彩超联合钼靶X射线与MRI诊断早期乳腺癌的临床价值  

Clinical Value of Color Doppler Ultrasound Combined with Molybdenum Target X-ray and MRI in Diagnosis of Early Breast Cancer

作　　者：张海军[1] 李玉柱[1] 韩龙才[2] 张华[1] 林秋全[1] 王磊[3] 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)

机构地区：[1]唐山市人民医院放射科,河北唐山063000 [2]唐山市人民医院外科,河北唐山063000 [3]唐山市人民医院病理科,河北唐山063000

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)。

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.

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 

分 类 号：R445.1[医药卫生—影像医学与核医学]