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Can Ultrasound Elastography Help Better Manage Mammographic BI-RADS Category 4 Breast Lesions?

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收录情况： ◇ SCIE

作者：
Gu, Yang[1] * ; Tian, Jiawei[2] ; Ran, Haitao[3,4] ; Ren, Weidong[5] ; Chang, Cai[6,7] ; Yuan, Jianjun[8] ; Kang, Chunsong[9] ; Deng, Youbin[10] ; Wang, Hui[11] ; Luo, Baoming[12] ; Guo, Shenglan[13] ; Zhou, Qi[14] ; Xue, Ensheng[15] ; Zhan, Weiwei[16] ; Zhou, Qing[17] ; Li, Jie[18] ; Zhou, Ping[19] ; Zhang, Chunquan[20] ; Chen, Man[21] ; Gu, Ying[22] ; Xu, Jinfeng[23] ; Chen, Wu[24] ; Zhang, Yuhong[25] ; Li, Jianchu[1] ; Wang, Hongyan[1] ; Jiang, Yuxin[1] ;
单位： [1]Chinese Acad Med Sci & Peking Union Med Coll, Peking Union Med Coll Hosp, Dept Ultrasound, 1 Shuai Fu Yuan, Beijing 100730, Peoples R China [2]Harbin Med Univ, Dept Ultrasound, Affiliated Hosp 2, Harbin, Peoples R China [3]Chongqing Med Univ, Dept Ultrasound, Affiliated Hosp 2, Chongqing, Peoples R China [4]Chongqing Key Lab Ultrasound Mol Imaging, Chongqing, Peoples R China [5]China Med Univ, Dept Ultrasound, Shengjing Hosp, Shenyang, Peoples R China [6]Fudan Univ, Shanghai Canc Ctr, Dept Med Ultrasound, Shanghai, Peoples R China [7]Fudan Univ, Dept Oncol, Shanghai Med Coll, Shanghai, Peoples R China [8]Henan Prov Peoples Hosp, Dept Ultrasonog, Zhengzhou, Peoples R China [9]Shanxi Acad Med Sci, Shanxi Bethune Hosp, Dept Ultrasound, Taiyuan, Peoples R China [10]Huazhong Univ Sci & Technol, Tongji Hosp, Dept Med Ultrasound, Tongji Med Coll, Wuhan, Peoples R China [11]Jilin Univ, Dept Ultrasound, China Japan Union Hosp, Changchun, Peoples R China [12]Sun Yat Sen Univ, Sun Yat Sen Mem Hosp, Dept Ultrasound, Guangzhou, Peoples R China [13]Guangxi Med Univ, Dept Ultrasonog, Affiliated Hosp 1, Nanning, Peoples R China [14]Xi An Jiao Tong Univ, Affiliated Hosp 2, Sch Med, Dept Med Ultrasound, Xian, Peoples R China [15]Fujian Med Univ, Fujian Inst Ultrasound Med, Dept Ultrasound, Union Hosp, Fuzhou, Peoples R China [16]Shanghai Jiao Tong Univ, Ruijin Hosp, Sch Med, Dept Ultrasound, Shanghai, Peoples R China [17]Wuhan Univ, Dept Ultrasonog, Renmin Hosp, Wuhan, Peoples R China [18]Shandong Univ, Qilu Hosp, Dept Ultrasound, Jinan, Peoples R China [19]Cent South Univ, Dept Ultrasound, Xiangya Hosp 3, Changsha, Peoples R China [20]Nanchang Univ, Dept Ultrasound, Affiliated Hosp 2, Nanchang, Jiangxi, Peoples R China [21]Shanghai Jiao Tong Univ, Tongren Hosp, Dept Ultrasound Med, Sch Med, Shanghai, Peoples R China [22]Guizhou Med Univ, Dept Ultrasonog, Affiliated Hosp, Guiyang, Peoples R China [23]Jinan Univ, Shenzhen Peoples Hosp, Dept Ultrasound, Clin Med Coll 2, Shenzhen, Peoples R China [24]Shanxi Med Univ, Dept Ultrasound, Hosp 1, Taiyuan, Peoples R China [25]Dalian Med Univ, Dept Ultrasound, Hosp 2, Dalian, Peoples R China
出处：
DOI： 10.1016/j.clbc.2021.10.009
ISSN：

