数字乳腺体层合成对乳腺结构扭曲的诊断价值  

Diagnostic value of digital breast tomosynthesis for breast architectural distortion

作　　者：郭炜 张艳[1] 王晓华[1] 袁慧书[1] GUO Wei;ZHANG Yan;WANG Xiaohua;YUAN Huishu(Department of Radiology,Peking University Third Hospital,Beijing 100191,China)

机构地区：[1]北京大学第三医院放射科,北京100191

出　　处：《癌症进展》2023年第10期1065-1067,共3页Oncology Progress

摘　　要：目的探讨数字乳腺体层合成(DBT)对乳腺结构扭曲的诊断效能。方法收集160例同时行数字乳腺摄影(DM)及DBT检查的可疑为乳腺结构扭曲的患者,所有图像经2名具有专业乳腺诊断经验的医师采用双盲法阅片并取得一致。比较DM、DBT及DM+DBT 3种模式对乳腺结构扭曲的诊断效能。结果DM和DBT发现的160例可疑乳腺结构扭曲患者中,40例影像学检查证实为非乳腺结构扭曲病变,120例影像学检查或病理检查证实为乳腺结构扭曲病变,其中致密型乳腺55例,非致密型乳腺65例。DM、DBT及DM+DBT对致密型乳腺结构扭曲的检出率比较,差异有统计学意义(P﹤0.05),其中DM+DBT成像模式检出率最高。DM+DBT对致密型乳腺结构扭曲的诊断效能优于DM和DBT,DBT对致密型乳腺结构扭曲的诊断效能优于DM(P﹤0.05)。结论DM+DBT对致密型乳腺结构扭曲的诊断效能优于DM和DBT,DBT对致密型乳腺结构扭曲的诊断效能优于DM。Objective To study the diagnostic efficacy of digital breast tomosynthesis(DBT)for breast architectural distortion(AD).Method A total of 160 patients with suspicious breast AD diagnosed by digital mammography(DM)and DBT were analyzed.All images were read blindly by 2 doctors with professional breast diagnosis experience and reached a consensus.The diagnostic efficacy of DM,DBT and DM+DBT in breast AD were compared.Result Among 160 cases of suspicious breast AD detected by DM and DBT,40 cases were confirmed as non-breast AD by imaging,and other 120 cases were confirmed as breast AD by imaging or pathology,including 55 cases of dense breast and 65 cases of non-dense breast.The detection rate of DM,DBT and DM+DBT for AD of dense breast was statistically significant(P<0.05),and the detection rate of DM+DBT imaging mode was the highest.The diagnostic efficacy of DM+DBT was higher than the DM and DBT for dense breast AD,DBT higher than DM for dense breast AD(P<0.05).Conclusion The diagnostic efficacy of DM+DBT is better than DM and DBT for dense breast AD,and DBT better than DM in diagnosing dense breast AD.

关 键 词：数字乳腺体层合成 乳腺结构扭曲 诊断效能 

分 类 号：R737.9[医药卫生—肿瘤]