三维能量多普勒成像技术诊断子宫内膜癌前病变的价值

Abstract
Figure/Table
References
Related Citation (0)

Download: PDF (987 KB) HTML (1 KB)
Export: BibTeX | EndNote (RIS)

Abstract Objective To evaluate the value of three-dimensional power Doppler angiography (3D-PDA) in the discrimination between benign and endometrial precancerous lesions in women with bleeding. Methods Sixty-five women with bleeding who examined by 3D-PDA were enrolled. Endometrial volume(V), vascularity index(VI),flow index(FI) and vaseularity flow index(VFI)were measured with the comparison of the final pathology results. The diagnostic value of parameters derived from 3D- PDA was evaluated by using the receiver operating characteristic (ROC) curve.Results The majority of endometrial precancerous lesions in three-dimensional power Doppler angiography ultrasonography were abundant and rich, while endometrial benign lesions in three-dimensional power Doppler angiography ultrasonography were not rich. In benign group, VI, FI and VFI:3.98%?3.42%,21.13?3.15 and 0.643?0.328;in endometrial precancerous lesions group, VI, FI and VFI:5.903%?2.761%,28.964?2.446 and 1.705?0.928 when impulse repeat frequency (PRF) 0.9 MHz;differences of these parameters (VI,FI and VFI)were considered statistically significant between the two groups(P<0.05); differences of these parameters (VI,FI and VFI) were considered statistically significant in differences of PRF, 0.9 MHz/0.6 MHz(P<0.05); the parameters of endometrial volume had no significant differences between two groups;3D-PDA examination sensitivity was 88.9%, and specificity was 100%. the area under ROC curve (AUC) of the meaningful data were 0.851,0.772,0.950 respectively.Among these parameters,VFI had the highest diagnostic value for discriminating benign and endometrial precancerous lesions,the cut-off value of which was 0.81 with a sensitivity of 94.4%and a specificity of 12.8%.Conclusions 3D-PDA is a good diagnostic tool in the discriminations between benign and endometrial precancerous in women with bleeding.

Key words： three-dimensional power Doppler angiography blood flow index ndometrial precancerous lesions

Received: 18 January 2013

ZTFLH:

R711.7

	Service

	E-mail this article
	Add to my bookshelf
	Add to citation manager
	E-mail Alert
	RSS
	Articles by authors
	XI Mei
	QIAN Min
	LIU Weixing
	ZENG Li
	WEN Yuejun
	ZHANG Xuemei
	GUO Huiyue
	and BI Yingying.

Cite this article:

XI Mei,QIAN Min,LIU Weixing等. Value of three-dimensional power Doppler imaging for early diagnosis of endometrial precancerous lesions[J]. Med. J. Chin. Peop. Armed Poli. Forc., 2013, 24(6): 511-514.

URL:

http://journal08.magtechjournal.com/Jwk_wjyx/EN/ OR http://journal08.magtechjournal.com/Jwk_wjyx/EN/Y2013/V24/I6/511

[1]	马小卿,吴青青. 三维能量多普勒超声在妇产科领域的应用优势[J].中国妇产科临床杂志, 2009, 10(1): 74-76.
[1]	马小卿,吴青青. 三维能量多普勒超声在妇产科领域的应用优势[J].中国妇产科临床杂志, 2009, 10(1): 74-76.
[2]	葛玲,傅庆诏, 刘韶平, 等. 经阴道三维超声子宫内膜容积测量在子宫内膜癌诊断中的价值[J]. 中国超声医学杂志, 2005, 21(1): 48-51.
[2]	葛玲,傅庆诏, 刘韶平, 等. 经阴道三维超声子宫内膜容积测量在子宫内膜癌诊断中的价值[J]. 中国超声医学杂志, 2005, 21(1): 48-51.
[3]	陈瑾,郝力丹,郭瑞强,等. 三维容积和能量多普勒血流参数对绝经期子宫内膜良恶性病变的鉴别诊断价值[J]. 中华超声影像学杂志, 2011, 20(4): 321-323.
[3]	陈瑾,郝力丹,郭瑞强,等. 三维容积和能量多普勒血流参数对绝经期子宫内膜良恶性病变的鉴别诊断价值[J]. 中华超声影像学杂志, 2011, 20(4): 321-323.
[4]	郭兰萍, 马丽丽, 代培凤. 三维彩色血管能量成像与血流定量参数测定对诊断子宫内膜病变的价值[J]. 潍坊医学院学报,2010, 32(1): 1-3.
[4]	郭兰萍, 马丽丽, 代培凤. 三维彩色血管能量成像与血流定量参数测定对诊断子宫内膜病变的价值[J]. 潍坊医学院学报,2010, 32(1): 1-3.
[5]	Alcazar J L, Galvan R. Three-dimensional power Doppler ultrasound scanning for the prediction of endometrial cancer in women with postmenopausal bleeding and thickened endometrium [J].Am J Obstet Gynecol, 2009, 200(1): 44-45.
[5]	Alcazar J L, Galvan R. Three-dimensional power Doppler ultrasound scanning for the prediction of endometrial cancer in women with postmenopausal bleeding and thickened endometrium [J].Am J Obstet Gynecol, 2009, 200(1): 44-45.
[6]	Yaman C, Habelsberger A, Tews G, et al.The role of three-dimensional volume measurement in diagnosing endometrial cancer in patients with postmenopausal bleeding[J]. Gynecologic oncology, 2008,110(3): 390-395.
[6]	Yaman C, Habelsberger A, Tews G, et al.The role of three-dimensional volume measurement in diagnosing endometrial cancer in patients with postmenopausal bleeding[J]. Gynecologic oncology, 2008,110(3): 390-395.
[7]	Mansour G M, El-Lamie I K, El-Kady M A, et al. Endometrial volume as predictor of malignancy in women with postmenopausal bleeding[J].Intern J Gynecol Obstet, 2007, 99(3): 206-210.
[8]	王树鹤. 子宫内膜息肉研究进展[J]. 武警医学,2012, 23(10) :829-832.
[7]	Mansour G M, El-Lamie I K, El-Kady M A, et al. Endometrial volume as predictor of malignancy in women with postmenopausal bleeding[J].Intern J Gynecol Obstet, 2007, 99(3): 206-210.
[8]	王树鹤. 子宫内膜息肉研究进展[J]. 武警医学,2012, 23(10) :829-832.
[9]	袁志仙, 汪龙霞, 王军燕, 等. 三维能量多普勒超声成像技术在早期宫颈癌血管检测中的应用[J/CD]. 中华医学超声杂志:电子版,2010,7(4): 576-582.
[9]	袁志仙, 汪龙霞, 王军燕, 等. 三维能量多普勒超声成像技术在早期宫颈癌血管检测中的应用[J/CD]. 中华医学超声杂志:电子版,2010,7(4): 576-582.
[10]	Galvan R, Merce L, Jurado M, et al. Three-dimensional power Doppler angiography in endometrial cancer:correlation with tumor characteristics[J].Ultrasound Obstet Gynecol, 2010, 35(6): 723-729.
[11]	翟伟,王红莉,苏重清. 基于多普勒成像的彩色血流成像技术[J]. 中国医疗设备, 2008, 23(4): 43-47
[10]	Galvan R, Merce L, Jurado M, et al. Three-dimensional power Doppler angiography in endometrial cancer:correlation with tumor characteristics[J].Ultrasound Obstet Gynecol, 2010, 35(6): 723-729.
[11]	翟伟,王红莉,苏重清. 基于多普勒成像的彩色血流成像技术[J]. 中国医疗设备, 2008, 23(4): 43-47