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Logistic回归分析在超声多参数鉴别乳腺良、恶性肿块中的应用
作者:倪卫星 张炽敏 庞晓东 李嘉 李岭 苏俊 
单位:东南大学,临床医学院,江苏,南京,210009
关键词:Logistic回归 超声成像 乳腺肿块 诊断 
分类号:R737.9, O212.1, R445.1
出版年·卷·期(页码):2007·26·第三期(210-212)
摘要:

目的:研究高频超声多参数鉴别乳腺良、恶性肿块的价值.方法:记录145个乳腺肿块二维灰阶声像图参数和彩色多普勒血流参数,获取各肿块病理确诊结果,Logistic回归统计分析多参数综合鉴别诊断乳腺肿块良恶性的价值.结果:单独二维灰阶声像图参数的Logistic回归模型综合鉴别乳腺肿块性质的准确率为82.1%,二维灰阶声像图结合彩色多普勒多参数的Logistic回归模型综合鉴别诊断乳腺良恶性肿块的准确率为93.3%.结论:应用二维灰阶声像图结合彩色多普勒多参数的Logistic回归分析能提高乳腺良、恶性肿块鉴别的准确性.

Objective To investigate the differential diagnostic value between benign and malignant breast mass by application of high frequency ultrasonography.Methods Characteristics of 145 breast masses on 2-dimenslonal B-ultrasound and color Doppler was recorded.Meanwhile their pathological results examinations were performed.Differentiation between benign and malignant masses was made using Logistic regression of multiple parameters of ultrasonography.Results The accuracy of 2-dimenslonal B-ultrasound applying Logistic regression of multiple parameters to diagnose breast masses was 82.1%,that combined with color Doppler was 93.3%.Conclusion These findings indicate that application of Logistic regression of multiple parameters on 2-dimenslonal B-ultrasound combined with color Doppler ultrasound can improve the accuracy in differential diagnosis of mammary masses.

参考文献:

[1] ADLER D D, CARSON P L, RUBIN J M. Doppler ultrasound color flow imaging in the study of breast cancer:Preliminary findings, 1990
[2] 孔学军, 刘莉. 二维及彩色多普勒超声诊断乳腺肿块的价值. 实用医药杂志2003(7). doi:10.3969/j.issn.1671-4008.2003.07.005
[3] 林铤, 黄幼珍, 陈汉荣. 彩色多普勒超声鉴别诊断乳腺良、恶性肿瘤. 中国超声诊断杂志2004(5)
[4] 景香香, 刘望彭, 康春松. 多普勒超声对乳腺肿块鉴别诊断的研究. 中国医学影像技术2003(5)
[5] 刘月洁, 张颖, 付钰. 彩色多普勒超声鉴别良恶性乳腺肿物的应用. 中国超声医学杂志2006(6). doi:10.3969/j.issn.1002-0101.2006.06.007

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