数字乳腺断层融合X线摄影诊断青年乳腺癌的可行性研究  

Value of digital breast tomosynthesis in the diagnosis of young breast cancer

作　　者：张磊[1] Zhang Lei(Department of Radiology,Zaozhuang Municipal Hospital,Zaozhuang 277100,China)

机构地区：[1]山东省枣庄市立医院放射科,277100

出　　处：《临床医学》2021年第3期19-21,共3页Clinical Medicine

摘　　要：目的通过和普通全数字乳腺摄影(FFDM)做对比,探讨数字乳腺断层融合X线摄影(DBT)在青年乳腺癌诊断中的临床应用价值。方法回顾分析枣庄市立医院85例经手术病理证实的青年乳腺癌(35岁以下)的常规数字乳腺摄影和数字乳腺断层融合X线摄影的表现特点并对之做对比研究。结果85例青年乳腺癌的数字乳腺断层融合X线摄影(DBT)与普通全数字乳腺摄影(FFDM)的X线征象比较:结构紊乱显示增加11例,局限性非对称致密显示增加9例,结节显示增加7例,星芒征的显示增加4例,恶性钙化显示增加4例。DBT对青年乳腺癌病灶的检出率(92.9%比85.9%)和诊断符合率(91.7%比77.6%)均明显高于FFDM(P<0.05)。结论数字乳腺断层融合X线摄影(DBT)能够更清晰显示青年乳腺癌的影像特征,显著提高诊断效能。Objective To investigate the value of digital breast tomosynthesis(DBT)compared with full-field digital mammography(FFDM)in the diagnosis of young breast cancer.Methods The characteristics of conventional digital mammography and digital tomography fusion mammography in 85 cases of young breast cancer(under 35 years old)in Zaozhuang Municipal Hospital confirmed by surgery and pathology were retrospectively analyzed and compared.Results The 85 cases of young breast cancer digital breast X-ray photography(DBT)fault fusion with ordinary digital mammary gland photography(FFDM)the X-ray signs of comparison:structure disorder showed a gain in 11 cases,limitations of asymmetric density showed increase in 9 cases,nodules showed increase in 7 cases,astral showed a gain of 4 cases,malignant calcification showed increase in 4 cases.The detection rate(92.9%vs.85.9%)and diagnostic coincidence rate(91.7%vs.77.6%)of DBT were significantly higher than FFDM(P<0.05).Conclusions DBT can can clearly display the imaging feature and improve diagnostic efficacy of young breast cancer.

关 键 词：数字乳腺断层融合X线摄影 数字乳腺摄影 青年乳腺癌 

分 类 号：R737.9[医药卫生—肿瘤] R730.44[医药卫生—临床医学]