Clinical Value of High Frequency Ultrasound Combined with Shear Wave Elastography in the Evaluation of Chest Wall Radiation Dermatitis in Breast Cancer Patients undergoing

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Clinical Value of High Frequency Ultrasound Combined with Shear Wave Elastography in the Evaluation of Chest Wall Radiation Dermatitis in Breast Cancer Patients undergoing

更新时间：2023-10-09

- Clinical Value of High Frequency Ultrasound Combined with Shear Wave Elastography in the Evaluation of Chest Wall Radiation Dermatitis in Breast Cancer Patients undergoing
- Journal of Clinical Ultrasound in Medicine Vol. 24, Issue 10, (2022)
- 作者机构：
  
  川北医学院附属医院超声科
- 作者简介：
- 基金信息：
- DOI：
  CLC：
- Published：2022，
  
  Published Online：31 October 2022，
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Clinical Value of High Frequency Ultrasound Combined with Shear Wave Elastography in the Evaluation of Chest Wall Radiation Dermatitis in Breast Cancer Patients undergoing. [J]. Journal of Clinical Ultrasound in Medicine 24(10).(2022)
DOI：

Clinical Value of High Frequency Ultrasound Combined with Shear Wave Elastography in the Evaluation of Chest Wall Radiation Dermatitis in Breast Cancer Patients undergoing. [J]. Journal of Clinical Ultrasound in Medicine 24(10).(2022) DOI：

摘要

目的：探究高频超声及剪切波弹性成像(SWE)评估乳腺癌患者术后放疗对皮肤厚度及硬度的影响

寻找影响RTOG分级诊断的皮肤超声测量参数。方法：纳入拟行放射治疗的乳腺癌患者54例、健康女性44例。采用SWE联合高频超声测量皮肤厚度、弹性值；使用RTOG分级评估放疗区域皮肤

比较患者(基线)与正常组皮肤厚度及硬度差异

分析不同分割剂量下厚度、弹性值的变化趋势

分析RTOG分级升高的危险因素。结果：放疗次数和手术方式均可以显著影响乳腺癌患者STRA、SERA的变化(P<0.05)

保乳术和根治术患者STRA均会随着放疗次数的增加而增高

两者变化趋势相同 (P>0.05)。在SERA测量中

放疗次数与手术方式交互效应显著

SERA 随着放疗次数的变化趋势会因为手术方式的不一样而显著不同。乳腺癌患者STRA、SERA变化与RTOG分级风险增加相关

STRAx10(OR=1.57

95%CI 1.24-1.99

P<0.05)、SERA(OR=1.65

95%CI 1.28-2.14

P<0.05)。结论： HFUS联合SWE评估能够辅助定量监测接受放疗的乳腺癌患者皮肤毒性反应

为临床决策提供客观影像学依据。

Abstract

关键词

高频超声剪切波弹性成像乳腺癌放射治疗放射性皮炎RTOG分级

Keywords

high frequency ultrasoundShear wave elastographyBreast cancerRadiotherapyradiation dermatitisRTOG classification

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