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外科研究与新技术（中英文）

外科研究与新技术（中英文） ›› 2025, Vol. 14 ›› Issue (1): 14-17.doi: 10.3969/j.issn.2095-378X.2025.01.003

• 论著 • 上一篇    下一篇

第二眼超声对MRI额外发现的乳腺BI-RADS 4或5类病变的诊断价值

郑静, 林子惟, 倪志鹏, 罗慧   

  1. 深圳市人民医院超声科,广东 深圳 518000
  • 收稿日期:2024-12-26 出版日期:2025-03-28 发布日期:2025-04-09
  • 通讯作者: 罗慧,电子信箱：luohui@szhospital.com
  • 作者简介:郑静（1979年—），女，主任医师，从事超声诊断及介入工作
  • 基金资助:
    广东省医学科学技术研究基金项目（B2023342）

Value of second-look ultrasound in diagnosis of BI-RADS category 4 or 5 breast lesions detected additionally by MRI

ZHENG Jing, LIN Ziwei, NI Zhipeng, LUO Hui   

  1. Department of Ultrasound, Shenzhen People's Hospital, Shenzhen 518000, Guangdong, China
  • Received:2024-12-26 Online:2025-03-28 Published:2025-04-09

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摘要： 目的　探讨第二眼超声对磁共振成像（MRI）额外发现的乳腺影像报告和数据系统（BI-RADS） 4或5类乳腺病变的诊断价值。方法　回顾性研究了MRI额外检查到BI-RADS 4或5类乳腺病变（89个）的第二眼超声影像学特征及BI-RADS分类。结果　MRI检查额外发现的89个BI-RADS 4或5类乳腺病变,经第二眼超声检查可匹配病变79个,检出率为88.8%,其中恶性病变22个（27.8%）。超声可匹配乳腺病变中,边界和血流分布两项超声特征在良、恶性组之间差异具有统计学意义（P<0.05）。第二眼超声再评估的受试者工作特征（ROC）曲线下面积为0.800,诊断乳腺癌的准确率较高。结论　第二眼超声能有效检出MRI额外发现的乳腺BI-RADS 4或5类病变且具有较高的诊断价值。

关键词: 第二眼超声, 乳腺癌, 磁共振成像, 乳腺影像报告和数据系统

Abstract: Objective To investigate the diagnostic value of second-look ultrasound （SLU） for additional breast lesions of Breast Imaging Reporting and Data System （BI-RADS） category 4 or 5 detected by MRI. Methods A total of 89 suspicious lesions of BI-RADS category 4 or 5 detected additionally by magnetic resonance imaging （MRI） were retrospectively analyzed by SLU for ultrasound imaging features and BI-RADS category. Results Of the 89 additional lesions detected by MRI, 79 lesions were detected by SLU, and the detection rate was 88.8%, including 22 （27.8%） malignant lesions. There were statistically significant differences between benign and malignant groups in the boundary and blood flow distribution of mass （P<0.05）. The area under the receiver operating characteristic （ROC） curve of SLU re-evaluation was 0.800, indicating a high accuracy in diagnosing breast cancer. Conclusion SLU can effectively detect additional BI-RADS category 4 or 5 lesions by MRI and has a high diagnostic value.

Key words: Second-look ultrasound, Breast cancer, Magnetic resonance imaging, Breast Imaging Reporting and Data System

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