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Ultrasound strain elastography to improve diagnostic performance of breast lesions by reclassifying BI-RADS 3 and 4a lesions: a multicenter diagnostic study

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收录情况： ◇ SCIE

作者：
Gu Yang[1,2] * ; Tian Jiawei[3] ; Ran Haitao[4] ; Ren Weidong[5] ; Chang Cai[6] ; Yuan Jianjun[7] ; Kang Chunsong[8] ; Deng Youbin[9] ; Wang Hui[10] ; Luo Baoming[11] ; Guo Shenglan[12] ; Zhou Qi[13] ; Xue Ensheng[14] ; Zhan Weiwei[15] ; Zhou Qing[16] ; Li Jie[17] ; Zhou Ping[18] ; Zhang Chunquan[19] ; Chen Man[20] ; Gu Ying[21] ; Xu Jinfeng[22] ; Chen Wu[23] ; Zhang Yuhong[24] ; Li Jianchu[1] ; Wang Hongyan[1] ; Jiang Yuxin[1] ;
机构： [1]Department of Ultrasound, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, No.1 Shuai Fu Yuan, Dong Cheng District, Beijing 100730, China. [2]Department of Ultrasound, The First Affiliated Hospital of Soochow University, Suzhou 215000, China. [3]Department of Ultrasound, the Second Affiliated Hospital of Harbin Medical University, Harbin 150086, China. [4]Department of Ultrasound, the Second Affiliated Hospital of Chongqing Medical University &amp [5]Chongqing Key Laboratory of Ultrasound Molecular Imaging, Chongqing 400010, China. [5]Department of Ultrasound, Shengjing Hospital of China Medical University, Shenyang 110004, China. [6]Department of Medical Ultrasound, Fudan University Shanghai Cancer Center, Shanghai 200032, China. [7]Department of Ultrasonography, Henan Provincial People's Hospital, Zhengzhou 450003, China. [8]Department of Ultrasound, Shanxi Bethune Hospital, Shanxi Academy of Medical Sciences, Taiyuan 030032, China. [9]Department of Medical Ultrasound, Tongji Hospital, Tongji Medical College of Huazhong University of Science and Technology, Wuhan 430030, China. [10]Department of Ultrasound, China-Japan Union Hospital of Jilin University, Changchun 130033, China. [11]Department of Ultrasound, the Sun Yat-sen Memorial Hospital, Sun Yat-sen University, Guangzhou 510120, China. [12]Department of Ultrasonography, First Affiliated Hospital of Guangxi Medical University, Nanning 530021, China. [13]Department of Medical Ultrasound, the Second Affiliated Hospital, School of Medicine, Xi'an Jiaotong University, Xi'an 710004, China. [14]Department of Ultrasound, Union Hospital of Fujian Medical University, Fujian Institute of Ultrasound Medicine, Fuzhou 350001, China. [15]Department of Ultrasound, Ruijin Hospital, Shanghai Jiaotong University, School of Medicine, Shanghai 200025, China. [16]Department of Ultrasonography, Renmin Hospital of Wuhan University, Wuhan 430060, China. [17]Department of Ultrasound, Qilu Hospital, Shandong University, Jinan 250012, China. [18]Department of Ultrasound, the Third Xiangya Hospital of Central South University, Changsha 410013, China. [19]Department of Ultrasound, the Second Affiliated Hospital of Nanchang University, Nanchang 330006, China. [20]Department of Ultrasound Medicine, Tongren Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai 200336, China. [21]Department of Ultrasonography, the Affiliated Hospital of Guizhou Medical University, Guiyang 550004, China. [22]Department of Ultrasound, Shenzhen People's Hospital, the Second Clinical Medical College of Jinan University, Shenzhen 518020, China. [23]Department of Ultrasound, the First Hospital of Shanxi Medical University, Taiyuan 030001, China. [24]Department of Ultrasound, the Second Hospital of Dalian Medical University, Dalian 116027, China.
出处：
DOI： 10.1093/bjr/tqae197
ISSN：