关键词： Breast classification Breast neoplasms Mammography Ultrasonography Diagnostic performance

摘要：
We assessed the performance of conventional ultrasound (US) combined with strain elastography (SE) in the Breast Imaging Reporting and Data System (BI-RADS) category 4 lesions on mammography. A total of 751 women with 751 breast lesions classified as mammographic BI-RADS category 4 were included. Conventional US combined with SE helped increase the PPV and had the potential to avoid unnecessary biopsies of BI-RADS category 4 lesions detected on mammography. Background: To assess the performance of conventional ultrasound (US) combined with strain elastography (SE) in the Breast Imaging Reporting and Data System (BI-RADS) category 4 lesions on mammography. Materials and Methods: Women with breast lesions identified as having mammography BI-RADS 4 lesions and underwent US examination were included in China. US features and US BI-RADS assessment were recorded in real-time and prospectively reported. The pathological result was referred to as the gold standard. The performance of US in the mammographic BI-RADS category 4 lesions was evaluated. Diagnostic performances of US BI-RADS, SE and combined both were compared. Results: A total of 751 women with 751 breast lesions classified as mammographic BI-RADS category 4 were included. For mammographic findings, 530 (70.6%) were true positive and 221 (29.4%) were false positive. Conventional US achieved higher positive predictive value (PPV) than mammography (78.5% vs. 70.6%, P=.001). The specificity increased from 34.4% to 47.1% (P < . .001) without any loss in sensitivity and the PPV increased to 81.9% (P = .122) when conventional US was used in combination with SE. For conventional US combined with SE, it led to a correct diagnosis of no breast cancer in 104 of the 221 false-positive findings (47.1%) and achieved higher PPV than mammography regardless of patient age and lesion size. Conclusion: Conventional US combined with SE is a helpful tool for the noninvasive examination of breast lesions classified as BI-RADS category 4 on mammography. It helped increase the PPV and had the potential to avoid unnecessary biopsies of BI-RADS category 4 lesions detected on mammography. (C) 2021 Elsevier Inc. All rights reserved.

基金：
Beijing Natural Science Foundation [7202156]; Foundation of International Health Exchange and Cooperation Center NHC PRC [ihecc2018C0032-2]; Peking Union Medical College Reform in Education Project [10023201900113]
语种：
外文
被引次数：
WOS：
PubmedID：
中科院(CAS)分区：
出版当年[2021]版：
大类 | 3 区 医学
小类 | 4 区 肿瘤学
最新[2025]版：
大类 | 3 区 医学
小类 | 4 区 肿瘤学
JCR分区：
出版当年[2020]版：
Q3 ONCOLOGY
最新[2023]版：
Q2 ONCOLOGY

影响因子： 最新[2023版] 最新五年平均 出版当年[2020版] 出版当年五年平均 出版前一年[2019版] 出版后一年[2021版]

第一作者：
第一作者单位： [1]Chinese Acad Med Sci & Peking Union Med Coll, Peking Union Med Coll Hosp, Dept Ultrasound, 1 Shuai Fu Yuan, Beijing 100730, Peoples R China
通讯作者：
推荐引用方式(GB/T 7714)：
Gu Yang,Tian Jiawei,Ran Haitao,et al.Can Ultrasound Elastography Help Better Manage Mammographic BI-RADS Category 4 Breast Lesions?[J].CLINICAL BREAST CANCER.2022,22(4):E407-E416.doi:10.1016/j.clbc.2021.10.009.
APA：
Gu, Yang,Tian, Jiawei,Ran, Haitao,Ren, Weidong,Chang, Cai...&Jiang, Yuxin.(2022).Can Ultrasound Elastography Help Better Manage Mammographic BI-RADS Category 4 Breast Lesions?.CLINICAL BREAST CANCER,22,(4)
MLA：
Gu, Yang,et al."Can Ultrasound Elastography Help Better Manage Mammographic BI-RADS Category 4 Breast Lesions?".CLINICAL BREAST CANCER 22..4(2022):E407-E416

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