磁共振成像、超声弹性成像、X线在乳腺癌临床诊断中的应用价值研究  

Application Value of Magnetic Resonance Imaging,Ultrasonic Elastography and X-ray in Clinical Diagnosis of Breast Cancer

作　　者：刘迪[1] 贺松[1] 牛向欣 李娇娇[1] 杨帆 张斌[1] LIU Di;HE Song;NIU Xiangxin;LI Jiaojiao;YANG Fan;ZHANG Bin(Department of Medical Imaging,The First Affiliated Hospital of Hebei North University,Zhangjiakou 075000,Hebei,P.R.China)

机构地区：[1]河北北方学院附属第一医院医学影像部,河北张家口075000

出　　处：《影像科学与光化学》2021年第5期749-753,共5页Imaging Science and Photochemistry

基　　金：河北省医学科学研究课题计划(20200509)。

摘　　要：文章旨在研究磁共振成像(MRI)、超声弹性成像(UE)、X线在乳腺癌临床诊断中的应用价值。选取乳腺肿块患者147例,其中良性病变10例、恶性病变137例,分别行MRI、UE、X线检查。与良性病变患者相比,恶性病变患者MRI评分、应变率比值(SR)、X线评分均升高(P<0.05)。在恶性病变中,MRI检查对Ⅴ类患者检出率高于UE、X线检查,差异有统计学意义(P<0.05)。以Ⅳ、Ⅴ类为阳性诊断,MRI、UE乳腺癌检出率均高于X线乳腺癌检出率(P<0.05)。三项联合乳腺癌敏感性、准确性高于三项单一检测,特异性低于三项单一检测(P<0.05)。MRI、UE、X线在诊断乳腺癌良、恶性方面具有重要作用,三项联合检查乳腺癌诊断效能较高。This paper aims to study the application value of magnetic resonance imaging(MRI),ultrasonic elastography(UE)and X-ray in the clinical diagnosis of breast cancer.A total of 147 patients with breast masses were selected,including 10 cases of benign lesions and 137 cases of malignant lesions.MRI,UE and X-ray were performed respectively.Compared with patients with benign lesions,MRI score,SR and X-ray score of patients with malignant lesions were higher(P<0.05).In malignant lesions,the detection rate of MRI in classⅤpatients was higher than that of UE and X-ray examination,and the difference was statistically significant(P<0.05).The detection rate of breast cancer in MRI and UE was higher than that in X-ray(P<0.05).The sensitivity and accuracy of three combined detection of breast cancer were higher than three single detection,and the specificity was lower than three single detection(P<0.05).MRI,UE and X-ray play an important role in the diagnosis of benign and malignant breast cancer.

关 键 词：磁共振成像 超声弹性成像 X线 乳腺癌 

分 类 号：R737.9[医药卫生—肿瘤]