101. Qualitative and quantitative analysis with a novel shear wave speed imaging for differential diagnosis of breast lesions
- Author
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Xiao-Hong Xu, Yu-Ping Yang, Hui-Xiong Xu, Ya-Ping He, Dan Wang, Chong-Ke Zhao, Le-Hang Guo, Bao-Ding Chen, and Bo-Ji Liu
- Subjects
Adult ,Pathology ,medicine.medical_specialty ,Adolescent ,Conventional ultrasound ,Sensitivity and Specificity ,Standard deviation ,Article ,030218 nuclear medicine & medical imaging ,Diagnosis, Differential ,03 medical and health sciences ,Breast Diseases ,Young Adult ,0302 clinical medicine ,medicine ,Humans ,Aged ,Ultrasonography ,Aged, 80 and over ,Shear wave elastography ,Multidisciplinary ,Receiver operating characteristic ,business.industry ,Optical Imaging ,Wave speed ,Middle Aged ,Shear (sheet metal) ,ROC Curve ,030220 oncology & carcinogenesis ,Elasticity Imaging Techniques ,Female ,Differential diagnosis ,Nuclear medicine ,business ,Quantitative analysis (chemistry) - Abstract
To evaluate the diagnostic performance of a new two-dimensional shear wave speed (SWS) imaging (i.e. Toshiba shear wave elastography, T-SWE) in differential diagnosis of breast lesions. 225 pathologically confirmed breast lesions in 218 patients were subject to conventional ultrasound and T-SWE examinations. The mean, standard deviation and ratio of SWS values (m/s) and elastic modulus (KPa) on T-SWE were computed. Besides, the 2D elastic images were classified into four color patterns. The area under the receiver operating characteristic (AUROC) curve analysis was performed to evaluate the diagnostic performance of T-SWE in differentiation of breast lesions. Compared with other quantitative T-SWE parameters, mean value expressed in KPa had the highest AUROC value (AUROC = 0.943), with corresponding cut-off value of 36.1 KPa, sensitivity of 85.1%, specificity of 96.6%, accuracy of 94.2%, PPV of 87.0%, and NPV of 96.1%. The AUROC of qualitative color patterns in this study obtained the best performance (AUROC = 0.957), while the differences were not significant except for that of Eratio expressed in m/s (AUROC = 0.863) (P = 0.03). In summary, qualitative color patterns of T-SWE obtained the best performance in all parameters, while mean stiffness (36.05 KPa) provided the best diagnostic performance in the quantitative parameters.
- Published
- 2017