关键词： ultrasonography breast neoplasms strain elastography BI-RADS

摘要：
To investigate the added value of strain elastography (SE) by recategorizing ultrasound (US) Breast Imaging Reporting and Data System (BI-RADS) 3 and 4a lesions.A total of 4371 patients underwent US and SE with BI-RADS 2-5 categories solid breast lesions were included from thirty-two hospitals. We evaluated the elastographic images according to elasticity scores (ES) and strain ratios (SR). Three combined methods (BI-RADS+ES, BI-RADS+SR, BI-RADS+ES+SR) and two reclassified methods were used (method one: upgrading BI-RADS 3 and downgrading BI-RADS 4a, method two: downgrading BI-RADS 4a alone). The diagnostic performance and the potential reduction of unnecessary biopsies were evaluated.Combining BI-RADS with SE had a higher area under the curve (AUC) than BI-RADS alone (0.822-0.898 vs. 0.794, P<0.01). For reclassified method one, the sensitivity, specificity, and accuracy were 99.36%, 66.70%, 78.36% for BI-RADS+ES and 98.01%, 66.45%, 77.72% for BI-RADS+SR, and 99.42%, 66.70%, 78.38% for BI-RADS+ES+SR, respectively. For reclassified method two, the sensitivity, specificity, and accuracy were 99.17%, 70.72%, 80.87% for BI-RADS+ES and 97.76%, 81.75%, 87.46% for BI-RADS+SR, and 99.23%, 69.83%, 80.32% for BI-RADS+ES+SR, respectively. Downgrading BI-RADS 4a alone had higher AUC, specificity, and accuracy (P<0.01) and similar sensitivity (P>0.05) to upgrading BI-RADS 3 and downgrading BI-RADS 4a. Combining SE with BI-RADS could help reduce unnecessary biopsies by 17.64%-55.20%.Combining BI-RADS with SE improved the diagnostic performance in distinguishing benign from malignant lesions and could decrease false-positive breast biopsy rates. Downgrading BI-RADS 4a lesions alone might be sufficient for achieving good diagnostic performance.Downgrading BI-RADS category 4a lesions alone had higher AUC, specificity, and accuracy, and similar sensitivity to upgrading or downgrading BI-RADS category 3 and 4a lesions.© The Author(s) 2024. Published by Oxford University Press on behalf of the British Institute of Radiology. All rights reserved. For permissions, please email: journals.permissions@oup.com.

基金：
National High Level Hospital Clinical Research Funding (2022-PUMCH-B-064) and the Foundation of International Health Exchange and Cooperation Center NHC PRC (ihecc2018C0032-2).
语种：
外文
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中科院(CAS)分区：
出版当年[2023]版：
大类 | 4 区 医学
小类 | 4 区 核医学
最新[2025]版：
大类 | 4 区 医学
小类 | 4 区 核医学
JCR分区：
出版当年[2022]版：
Q3 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING
最新[2023]版：
Q2 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING

影响因子： 最新[2023版] 最新五年平均 出版当年[2022版] 出版当年五年平均 出版前一年[2021版] 出版后一年[2023版]

第一作者：
第一作者机构： [1]Department of Ultrasound, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, No.1 Shuai Fu Yuan, Dong Cheng District, Beijing 100730, China. [2]Department of Ultrasound, The First Affiliated Hospital of Soochow University, Suzhou 215000, China.
通讯作者：
推荐引用方式(GB/T 7714)：
Gu Yang,Tian Jiawei,Ran Haitao,et al.Ultrasound strain elastography to improve diagnostic performance of breast lesions by reclassifying BI-RADS 3 and 4a lesions: a multicenter diagnostic study[J].The British Journal Of Radiology.2024,98(1165):89-99.doi:10.1093/bjr/tqae197.
APA：
Gu Yang,Tian Jiawei,Ran Haitao,Ren Weidong,Chang Cai...&Jiang Yuxin.(2024).Ultrasound strain elastography to improve diagnostic performance of breast lesions by reclassifying BI-RADS 3 and 4a lesions: a multicenter diagnostic study.The British Journal Of Radiology,98,(1165)
MLA：
Gu Yang,et al."Ultrasound strain elastography to improve diagnostic performance of breast lesions by reclassifying BI-RADS 3 and 4a lesions: a multicenter diagnostic study".The British Journal Of Radiology 98..1165(2024):89-99

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