剪切波弹性成像鉴别乳腺良恶性肿瘤的价值.pdf

中华临床医师杂志( 电子版)2014 年1 月第8 卷第2 期 Chin J Clinicians(Electronic Edition),January 15,2014,Vol.8,No.2 ·187 · ·临床论著· 剪切波弹性成像鉴别乳腺良恶性 肿瘤的价值 陈晓燕 康春松 薛继平 史凯玲 冯婷华 【摘要】 目的 应用剪切波弹性成像（SWE ）分析乳腺肿瘤的成像特点，定量及定性评价SWE 对乳腺良、恶性肿瘤的鉴别诊断价值。方法 收集我院病理证实的乳腺肿瘤女性患者52 例 ，共69 个病灶，行剪切波弹性成像检查，采集肿瘤二维及SWE 图像，获得乳腺肿瘤的弹性模量值E （kPa ）： 平均值（Emean ）、最小值（Emin ）、最大值（Emax ）和标准差（SD），对照病理结果，分析良、 恶性肿瘤SWE 成像特点，比较良、恶性肿瘤的弹性模量值。比较二维与弹性图像测量良、恶性肿瘤 最大径。结果 （1）乳腺良性肿瘤SWE 典型表现：蓝色为主，颜色较均一；恶性肿瘤 SWE 典型 表现：红色为主，颜色较杂乱。（2 ）乳腺良性肿瘤的Emean 、Emax 及SD 均低于恶性肿瘤，Emin 高于恶性肿瘤，P ＜0.05 。（3 ）弹性图像测量良性肿瘤的最大径与二维图像测量比较，差异无统计 学意义，P ＞0.05 ；弹性图像测量恶性肿瘤的最大径大于二维测量，P ＜0.05 。结论 乳腺良、恶性 肿瘤有各自典型的SWE 成像特点，鉴别良、恶性有较好的价值。 【关键词】 乳腺肿瘤； 超声检查； 诊断； 弹性成像技术 The value of shear wave elastography in diagnosis of breast tumors Chen Xiaoyan, Kang Chunsong, Xue Jiping, Shi Kailing, Feng Tinghua. Department of Ultrasound, Dayi Hospital of Shanxi Medical University, Shanxi Academy of Medical Sciences,Taiyuan 030032, China Corresponding author: Kang Chunsong, Email: kangchunsong2005@ 【Abstract 】 Objective Analysis of the features of the shear wave elastography (SWE) imaging about the breast tumors, to application of quantitative and qualitative evaluation of SWE in the diagnosis of breast tumors. Methods 52 patients with breast tumor pathology confirmed were collected, a total of 69 lesions. The E-mean ，E-min ，E-max and SD of the breast tumors were obtained using SWE. Analyze the SWE imaging characteristics of the breast tumors, contrasting with the pathological results. Results (1) The typical image of the benign tumors was mainly blue and the color uniform. The typical image of the malignant tumors was mainly red and the color clutter. (2) The E-mean, E-max and SD of the benign tumors were lower than those of the malignant tumors, the E-mi