摘要
目的探究乳腺钼靶X线联合核磁共振成像(MRI)在触诊阴性乳腺癌(NPBL)诊断中的临床价值。方法选择2021年4月至2022年11月本院诊治的触诊阴性乳腺癌患者123例作为研究对象,所有患者均行乳腺钼靶X线摄影、MRI成像及病理学检查,根据诊断结果分为阳性组及阴性组,对两种方法诊断结果与病理学诊断结果进行对比,分析二者联合诊断的价值。结果钼靶X线联合MRI诊断NPBL准确率为94.31%,明显高于乳腺钼靶X线及MRI单独诊断的76.42%、80.49%(P<0.05);钼靶X线结果显示阳性组肿块边缘不光滑、肿块分叶征、肿块毛刺征、钙化情况为簇状分布、无包膜比例较阴性组明显升高(P<0.05);MRI结果阳性组肿瘤形态不规则、肿瘤边缘不光滑、不均匀强化、TIC形式Ⅲ型比例明显高于阴性组,ADC值及Tpeak明显低于阴性组(P<0.05)。结论NPBL良恶性患者钼靶X线及MRI特征存在差异,二者联合对临床提高NPBL患者的诊效果具有重要意义。
Objective To explore the clinical value of mammography combined with magnetic resonance imaging(MRI)in the diagnosis of non-palpable breast lesions(NPBL).Methods A total of 123 NPBL patients diagnosed and treated in the hospital from April 2021 to November 2022 were enrolled as the research objects.All underwent mammography,MRI and pathological examination.According to the diagnosis results,they were divided into positive group and negative group.The results between the two methods and pathological diagnosis were compared.And the combined diagnostic value was analyzed.Results The accuracy rate of mammography combined with MRI in the diagnosis of NPBL was 94.31%,significantly higher than that of mammography and MRI alone(76.42%,80.49%)(P<0.05).Mammography results showed that the proportions of rough margin of tumors,lobulation sign,burr sign,clustered calcification and non-capsule in positive group were significantly higher than those in negative group(P<0.05).MRI results showed that the proportions of irregular tumor morphology,rough margin of tumors,uneven enhancement and type-III TIC in positive group were significantly higher than those in negative group,while ADC and Tpeak were significantly lower than those in negative group(P<0.05).Conclusion There are differences in the characteristics of mammography and MRI in benign and malignant NPBL patients.The combination of the two is of great significance in improving the clinical diagnosis efficiency of NPBL patients.
作者
曾政
张玉青
方茜
ZENG Zheng;ZHANG Yu-qing;FANG Qian(Department of Breast and Thyroid Surgery,Hunan Provincial People’s Hospital/The First Affiliated Hospital of Hunan Normal University,Changsha 410000,Hunan Province,China)
出处
《罕少疾病杂志》
2024年第1期71-72,85,共3页
Journal of Rare and Uncommon Diseases
