机构:[1]Department of Ultrasound, Sichuan Cancer Hospital Institute, Sichuan Cancer Center, School of Medicine, University of Electronic Science and Technology of China, Chengdu, China四川省人民医院四川省肿瘤医院[2]School of Medicine, University of Electronic Science and Technology of China, Chengdu, China四川省人民医院[3]University of Wisconsin-Madison, Madison, WI, USA[4]Department of Breast surgery, Sichuan Cancer Hospital Institute, Sichuan Cancer Center, School of Medicine, University of Electronic Science and Technology of China, Chengdu, China外科中心乳腺外科中心四川省人民医院四川省肿瘤医院乳腺科
Purpose To investigate the clinical value of real-time three-dimensional contrast-enhanced ultrasound (3D-CEUS) in the detection of sentinel lymph nodes (SLNs) and drainage lymphatics in breast cancer patients. Method The prospective study was performed in women with pathology-confirmed T1/2 breast cancer between June 2016 and December 2017 who underwent sentinel lymph node biopsy and 3D-CEUS. The number, size, location, enhancement pattern of SLNs, and the lymphatic drainage patterns were reviewed. The routes, location of SLNs, and lymph channels (LCs) on the surface were marked. All patients underwent blue dye-guided sentinel lymph node biopsy (SLNB) finally. Results According to the postoperative pathology findings and the blue dye staining of the lymphatic drainage routes, there are six patterns of lymphatic drainage routes and the coincidence rate of the 3D-CEUS was 97.4%; the sensitivity, specificity, positive predictive value, negative predictive value, the LN detection rate, and the correct diagnosis rate of the 3D-CEUS were 75%, 93.0%, 81.8%, 89.9%, 95.3%, and 87.7%, respectively. Conclusion 3D-CEUS is a new feasible and useful approach to detect the SLNs and LCs. 3D-CEUS can accurately localize the LCs and SLNs and estimate the presence of metastatic lymph nodes.
基金:
Department of Science and Technology of Sichuan Provincial
第一作者机构:[1]Department of Ultrasound, Sichuan Cancer Hospital Institute, Sichuan Cancer Center, School of Medicine, University of Electronic Science and Technology of China, Chengdu, China
通讯作者:
推荐引用方式(GB/T 7714):
Hu Ziyue,Cheng Xueqing,Li Juan,et al.Preliminary study of real-time three-dimensional contrast-enhanced ultrasound of sentinel lymph nodes in breast cancer[J].EUROPEAN RADIOLOGY.2020,30(3):1426-1435.doi:10.1007/s00330-019-06494-0.
APA:
Hu, Ziyue,Cheng, Xueqing,Li, Juan,Jiang, Jingzhen,Jiang, Zirui...&Lu, Man.(2020).Preliminary study of real-time three-dimensional contrast-enhanced ultrasound of sentinel lymph nodes in breast cancer.EUROPEAN RADIOLOGY,30,(3)
MLA:
Hu, Ziyue,et al."Preliminary study of real-time three-dimensional contrast-enhanced ultrasound of sentinel lymph nodes in breast cancer".EUROPEAN RADIOLOGY 30..3(2020):1426-1435