The Value of Conventional Ultrasound Combined with UE and DCE-MRI Combined with DWI in the Diagnosis of Breast Benign and Malignant Lesions

Zhou Sheng Li; Xu Lei

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The Value of Conventional Ultrasound Combined with UE and DCE-MRI Combined with DWI in the Diagnosis of Breast Benign and Malignant Lesions

Zhou Sheng Li, Xu Lei

Published in Asia-Pacific Journal of Medicine (Volume 2, Issue 4)

Received: 5 November 2019 Accepted: 22 December 2019 Published: 31 December 2019

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Abstract

Objective: Discuss the value of conventional ultrasound combined with UE and DCE-MRI combined with DWI in the diagnosis of breast benign and malignant lesions.Methods: 60 cases of breast masses confirmed by operation and pathology were analyzed retrospectively Cases were examined by conventional ultrasound combined with ultrasound elastic imaging and double breast MRI before operation. The shape, boundary, enhancement mode, time signal intensity curve (TIC) and apparent diffusion coefficient (ADC) of the lesions were analyzed. The sensitivity and specificity of DCE combined with DWI, conventional ultrasound combined with ultrasound elastic imaging and their combination in the diagnosis of breast lesions were calculated The diagnostic efficiency was analyzed by ROC curve.Results: the sensitivity was 87.5%, the specificity was 80.0%, and the coincidence rate was 85.0%. The diagnostic sensitivity of DCE combined with DWI was 92.5%, the specificity was 90.0%, and the coincidence rate was 91.6%. The combined sensitivity of the two methods was 95.0%, the specificity was 95.0%, and the coincidence rate was 95.0%. The AUC (0.950) of combined differentiation of breast benign and malignant lesions was higher than that of single diagnosis (0.838, 0.913). The difference between combined differentiation and conventional ultrasound combined UE was statistically significant (P < 0.05). Conclusion: conventional ultrasound combined with UE and DCE-MRI combined with DWI have some advantages over single examination in the qualitative diagnosis of breast masses. The combined application of the two is conducive to improve the accuracy of diagnosis.

Published in	Asia-Pacific Journal of Medicine (Volume 2, Issue 4)
Page(s)	48-52
Creative Commons	This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.
Copyright	Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

Ultrasonography, Ultrasound Elastography, Breast Tumor, Magnetic Resonance Imaging, Dynamic Enhancement, Diffusion Weighted Imaging, Apparent Diffusion Coefficient

References

[1]	Al-Khawari H,Athyal R,Kovacs A, et al.Accuracy of the Fischer scoring system and the Breast Imaging Reporting and Data System in identification of malignant breast lesions E J]•Hematol Oncol Stem Cell Ther, 2009, 2(3): 403-410。
[2]	American College of Radiology BI-RADS Committee.Breast Imaging Reporting and Data System (5th ed) [J]. Reston, American College of Radiology, 2013. 137-142。
[3]	马春芝，夏永丽．二维超声及彩色多普勒超声在乳腺肿块诊断中的应用．中国综合临床，2003。
[4]	孙卫建，范晓芳，康莉，等．超声弹性成像参数在乳腺肿瘤诊断中的应用价值．中国超声医学杂志，2009。
[5]	刘洪军，马新群，陈建．超声弹性成像对乳腺实性肿瘤的诊断价值探讨．实用临床医药杂志，2009。
[6]	何晓燕．彩色多普勒超声对乳腺癌的诊断及鉴别诊断价值．中国全科医学，2010，13（6）。
[7]	王怡，王涌，张希敏，等．组织弹性成像技术鉴别诊断乳腺良恶性肿块的价值评估．中国医学影像技术，2005，21（11）。
[8]	甘曼，位红芹，柳建华常规超声及超声弹性成像对乳腺肿块的定性诊断价值放射学实践 2015（03）。
[9]	马存文，杨素梅，杨丽，沈开明，胡瑞，李俊磁共振动态增强联合扩散加权成像对乳腺良恶性病变的诊断价值放射学实践 2019（04）。
[10]	张亚平，董光，耿海等，DCE-MRI和DWI对乳腺腺病和乳腺癌的诊断价值实用放射杂志，2017,33(4)。
[11]	李俊，赵卫.3.0T磁共振动态增强及扩散加权成像对乳腺病变的诊断价值实用放射杂志，2013,29(12)。
[12]	刘世忠，吴雄娟,詹奕彦，等. MR动态增强曲线、DWI及ADC值用于乳腺疾病定性诊断的敏感性及特异性评估中国CT和MRI 杂志 2017,15(10)。
[13]	张东坡，李优伟,郑作锋，等.表观扩散系数对乳腺肿块样和非肿块样强化病变的诊断价值放射学实践 2015 (04)。
[14]	徐姝，罗娅红，何翠菊表观扩散系数（ADC）值的离散系数对于乳腺良恶性病变鉴别诊断的应用价值放射学实践 2017（06）。
[15]	赵金丽，李敏达，徐婷，等．标准化ADC值在乳腺良恶性病变鉴别诊断中的价值．实用放射学杂志，2014(08)。
[16]	徐琳，汪登斌，王丽君，等．MR-DWI的ADC与ｒADC在乳腺疾病良恶性鉴别诊断中的比较．放射学实践，2014（10）。

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APA Style

Zhou Sheng Li, Xu Lei. (2019). The Value of Conventional Ultrasound Combined with UE and DCE-MRI Combined with DWI in the Diagnosis of Breast Benign and Malignant Lesions. Asia-Pacific Journal of Medicine, 2(4), 48-52.

