摘要
目的比较彩超联合钼靶X射线与MRI诊断早期乳腺癌的临床应用价值。方法选取我院53例疑似早期乳腺癌患者,均行彩色多普勒超声、磁共振成像(Magnetic Resonance Imaging,MRI)与钼靶X射线检查,以病理检查结果为“金标准”,比较彩超、钼靶X射线及两者联合与MRI诊断的灵敏度、特异度与准确性。结果彩超诊断早期乳腺癌灵敏度77.78%,特异度87.50%,准确性79.25%;钼靶X射线诊断灵敏度82.22%,特异度75.00%,准确性81.13%;MRI诊断灵敏度95.56%,特异度87.50%,准确性94.34%;彩超联合钼靶X射诊断灵敏度91.11%,特异度100.00%,准确性92.45%,Kappa值均>0.4;MRI诊断早期乳腺癌灵敏度与准确性均明显高于彩超、钼靶X射线(P<0.05),MRI与彩超联合钼靶X射线灵敏度、特异度、准确性比较无明显差异(P>0.05)。结论钼靶X射线与彩超联合检测早期乳腺癌准确性与MRI相当,临床应根据患者具体就诊情况进行合理选择。
Objective To compare the clinical value of color Doppler ultrasound combined with molybdenum target X-ray and MRI in the diagnosis of early breast cancer.Methods A total of 53 patients with suspected early breast cancer who were admitted to our hospital were selected.They were examined by color Doppler ultrasound,magnetic resonance imaging(MRI)and molybdenum target X-ray.With pathological results as the golden standard,the sensitivity,specificity and accuracy of color Doppler ultrasound,molybdenum target X-ray,and their combination with MRI were compared.Results The diagnostic sensitivity,specificity and accuracy of color Doppler ultrasound for early breast cancer were 77.78%,87.50%and 79.25%.Those of molybdenum target X-ray were 82.22%,75.00%and 81.13%,of MRI were 95.56%,87.50%and 94.34%,and of color doppler ultrasound combined with molybdenum target X-ray were 91.11%,100.00%and 92.45%.The Kappa values were larger than 0.4.The sensitivity and accuracy of MRI were significantly higher than those of color doppler ultrasound or molybdenum target X-ray for diagnosis of early breast cancer(P<0.05).However,there was no significant difference in sensitivity,specificity or accuracy between MRI and color Doppler ultrasound combined with mammography(P>0.05).Conclusion Molybdenum target X-ray combined with color Doppler ultrasound can achieve equivalent accuracy to MRI.Therefore,the diagnostic method should be chosen according to the patient’s actual condition.
作者
张海军
李玉柱
韩龙才
张华
林秋全
王磊
ZHANG Haijun;LI Yuzhu;HAN Longcai;ZHANG Hua;LIN Qiuquan;WANG Lei(Department of Radiology,Tangshan People’s Hospital,Tangshan Hebei 063000,China;Department of Surgery,Tangshan People’s Hospital,Tangshan Hebei 063000,China;Department of Pathology,Tangshan People’s Hospital,Tangshan Hebei 063000,China)
出处
《中国医疗设备》
2022年第2期70-73,共4页
China Medical Devices
基金
2017年度河北省医学科学研究重点课题(20171292)。
关键词
彩色多普勒超声
磁共振成像
钼靶X射线
早期乳腺癌
诊断
color doppler ultrasound
magnetic resonance imaging
molybdenum target X-ray
early breast cancer
diagnosis
