数字化乳腺断层摄影、超声与CE-MRI在乳腺疾病诊断中的效能对比  

Comparison of the Effectiveness of Digital Breast Tomography,Ultrasound and CEMRI in the Diagnosis of Breast Diseases

作　　者：李鸿恩 李晖[1] 张丽[1] 曾益辉 江魁明[1] 张嫣[1] LI Hong-en;LI Hui;ZHANG Li;ZENG Yi-hui;JIANG Kui-ming;ZHANG Yan(Department of Radiology,Guangdong Women's and Children's Hospital,Guangzhou,51000,Guangdong Province,China)

机构地区：[1]广东省妇幼保健院放射科,广东广州510000

出　　处：《中国CT和MRI杂志》2023年第3期100-102,共3页Chinese Journal of CT and MRI

基　　金：广州市科技计划项目基金资助(202002030217)。

摘　　要：目的探讨数字乳腺断层摄影(DBT)、超声与磁共振增强扫描技术(CE-MRI)在乳腺疾病诊断效能方面的应用价值。方法回顾性分析251例经手术病理证实乳腺疾病的临床资料,术前接受DBT、超声和CE-MRI检查。分析各项检查诊断乳腺疾病效能及在诊断乳腺疾病中的优缺点。结果251例病理确诊乳腺疾病检查中,DBT、超声、CE-MRI检查诊断乳腺疾病准确度分别为88.05%、91.63%、93.63%,CE-MRI准确率最高,与DBT检查方法差异有统计学意义(P<0.05),比超声检查方法稍高,差异无统计学意义。灵敏度与阴性预测值方面,CE-MRI明显高于DBT和超声,差异具有统计学意义(P<0.05)。特异度与阳性预测值方面,超声高于DBT和CE-MRI,差异无统计学意义。DBT、超声及CE-MRI诊断乳腺良恶性疾病的AUC值分别是0.884、0.919、0.932。结论DBT、超声及CE-MRI检查在诊断乳腺疾病均具有较高的临床诊断应用价值,但CE-MRI具有较高的准确度、灵敏度及阴性预测值,超声具有较高的特异度及阳性预测值。Objective To study the application value of digital breast tomosynthesis(DBT),ultrasound and contrastenhanced magnetic resonance imaging(CE-MRI)in the diagnostic efficiency of breast diseases.Methods The clinical data of 251 patients with surgically and pathologically confirmed breast diseases were retrospectively analyzed,and preoperative DBT,ultrasound and CE-MRI examinations were performed.The diagnostic efficacy and advantages and disadvantages of each test in the diagnosis of breast diseases were analyzed.Results For 251 patients with pathologically diagnosed breast diseases,the accuracy of DBT,ultrasound and CE-MRI in diagnosing breast diseases was 88.05%,91.63%and 93.63%,respectively.CEMRI had the highest accuracy rate,which was statistically different from DBT(P<0.05),and slightly higher than ultrasound without statistically significant difference.In terms of sensitivity and negative predictive value,CE-MRI was significantly higher than DBT and ultrasound,and the difference was statistically significant(P<0.05).In terms of specificity and positive predictive value,ultrasound was higher than DBT and CE-MRI,and the difference was not statistically significant.The AUC values of DBT,ultrasound and CEMRI in the diagnosis of benign and malignant breast diseases were 0.884,0.919 and 0.932,respectively.Conclusion DBT,ultrasound and CE-MRI have high application value of clinical diagnosis of breast diseases,furthermore CE-MRI has high accuracy,sensitivity and negative predictive value,while ultrasound has high specificity and positive predictive value.

关 键 词：数字化乳腺断层成像 超声 增强磁共振 乳腺癌 

分 类 号：R445.2[医药卫生—影像医学与核医学] R737.9[医药卫生—诊断学]