PubTransformer

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PMID- 29575844
OWN - NLM
STAT- MEDLINE
DCOM- 20180406
LR  - 20180406
IS  - 0253-3766 (Print)
IS  - 0253-3766 (Linking)
VI  - 40
IP  - 3
DP  - 2018 Mar 23
TI  - [Multi-variated analysis of differential diagnosis in ultrasonography of
      idiopathic granulomatous mastitis and invasive ductal carcinoma].
PG  - 222-226
LID - 10.3760/cma.j.issn.0253-3766.2018.03.013 [doi]
AB  - Objective: To evaluate the differential diagnosis of idiopathic granulomatous
      mastitis (IGM) and invasive ductal carcinoma. Methods: The ultrasonographic data 
      of 37 IGM patients and 50 cases of IDC were analyzed retrospectively. The shape, 
      growth direction, margin, internal echo, posterior echo, calcification, Adler
      blood flow classification, PSV(peak sestolic velocity), RI (resistance index)and 
      elasticity scores were analyzed by chi(2) test and independent sample t test. The
      optimal cutoff values of age, PSV and RI were calculated by receiver operating
      characteristic (ROC) curve. Logistic regression analysis was used to calculate
      the odds ratio (OR) of ultrasonic variates in the diagnosis of both diseases.
      Results: There were no significant differences in the shape, margin, internal
      echo and blood flow grading between the two groups. The age, lesion growth
      direction, posterior echo, calcification, PSV, RI and elasticity were
      statistically different. The cut-of value of Age, PSV and RI were 38.5 years old,
      13.20 cm/s, and 0.655. Logistic regression multi-variated analysis revealed that 
      elastic score (OR=9.806) had the best value of the differential diagnosis, as
      well as calcification (OR=6.937), posterior echo decay (OR=4.613), RI (OR=3.257),
      lesion growth orientation (OR=3.198), and PSV (OR=1.202). Lesion shape, margin,
      internal echo, and Adler blood flow classification did not help in differential
      diagnosis. Conclusion: Ultrasound multi-parameter analysis has high value in IGM 
      and IDC differential diagnosis.
FAU - Yao, C
AU  - Yao C
AD  - Department of Ultrasound, Hangzhou Hospital of Traditional Chinese Medicine,
      Hangzhou 310007, China.
FAU - Chen, L L
AU  - Chen LL
AD  - Department of Ultrasound, Hangzhou Hospital of Traditional Chinese Medicine,
      Hangzhou 310007, China.
FAU - Li, Y P
AU  - Li YP
AD  - Department of Ultrasound, Hangzhou Hospital of Traditional Chinese Medicine,
      Hangzhou 310007, China.
FAU - Peng, C Z
AU  - Peng CZ
AD  - Department of Ultrasound, Hangzhou Hospital of Traditional Chinese Medicine,
      Hangzhou 310007, China.
FAU - Li, M K
AU  - Li MK
AD  - Department of Ultrasound, Zhejiang Xiaoshan Hospital, Hangzhou 311202, China.
FAU - Yao, J
AU  - Yao J
AD  - Department of Ultrasound, Hangzhou Hospital of Traditional Chinese Medicine,
      Hangzhou 310007, China.
LA  - chi
PT  - Journal Article
PL  - China
TA  - Zhonghua Zhong Liu Za Zhi
JT  - Zhonghua zhong liu za zhi [Chinese journal of oncology]
JID - 7910681
SB  - IM
MH  - Breast Neoplasms/*diagnostic imaging/pathology
MH  - Carcinoma, Ductal, Breast/*diagnostic imaging/pathology
MH  - Diagnosis, Differential
MH  - Female
MH  - Granulomatous Mastitis/*diagnostic imaging/pathology
MH  - Hemodynamics
MH  - Humans
MH  - Multivariate Analysis
MH  - ROC Curve
MH  - Retrospective Studies
MH  - Ultrasonography, Doppler, Color
MH  - Ultrasonography, Mammary
OTO - NOTNLM
OT  - Breast neoplasms
OT  - Color Doppler flow imaging
OT  - Elastography
OT  - Idiopathic granulomatous mastitis
OT  - Invasive ductal carcinoma
OT  - U1trasonography
EDAT- 2018/03/27 06:00
MHDA- 2018/04/07 06:00
CRDT- 2018/03/27 06:00
PHST- 2018/03/27 06:00 [entrez]
PHST- 2018/03/27 06:00 [pubmed]
PHST- 2018/04/07 06:00 [medline]
PST - ppublish
SO  - Zhonghua Zhong Liu Za Zhi. 2018 Mar 23;40(3):222-226.