摘要
目的:探讨联合运用数字钼靶X线与DCE-MRI检查对乳腺疾病定性诊断的价值。方法:回顾性分析经手术、病理证实的乳腺病变66例,所有病例均于术前行数字钼靶X线后,再行DEC-MRI检查。结果:术前数字钼靶X线诊断结果中,BI-RADSⅢ类24例,BI-RADSⅣ类21例,BI-RADSⅤ类17例,BI-RADS 0级4例,诊断符合率为71.1%;术前DCE-MRI诊断结果中恶性病变32例,良性病变34例,诊断符合率为93.7%。66例患者单纯数字钼靶与数字钼靶结合动态增强磁共振对乳腺病变的符合情况准确性比较具有明显统计学差异(χ2=7.854,P<0.01)。结论:DCE-MRI对乳腺疾病的定性诊断准确率高于数字钼靶X线检查。两者结合将进一步提高乳腺疾病定性诊断的准确率,以及对多灶性、隐匿性乳癌的检出率。
Objective： To trast-enhanced MRI in cases of breast diseases investigate the diagnostic value of digital mammography and dynamic conbreast diseases. Methods： The clinical, imaging and pathological data of 66 examined with digital mammography and DCE-MRI examination were retro spectively analyzed. Results： Preoperative diagnosis of digital mammography were 24 BI-RADS III, 21 BI-RADS IV ,17 BI-RADS V and 4 BI-RADS 0 level;the accuracy rate was 71.1%. The diagnosis of dynamic contrast-enhanced MRI before surgery were 32 malignancy and 34 benign lesions; the accuracy rate was 93. 7%. Conclusion. DCE-MRI is more the qualitative diagnosis of breast diseases. Digital mamm further increase the accuracy rate of the qualitative diagnosis of multifocal occult breast cancer. accurate than digital mammography in ogr of aphy combined with DCE-MRI will breast diseases and the detective rate
出处
《华夏医学》
CAS
2012年第6期828-831,共4页
Acta Medicinae Sinica
关键词
乳腺
疾病
数字钼靶X线
动态增强MRI
breast
disease
digital mammography
dynamic contrast-enhanced MRI
