全数字化钼靶X线摄影、超声和磁共振成像 对高龄乳腺肿瘤患者的诊断效能  

Diagnostic efficacy of fully digital molybdenum target X-ray,ultrasound and magnetic resonance imaging in elderly patients with breast tumors

作　　者：林继平 童陶然[1] 赵茜平 胡献金[1] LIN Jiping;TONG Taoran;ZHAO Xiping;HU Xianjin(Department of Ultrasound,Tongling People’s Hospital,Anhui Province,Tongling244000,China)

机构地区：[1]安徽省铜陵市人民医院超声科,安徽铜陵244000

出　　处：《中国医药导报》2021年第22期156-158,163,共4页China Medical Herald

摘　　要：目的探讨全数字化钼靶X线摄影、超声和磁共振成像对高龄乳腺肿瘤患者诊断效能。方法选择2016年1月至2020年9月安徽省铜陵市人民医院收治的101例高龄乳腺肿瘤患者作为研究对象,所有患者均接受全数字化钼靶X线摄影、超声和磁共振成像检查。回顾性分析纳入患者的影像学资料。以病理学结果为“金标准”,比较三种诊断方式在恶性乳腺肿瘤上的诊断效能。结果101例高龄乳腺肿瘤患者经病理学检查明确诊断恶性肿瘤34例,全数字化钼靶X线摄影、超声、磁共振成像和联合诊断检出的恶性肿瘤分别有28例、19例、26例和33例。不同诊断方式诊断恶性乳腺肿瘤的曲线下面积(AUC)大小依次为联合诊断(0.960)、全数字化钼靶X线摄影(0.795)、超声(0.669)、磁共振成像(0.640)。联合诊断的AUC与全数字化钼靶X线摄影、超声、磁共振成像比较,差异有统计学意义(P<0.05)。三者联合诊断的灵敏度、特异度和准确度分别为97.06%、89.55%和92.08%,均高于各种单项检查。结论临床上可将全数字化钼靶X线摄影、超声作为早期筛查高龄乳腺癌的首选方案。对于筛查结果可疑的患者,可结合磁共振成像检查结果进行进一步明确,从而提高其诊断准确率。Objective To explore the diagnostic efficiency of fully digital mammography,ultrasound and magnetic resonance imaging in elderly patients with breast tumors.Methods The 101 elderly patients with breast tumors admitted to Tongling People’s Hospital in Anhui Province from January 2016 to September 2020 were selected as the research subjects.All patients received fully digital mammography,ultrasound and magnetic resonance imaging.The imaging data of all patients were retrospectively analyzed.Pathological results as the“gold standard”were used,and the diagnostic efficacy of the three diagnostic methods for malignant breast tumors were compared.Results A total of 101 elderly patients with breast tumors were diagnosed with 34 cases of malignant tumors by pathological examination.There were 28,19,26,and 33 malignant tumors detected by fully digital mammography,ultrasound,magnetic resonance imaging and combined diagnosis,respectively.The area under the curve(AUC)of different diagnostic methods for malignant breast tumors was combined diagnosis(0.960),fully digital mammography(0.795),ultrasound(0.669),and magnetic resonance imaging(0.640).The combined diagnosis of AUC was compared with fully digital mammography,ultrasound,and magnetic resonance imaging,and the differences were statistically significant(P<0.05).The sensitivity,specificity and accuracy of the combined diagnosis of the three were 97.06%,89.55%and 92.08%,respectively,which were higher than those of various single tests.Conclusion Fully digital mammography and ultrasound can be used as the first choice for early screening of advanced breast cancer in clinical.For patients with suspicious screening results,the results of magnetic resonance imaging can be further clarified,thereby improving the accuracy of their diagnosis.

关 键 词：全数字化钼靶X线摄影 超声 磁共振成像 高龄乳腺肿瘤 诊断技术 

分 类 号：R73[医药卫生—肿瘤]