摘要
目的探讨数字钼靶X线(MG)联合核磁共振动态增强扫描(DCE-MRI)检查对含钙化灶乳腺病变性质的鉴别诊断价值。方法回顾性分析2018年1月至2019年5月于我院就诊治疗的94例含钙化灶乳腺病变患者的资料,以病理结果为标准,分析不同检查方法对乳腺疾病的诊断及影像学特征。结果94例患者共存在病灶102个,其中良性病变有54例,共病灶58个,恶性病变40例,共病灶44个。MG检查诊断含钙化灶乳腺良、恶性病变的灵敏度、特异度及准确率分别为72.41%、81.82%和76.47%,DCE-MRI检查诊断含钙化灶乳腺良、恶性病变的灵敏度、特异度及准确率分别为93.38%、93.18%和92.16%,MG联合DCE-MRI检查诊断含钙化灶乳腺良、恶性病变的灵敏度、特异度及准确率分别为98.28%、95.45%和97.06%,MG联合DCE-MRI检查诊断钙化灶乳腺良、恶性病变的灵敏度、特异度及准确率均显著高于仅MG诊断(P<0.05)。结论MG联合DCE-MRI检查对含钙化灶乳腺良、恶性病变鉴别诊断的灵敏度、特异度及准确性均较高,可清晰的显示良、恶性病灶的形态结构特单,更有利于为临床乳腺良、恶性疾病的鉴别提供进一步的指导价值。
Objective To explore the differential diagnosis value of mammography(MG)combined with dynamic contrast enhancement-magnetic resonance imaging(DCE-MRI)in the diagnosis of natures of breast disease with calcified lesion.Methods The data of 94 patients with breast disease with calcified lesion who were treated in our hospital from January 2018 to May 2019 were retrospectively analyzed.The pathological results were used as the standard.The diagnosis and imaging features of breast diseases were analyzed by different examination methods.Results There were 102 lesions in 94 patients,including 54 cases with benign disease,58 lesions in total,and 40 cases with malignant disease,44 lesions in total.The sensitivity,specificity and accuracy of MG examination in the diagnosis of mammary benign and malignant disease with calcified lesion were 72.41%,81.82%and 76.47%,respectively.The sensitivity,specificity and accuracy of DCE-MRI in the diagnosis of mammary benign and malignant disease with calcified lesion were 93.38%,93.18% and 92.16%,respectively.The sensitivity,specificity and accuracy of MG combined with DCE-MRI in the diagnosis of mammary benign and malignant disease with calcified lesion were 98.28%,95.45% and 97.06%,respectively.The sensitivity,specificity and accuracy of MG combined with DCE-MRI in the diagnosis of mammary benign and malignant disease with calcified lesion were significantly higher than those of MG alone(P<0.05).Conclusion The sensitivity,specificity and accuracy of MG combined with DCE-MRI in the differential diagnosis of mammary benign and malignant disease with calcified lesion are high.It can clearly show the structural characteristics of benign and malignant lesions.It is more helpful to provide further guidance for the identification of benign and malignant breast diseases.
作者
黄玉芳
杨伟川
胡振洲
高文华
HUANG Yu-fang;YANG Wei-chuan;HU Zhen-zhou;GAO Wen-hua(Department of Radiology,the First Naval Hospital of the Southern Theater of the People's Liberation Army,Zhanjiang 524009,Guangdong Province,China;Changmu Medical Center,Zhanjiang 524000,Guangdong Province,China)
出处
《中国CT和MRI杂志》
2022年第3期71-73,共3页
Chinese Journal of CT and MRI
关键词
数字钼靶X线
磁共振
动态增强扫描
含钙化灶
乳腺疾病
Mammography
Magnetic Resonance Imaging
Dynamic Contrast Enhancement
Calcified lesion
Breast Disease
