医学
乳腺癌
核医学
接收机工作特性
放射科
置信区间
超声波
癌症
内科学
作者
Lixia Yan,Luxia Jing,Qing Lü,Xi Wang,Wujian Mao,Peilei Wang,Mengna Zhan,Beijian Huang
出处
期刊:Ultrasound Quarterly
[Ovid Technologies (Wolters Kluwer)]
日期:2024-03-01
卷期号:40 (1): 66-73
标识
DOI:10.1097/ruq.0000000000000673
摘要
Abstract This study aimed to evaluate the clinical value of automated breast volume scanner (ABVS) compared with hand-held ultrasound (HHUS). From January 2015 to May 2019, a total of 912 breast lesions in 725 consecutive patients were included in this study. κ statistics were calculated to identify interobserver agreement of ABVS and HHUS. The diagnostic performance for ABVS and HHUS was expressed as the area under the receiver operating characteristic curve, as well as the corresponding 95% confidence interval, sensitivity, and specificity. The sensitivities of ABVS and HHUS were 95.95% and 93.69%, and the specificities were 85.47% and 81.20%, respectively. A difference that nearly reached statistical significance was observed in sensitivities between ABVS and HHUS ( P = 0.0525). The specificity of ABVS was significantly higher than that of HHUS ( P = 0.006). When lesions were classified according to their maximum diameter, the sensitivity and specificity of ABVS were significantly higher than HHUS for lesions ≤20 mm, while they made no statistical significance between ABVS and HHUS for lesions >20 mm. The interobserver agreement for ABVS was better than that of HHUS. Automated breast volume scanner was more valuable than HHUS in diagnosing breast cancer, especially for lesions ≤20 mm, and it could be a valuable diagnostic tool for breast cancer.
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