect alone was higher than that of sonographers,and the difference was statistically significant(P < 0.01). AUC value of combined diagnosis of low- and middle-aged sonographers significantly increased,and it was statistically significant(P < 0.01),among which the combination of schemes Ⅲ and Ⅳ was significantly better than schemes Ⅰ and Ⅱ(P < 0.05);AUC value decreased after the combination of senior-aged physicians. Conclusion:S-Detect technique had high diagnostic specificity. Low- and middle-aged sonographers combined S-Detect technique with BI-RADS category could improve their diagnostic efficiency,among which the combination of scheme Ⅲ and Ⅳ performed better.

    参考文献
    相似文献
    引证文献
引用本文

潘加珍,查海玲,杜丽雯,聂晨蕾,丁志颖,巩海燕,王 慧,栗翠英. S⁃Detect技术与常规超声不同联合方案在乳腺结节评估中的应用[J].南京医科大学学报(自然科学版),2021,(2):262-267

复制
分享
文章指标
  • 点击次数:
  • 下载次数:
  • HTML阅读次数:
  • 引用次数:
历史
  • 收稿日期:2020-10-03
  • 最后修改日期:
  • 录用日期:
  • 在线发布日期: 2021-03-10
  • 出版日期:
通知关闭
郑重声明