Prediction of axillary lymph node metastasis by shear wave elastography and conventional ultrasound features of breast cancer and model establishment

LI Tingting; XUE Jiping; SU Lili

doi:10.7619/jcmp.20221769

Journal of Clinical Medicine in Practice > 2023 > 27(5): 11-15. > DOI: 10.7619/jcmp.20221769

LI Tingting, XUE Jiping, SU Lili. Prediction of axillary lymph node metastasis by shear wave elastography and conventional ultrasound features of breast cancer and model establishment[J]. Journal of Clinical Medicine in Practice, 2023, 27(5): 11-15. DOI: 10.7619/jcmp.20221769

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Prediction of axillary lymph node metastasis by shear wave elastography and conventional ultrasound features of breast cancer and model establishment

Department of Ultrasound, Shanxi Bethune Hospital, Tongji Shanxi Hospital, Taiyuan, Shanxi, 030032

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Received Date: June 06, 2022
Revised Date: September 15, 2022
Available Online: April 06, 2023

Graphical Abstract

Abstract

Abstract

Objective
To explore the predictive value of shear wave elastography (SWE) quantitative parameters and conventional ultrasound features of primary lesions for axillary lymph node metastasis (ALNM) in breast cancer, and to construct a preoperative nomogram model combined with axillary ultrasound.
Methods
A total of 295 breast cancer patients who underwent preoperative SWE and conventional ultrasound were selected. Ultrasonic features of primary lesions and axillary lymph nodes were retrospectively analyzed, and independent risk factors associated with ALNM were screened, based on which a nomogram model was constructed and the predictive value was assessed.
Results
Breast tumor uneven margin, E_max and positive for ALNM by ultrasound diagnosis were independent risk factors for predicting ALNM. On this basis, the area under the curve (AUC) of the nomogram model was 0.842 (95%CI, 0.786 to 0.888), and the prediction efficiency was significantly better than that of a single index (P < 0.05).
Conclusion
The quantitative parameters of SWE and conventional ultrasound characteristics of primary lesions of breast cancer can be used to predict ALNM, and the nomogram model constructed in combination with axillary ultrasound has a good value in predicting ALNM.
- breast cancer,
- lymph node metastasis,
- shear wave elastography,
- ultrasonic diagnosis,
- nomogram

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References (22)

References

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Prediction of axillary lymph node metastasis by shear wave elastography and conventional ultrasound features of breast cancer and model establishment