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ACS Style

Zhou Sheng Li; Xu Lei. The Value of Conventional Ultrasound Combined with UE and DCE-MRI Combined with DWI in the Diagnosis of Breast Benign and Malignant Lesions. Asia-Pac. J. Med. 2019, 2(4), 48-52.

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AMA Style

Zhou Sheng Li, Xu Lei. The Value of Conventional Ultrasound Combined with UE and DCE-MRI Combined with DWI in the Diagnosis of Breast Benign and Malignant Lesions. Asia-Pac J Med. 2019;2(4):48-52.

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@article{10044574,
  author = {Zhou Sheng Li and Xu Lei},
  title = {The Value of Conventional Ultrasound Combined with UE and DCE-MRI Combined with DWI in the Diagnosis of Breast Benign and Malignant Lesions},
  journal = {Asia-Pacific Journal of Medicine},
  volume = {2},
  number = {4},
  pages = {48-52},
  url = {https://www.sciencepublishinggroup.com/article/10044574},
  abstract = {Objective: Discuss the value of conventional ultrasound combined with UE and DCE-MRI combined with DWI in the diagnosis of breast benign and malignant lesions.Methods: 60 cases of breast masses confirmed by operation and pathology were analyzed retrospectively Cases were examined by conventional ultrasound combined with ultrasound elastic imaging and double breast MRI before operation. The shape, boundary, enhancement mode, time signal intensity curve (TIC) and apparent diffusion coefficient (ADC) of the lesions were analyzed. The sensitivity and specificity of DCE combined with DWI, conventional ultrasound combined with ultrasound elastic imaging and their combination in the diagnosis of breast lesions were calculated The diagnostic efficiency was analyzed by ROC curve.Results: the sensitivity was 87.5%, the specificity was 80.0%, and the coincidence rate was 85.0%. The diagnostic sensitivity of DCE combined with DWI was 92.5%, the specificity was 90.0%, and the coincidence rate was 91.6%. The combined sensitivity of the two methods was 95.0%, the specificity was 95.0%, and the coincidence rate was 95.0%. The AUC (0.950) of combined differentiation of breast benign and malignant lesions was higher than that of single diagnosis (0.838, 0.913). The difference between combined differentiation and conventional ultrasound combined UE was statistically significant (P < 0.05). Conclusion: conventional ultrasound combined with UE and DCE-MRI combined with DWI have some advantages over single examination in the qualitative diagnosis of breast masses. The combined application of the two is conducive to improve the accuracy of diagnosis.},
 year = {2019}
}

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TY  - JOUR
T1  - The Value of Conventional Ultrasound Combined with UE and DCE-MRI Combined with DWI in the Diagnosis of Breast Benign and Malignant Lesions
AU  - Zhou Sheng Li
AU  - Xu Lei
Y1  - 2019/12/31
PY  - 2019
T2  - Asia-Pacific Journal of Medicine
JF  - Asia-Pacific Journal of Medicine
JO  - Asia-Pacific Journal of Medicine
SP  - 48
EP  - 52
PB  - Science Publishing Group
UR  - http://www.sciencepg.com/article/10044574
AB  - Objective: Discuss the value of conventional ultrasound combined with UE and DCE-MRI combined with DWI in the diagnosis of breast benign and malignant lesions.Methods: 60 cases of breast masses confirmed by operation and pathology were analyzed retrospectively Cases were examined by conventional ultrasound combined with ultrasound elastic imaging and double breast MRI before operation. The shape, boundary, enhancement mode, time signal intensity curve (TIC) and apparent diffusion coefficient (ADC) of the lesions were analyzed. The sensitivity and specificity of DCE combined with DWI, conventional ultrasound combined with ultrasound elastic imaging and their combination in the diagnosis of breast lesions were calculated The diagnostic efficiency was analyzed by ROC curve.Results: the sensitivity was 87.5%, the specificity was 80.0%, and the coincidence rate was 85.0%. The diagnostic sensitivity of DCE combined with DWI was 92.5%, the specificity was 90.0%, and the coincidence rate was 91.6%. The combined sensitivity of the two methods was 95.0%, the specificity was 95.0%, and the coincidence rate was 95.0%. The AUC (0.950) of combined differentiation of breast benign and malignant lesions was higher than that of single diagnosis (0.838, 0.913). The difference between combined differentiation and conventional ultrasound combined UE was statistically significant (P < 0.05). Conclusion: conventional ultrasound combined with UE and DCE-MRI combined with DWI have some advantages over single examination in the qualitative diagnosis of breast masses. The combined application of the two is conducive to improve the accuracy of diagnosis.
VL  - 2
IS  - 4
ER  -

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Author Information

Zhou Sheng Li

Guannan First People's Hospital, Lian Yun Gang, China
Xu Lei

Guannan First People's Hospital, Lian Yun Gang, China

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Plain Text BibTeX RIS

APA Style

Zhou Sheng Li, Xu Lei. (2019). The Value of Conventional Ultrasound Combined with UE and DCE-MRI Combined with DWI in the Diagnosis of Breast Benign and Malignant Lesions. Asia-Pacific Journal of Medicine, 2(4), 48-52.

