| 引用本文: |
张瑛苹,廖成容,殷柳,张海霞.SMI对肝郁痰凝型乳腺癌实性肿块的检测价值[J].湖南中医药大学学报,2018,38(11):1345-1349[点击复制] |
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| SMI对肝郁痰凝型乳腺癌实性肿块的检测价值 |
| 张瑛苹,廖成容,殷柳,张海霞 |
| (重庆两江新区第一人民医院超声科, 重庆 401121) |
| 摘要: |
| 目的 分析肝郁痰凝型乳腺癌肿块的血流情况，探讨超微细血流成像技术（superb microvascular imaging，SMI）对实性肿块的检测意义与价值。方法 对60名经病理检查证实为肝郁痰凝型乳腺癌的患者总计68个结节分别进行彩色多谱勒（CDI）扫描、多谱勒能量（PDI）扫描和SMI技术扫描，对同一结节的血流丰富程度进行观察，计算并比较3种方法对恶性肿瘤最佳诊断阈值、敏感性以及特异度等指标的差异。结果 SMI在全部肿瘤血流丰富程度的检测上与CDI、PDI比较差异有统计学意义（P<0.05）。SMI与CDI、PDI3种方法对恶性肿物最佳诊断阈值、敏感度以及特异性分别为：血管条数≥3 vs血管条数≥2 vs血管条数≥2；92.11% vs72.20% vs72.28%；62.48% vs62.60% vs62.73%。在SMI-CDI、SMI-PDI方面分别为：血管条数差值≥3、血管条数差值≥3；85.21%、85.51%；84.00%、84.18%。结论 超微细血流成像技术在肝郁痰凝型乳腺癌实性肿块的检测中具有重要的临床应用价值，可以提高肝郁痰凝型恶性肿瘤诊断的准确率。 |
| 关键词: 肝郁痰凝型乳腺癌 乳腺肿块 超微细血管成像 多普勒 |
| DOI：10.3969/j.issn.1674-070X.2018.11.028 |
| 投稿时间：2018-06-12 |
| 基金项目:重庆市卫生和计划生育委员会医学科研计划项目（2015XMSB0001287） |
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| Value of Superb Microvascular Imaging in Detection of Solid Breast Masses with Liver-Qi Stagnation and Phlegm Coagulation |
| ZHANG Yingping,LIAO Chengrong,YIN Liu,ZHANG Haixia |
| (Department of Ultrasound, The First People's Hospital of Liangjiang New Area, Chongqing 401121, China) |
| Abstract: |
| Objective To analyze the blood flow of breast cancer with liver-Qi stagnation and phlegm coagulation and to investigate the value of superb microvascular imaging (SMI) in the detection of solid masses. Methods A total of 68 nodules from 60 patients with pathologically confirmed breast cancer with liver-Qi stagnation and phlegm coagulation were subjected to color Doppler imaging (CDI), Doppler energy imaging (PDI), and SMI. The blood flow in the same nodule measured by the three methods was compared, and the differences in the optimal diagnostic threshold, sensitivity, and specificity for malignant tumors between the three methods were evaluated. Results There was a significant difference in the plenty of blood flow between CDI, PDI, and SMI (P<0.05). The optimal diagnostic threshold, sensitivity, and specificity of SMI, CDI, and PDI for breast cancer were as follows:number of blood vessels ≥ 3 vs number of blood vessels ≥ 2 vs number of blood vessels ≥ 2; 92.00% vs 72.20% vs 72.22%; 62.50% vs 62.60% vs 62.73%. In terms of SMI-CDI and SMI-PDI, the differences in the number of blood vessels, sensitivity, and specificity were ≥ 3 vs ≥ 3, 85.21% vs 85.51%, and 84.00% vs 84.18%, respectively. Conclusion SMI has an important value in the detection of solid breast masses with liver-Qi stagnation and phlegm coagulation, and it can improve the diagnostic accuracy of breast cancer with liver-Qi stagnation and phlegm coagulation type. |
| Key words: breast cancer with liver-Qi stagnation and phlegm coagulation breast mass superb microvascular imaging Doppler |
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