Page 112 - 南京医科大学学报自然科学版

南京医科大学学报（自然科学版） 第41卷第2期
·262 · Journal of Nanjing Medical University（Natural Sciences） 2021年2月

·影像医学研究·

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

潘加珍，查海玲，杜丽雯，聂晨蕾，丁志颖，巩海燕，王 慧，栗翠英 *
南京医科大学第一附属医院超声诊断科，江苏 南京 210029

［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。
［关键词］ 乳腺结节；超声BI⁃RADS分类；S⁃Detect 技术；联合诊断
［中图分类号］ R445.1 ［文献标志码］ A ［文章编号］ 1007⁃4368（2021）02⁃262⁃06
doi：10.7655/NYDXBNS20210222

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

PAN Jiazhen，ZHA Hailing，DU Liwen，NIE Chenlei，DING Zhiying，GONG Haiyan，WANG Hui，LI Cuiying *
Department of Ultrasound Diagnosis，the First Affiliated Hospital of Nanjing Medical University，Nanjing 210029，
China

［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.
［Key words］ breast nodule；ultrasound BI⁃RADS category；S⁃Detect technique；combining diagnosis
［J Nanjing Med Univ，2021，41（02）：262⁃267］

［1］
乳腺癌是最常见的女性恶性肿瘤 ，早发现、早 诊断、早治疗对于乳腺癌患者的预后起着至关重要
的作用 。超声检查以其快捷、无放射性等优点成
［2］
［3］
［基金项目］ 江苏省妇幼健康科研项目（F201949） 为乳腺癌诊断的重要手段 。近年来，计算机辅助
∗ 诊断（computer⁃aided diagnosis，CAD）技术越来越多
通信作者（Corresponding author），E⁃mail：lynx_ko@163.com