Copy | Download

ACS Style

Zhou Sheng Li; Xu Lei. The Value of Conventional Ultrasound Combined with UE and DCE-MRI Combined with DWI in the Diagnosis of Breast Benign and Malignant Lesions. Asia-Pac. J. Med. 2019, 2(4), 48-52.

Copy | Download

AMA Style

Zhou Sheng Li, Xu Lei. The Value of Conventional Ultrasound Combined with UE and DCE-MRI Combined with DWI in the Diagnosis of Breast Benign and Malignant Lesions. Asia-Pac J Med. 2019;2(4):48-52.

Copy | Download

@article{10044574,
  author = {Zhou Sheng Li and Xu Lei},
  title = {The Value of Conventional Ultrasound Combined with UE and DCE-MRI Combined with DWI in the Diagnosis of Breast Benign and Malignant Lesions},
  journal = {Asia-Pacific Journal of Medicine},
  volume = {2},
  number = {4},
  pages = {48-52},
  url = {https://www.sciencepublishinggroup.com/article/10044574},
  abstract = {Objective: Discuss the value of conventional ultrasound combined with UE and DCE-MRI combined with DWI in the diagnosis of breast benign and malignant lesions.Methods: 60 cases of breast masses confirmed by operation and pathology were analyzed retrospectively Cases were examined by conventional ultrasound combined with ultrasound elastic imaging and double breast MRI before operation. The shape, boundary, enhancement mode, time signal intensity curve (TIC) and apparent diffusion coefficient (ADC) of the lesions were analyzed. The sensitivity and specificity of DCE combined with DWI, conventional ultrasound combined with ultrasound elastic imaging and their combination in the diagnosis of breast lesions were calculated The diagnostic efficiency was analyzed by ROC curve.Results: the sensitivity was 87.5%, the specificity was 80.0%, and the coincidence rate was 85.0%. The diagnostic sensitivity of DCE combined with DWI was 92.5%, the specificity was 90.0%, and the coincidence rate was 91.6%. The combined sensitivity of the two methods was 95.0%, the specificity was 95.0%, and the coincidence rate was 95.0%. The AUC (0.950) of combined differentiation of breast benign and malignant lesions was higher than that of single diagnosis (0.838, 0.913). The difference between combined differentiation and conventional ultrasound combined UE was statistically significant (P < 0.05). Conclusion: conventional ultrasound combined with UE and DCE-MRI combined with DWI have some advantages over single examination in the qualitative diagnosis of breast masses. The combined application of the two is conducive to improve the accuracy of diagnosis.},
 year = {2019}
}

Copy | Download

TY  - JOUR
T1  - The Value of Conventional Ultrasound Combined with UE and DCE-MRI Combined with DWI in the Diagnosis of Breast Benign and Malignant Lesions
AU  - Zhou Sheng Li
AU  - Xu Lei
Y1  - 2019/12/31
PY  - 2019
T2  - Asia-Pacific Journal of Medicine
JF  - Asia-Pacific Journal of Medicine
JO  - Asia-Pacific Journal of Medicine
SP  - 48
EP  - 52
PB  - Science Publishing Group
UR  - http://www.sciencepg.com/article/10044574
AB  - Objective: Discuss the value of conventional ultrasound combined with UE and DCE-MRI combined with DWI in the diagnosis of breast benign and malignant lesions.Methods: 60 cases of breast masses confirmed by operation and pathology were analyzed retrospectively Cases were examined by conventional ultrasound combined with ultrasound elastic imaging and double breast MRI before operation. The shape, boundary, enhancement mode, time signal intensity curve (TIC) and apparent diffusion coefficient (ADC) of the lesions were analyzed. The sensitivity and specificity of DCE combined with DWI, conventional ultrasound combined with ultrasound elastic imaging and their combination in the diagnosis of breast lesions were calculated The diagnostic efficiency was analyzed by ROC curve.Results: the sensitivity was 87.5%, the specificity was 80.0%, and the coincidence rate was 85.0%. The diagnostic sensitivity of DCE combined with DWI was 92.5%, the specificity was 90.0%, and the coincidence rate was 91.6%. The combined sensitivity of the two methods was 95.0%, the specificity was 95.0%, and the coincidence rate was 95.0%. The AUC (0.950) of combined differentiation of breast benign and malignant lesions was higher than that of single diagnosis (0.838, 0.913). The difference between combined differentiation and conventional ultrasound combined UE was statistically significant (P < 0.05). Conclusion: conventional ultrasound combined with UE and DCE-MRI combined with DWI have some advantages over single examination in the qualitative diagnosis of breast masses. The combined application of the two is conducive to improve the accuracy of diagnosis.
VL  - 2
IS  - 4
ER  -

Copy | Download