HONG Min,LI Yunting,HOU Chunjie.. The value analysis of ultrasound BI-RADS combined with ultrasound imaging in the diagnosis of breast masses[J]. JOURNAL OF WEZHOU MEDICAL UNIVERSITY, 2017, 47(10): 766-770.
Abstract：Objective: To investigate the value of the breast imaging reporting and data analysis system (BI-RADS) combined with ultrasonic elastography (UE) in the breast masses diagnosis. Methods: 142 breast tumors were collected from125 cases of patients with breast tumors from January 2014 to December 2015, then we classified all breast masses by the ultrasonic BI-RADS, and had a ultrasound elastography (UE) examination, which the pathological results were used as the gold standard for diagnosis, to study the sensitivity, specificity, positive predictive value, negative predictive value and accuracy rate of two methods single-handed and combined application. Results: There were 142 lesions in this study, of which 81 were benign lesions and 61 were malignant lesions. UE three law diagnosis results show that statistically significant differences in UE scores between benign and malignant breast lesions (P<0.05), the sensitivity of UE in diagnosis of malignant lesions was 78.69%, the specificity was 81.48%, the positive predictive value was 83.54%, the negative predictive value was 76.19%. BI-RADS classification results showed statistically significant differences in classification of benign and malignant breast lesions (P<0.05), the sensitivity of diagnosis of malignant lesions in BI-RADS classification was 72.13%, the specificity was 77.78%, the positive predictive value was 70.97%, the negative predictive value was 78.75%. On the basis of traditional ultrasonic BI-RADS classification combined with UE adjustment, the 2 methods were compared with the pre adjustment results, the difference was statistically significant (P<0.05). Conclusion: UE score method can improve the sensitivity and specificity of BI-RADS classification for diagnosis of benign and malignant breast lesions.
