超声在乳腺癌中的研究进展
Advances in Ultrasound in Breast Cancer
DOI: 10.12677/acm.2025.1592632, PDF,   
作者: 陈 琛：暨南大学第二临床医学院，深圳市人民医院乳腺外科，广东 深圳；周文斌*：深圳市人民医院(南方科技大学第一附属医院，暨南大学第二临床医学院)乳腺外科，广东 深圳
关键词: 乳腺癌；传统乳腺超声；超声造影；自动化超声；Breast Cancer； Traditional Breast Ultrasound； Contrast-Enhanced Ultrasound； Automatic Breast Ultrasound
摘要: 乳腺癌发病率位居女性恶性肿瘤之首，早期乳腺癌没有明显的症状或体征。本研究探讨了传统乳腺超声、超声造影和自动化超声的原理及其特点。通过对比分析，揭示后两者在乳腺癌诊断中的优势。与传统超声对比，超声造影在测量肿块大小、区分良恶性结节以及识别腋窝淋巴结转移方面更具有优势。自动化乳腺超声则在致密腺体中展现出更好的性能，它不仅能有效识别微小钙化，还能在标准化流程下进行检查，减少人为误差，提高诊断的准确性。未来的研究有望进一步完善这两种技术，使其在诊断过程中能够提供更为准确、高效的信息。并结合弹性成像与人工智能在乳腺超声中的应用，探讨超声技术在多模态诊断策略中的定位。
Abstract: The incidence of breast cancer is the highest among female malignant tumors, and early breast cancer has no obvious symptoms or signs. The principle and characteristics of traditional breast ultrasound, contrast-enhanced ultrasound and automatic ultrasound were discussed. Through comparative analysis, the advantages of the two methods in breast cancer diagnosis were revealed. Compared with traditional ultrasound, CEUS has more advantages in measuring the size of tumor, distinguishing benign and malignant nodules and identifying axillary lymph node metastasis. Automated breast ultrasound shows better performance in dense glands, which not only recognize microcalcifications, but also perform tests in a standardized process, reducing human error and improving diagnostic accuracy. Future research is expected to further improve these two technologies, so that they can provide more accurate and efficient information in the diagnosis process. By integrating elastography and artificial intelligence in breast ultrasound, this study explores the role of ultrasound technology in advancing multimodal diagnostic strategies.
文章引用：陈琛, 周文斌. 超声在乳腺癌中的研究进展[J]. 临床医学进展, 2025, 15(9): 1363-1370. https://doi.org/10.12677/acm.2025.1592632

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