■宫颈癌,子宫内膜癌,卵巢癌是女性最常见的十大癌症之一,尤其是卵巢癌被认为是“沉默的杀手”。因此,早期发现,诊断,和治疗是照顾妇女健康的重要手段。本研究探讨超声造影定量分析在盆腔良恶性肿瘤鉴别诊断中的临床价值。
■对151例盆腔肿块患者行CEUS。随后,使用图像增强特征和肿瘤参数完成定性诊断.对CEUS图像进行了多参数分析,其中包括以下参数:到达时间(AT),达到峰值的时间(TTP)峰值强度(PI),和上升坡度(AS)。此外,在多参数分析中评估了CEUS的定性诊断效率,并将结果与病理结果进行比较。
■恶性组患者年龄较大(P=0.001),病变PI值大于良性组(P<0.01)。同一患者的子宫肌层和病变组织之间的PI差(PId)和AS差(ASd)显示出统计学差异(P<0.01)。此外,Pid和ASd显示最大的受试者工作特征(ROC)曲线和ROC曲线下面积(AUC),敏感性为90.9%和91.7%,特异性为86.4%和72.5%,分别。
■CEUS的定量分析提供了一种新的,更简单,为临床上盆腔良恶性肿块的鉴别诊断提供更准确的方法。与同一患者的其他参数相比,PId和ASd的敏感性和特异性更高。
UNASSIGNED: Cervical cancer, endometrial cancer, and ovarian cancer are among the top 10 most common cancers in women, with ovarian cancer in particular being considered a \"silent killer\". Therefore, early detection, diagnosis, and treatment constitute important means of care for women\'s health. This study investigated the clinical value of the quantitative analysis of contrast-enhanced ultrasonography (CEUS) in the differential diagnosis of benign and malignant pelvic tumors.
UNASSIGNED: CEUS was performed on 151 patients with pelvic masses. Subsequently, a qualitative diagnosis was completed using the image enhancement features and tumor parameters. A multiparametric analysis of CEUS images was performed, which included the following parameters: arrival time (AT), time to peak (TTP), peak intensity (PI), and ascent slope (AS). In addition, the qualitative diagnostic efficiency of CEUS was assessed in a multiparametric analysis, and the results were compared with pathological findings.
UNASSIGNED: The patients in the malignant group were older (P=0.001) and had larger lesion PI values (P<0.01) than those in the benign group. The PI difference (PId) and the AS difference (ASd) showed statistical differences (P<0.01) between the myometrium and lesion tissues in the same patient. Moreover, the PId and ASd showed the largest receiver operating characteristic (ROC) curve and area under the ROC curve (AUC), with sensitivities of 90.9% and 91.7% and specificities of 86.4% and 72.5%, respectively.
UNASSIGNED: The quantitative analysis of CEUS provides a new, simpler, and more accurate method for the differential diagnosis of benign and malignant pelvic masses in clinical practice. The sensitivities and specificities of PId and ASd were higher compared to other parameters from the same patient.