摘要: |
目的 探讨超声造影(contrast-enhanced ultrasound, CEUS)联合2019版Bosniak分级在肾脏囊性占位(cystic renal mass, CRM)诊断中的应用价值。方法 分析2011年10月至2021年10月于我院经手术病理证实的CRM患者99例共99个病灶的临床资料。所有病灶均分别按照B2019、B2005进行评价。以病理结果为金标准构建受试者工作特征曲线(receiver operating characteristic curve, ROC),评价CEUS-B2019对CRM的诊断效能。结果 CEUS-B2019及CEUS-B2005评价CRM的曲线下面积(area under curve, AUC)分别为0.943、0.885,两者差异有统计学意义(P < 0.05)。CEUS-B2019在CRM诊断中的特异度、准确度分别为97.80%、93.94%,明显高于CEUS-B2005,而CEUS-B2019在CRM诊断中的敏感度为90.70%,低于CEUS-B2005,两者差异有统计学意义(P < 0.05)。CEUS-B2019、CEUS-B2005对CRM诊断的结果与金标准一致性分析结果显示Kappa值分别为0.879、0.775。结论 在CRM的诊断中,CEUS-B2019较CEUS-B2005有更高的特异度、准确度,可有助于避免良性CRM的误诊,减少不必要的随访及过度治疗。 |
关键词: 超声造影 肾脏囊性占位 Bosniak分级 受试者工作特征曲线 |
DOI:10.12025/j.issn.1008-6358.2023.20220462 |
分类号: |
基金项目:国家自然科学基金(12174074);上海市临床重点专科项目(shslczdzk03501);上海申康医院发展中心临床三年行动计划资助(SHDC2020CR1031B) |
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Diagnostic efficacy of contrast-enhanced ultrasonography combined with 2019 Bosniak classification in cystic renal massSun Pei1,2 Huang Beijian1,2 Li Cuixian1,2 Wang Jingjing1,2 Jing Luxia1,2 Zhuang fan1,2 Wang Wenping1,2 |
sun pei
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Zhongshan Hospital, Fudan University
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Abstract: |
Objective To investigate the value of contrast enhanced ultrasound (CEUS) combined with 2019 Bosniak classification (B2019) in the diagnosis of cystic renal mass (CRM). Methods The clinical data of 99 patients with 99 pathologically confirmed CRMs in our hospital from October 2011 to October 2021 were analyzed retrospectively. All lesions were evaluated according to B2019 and 2005 Bosniak classification (B2005). Taking the pathological results as the gold standard, and the receiver operating characteristic (ROC) curve was constructed to evaluate the diagnostic efficacy of CEUS-B2019 for CRMs. Results The area under curve (AUC) of CEUS-B2019 and CEUS-B2005 in evaluating CRMs were 0.943 and 0.885 respectively (P < 0.05). The specificity and accuracy of CEUS-B2019 in CRM were 97.80% and 93.94%, which was significantly higher than that of CEUS-B2005, while the sensitivity of CEUS-B2019 to diagnose CRMs was 90.70%, which was lower than that of CEUS-B2005 (P < 0.05). The Kappa values of CEUS-B2019 and CEUS-B2005 for the diagnostic consistency analysis with the gold standard were 0.879 and 0.775 respectively. Conclusion In the diagnosis of CRM, CEUS-B2019 is more specificific and accurate than CEUS-B2005, which is help to reduce the misdiagnosis of benign CRMs, thus avoiding unnecessary follow-up and over-treatment. |
Key words: Contrast-enhanced ultrasound Cystic renal mass Bosniak classification criteria Receiver operating characteristic curve |