乳腺钼靶联合MRI鉴别诊断乳腺占位性病变性质的价值  

The value of mammography combined with MRI in differentiating the nature of breast space occupying lesions

作　　者：杨永汉 张武花 孟庆宁 李万莉 Yang Yonghan;Zhang Wuhua;Meng Qingning;Li Wanli(The Fifth People’s Hospital of Qinghai Province,Xining,Qinghai 810000,China)

机构地区：[1]青海省第五人民医院,青海西宁810000

出　　处：《首都食品与医药》2025年第9期76-78,共3页Capital Food Medicine

摘　　要：目的 探讨乳腺钼靶联合磁共振成像(MRI)鉴别诊断乳腺占位性病变性质的价值。方法 选取我院2023年5月-2024年10月收治的乳腺占位性病变患者117例,全部患者均接受乳腺钼靶、MRI检查,并行病理检查,依据病理检查结果,分析乳腺钼靶、MRI单独及联合检测鉴别诊断乳腺占位性病变性质的价值。结果 117例乳腺占位性病变患者经病理诊断,良性72例,占61.54%,恶性45例,占38.46%;依据手术病理检查结果,乳腺钼靶、MRI单独及联合检测鉴别诊断乳腺占位性病变性质的灵敏度分别为80.00%(36/45)、84.44%(38/45)、97.78%(44/45),特异度分别为87.50%(63/72)、86.11%(62/72)、98.61%(71/72),准确度分别为84.62%(99/117)、85.47%(100/117)、98.29%(115/117);乳腺钼靶、MRI单独检查与病理检查乳腺占位性病变性质的一致性理想(Kappa值=0.675、0.697),乳腺钼靶、MRI联合检查与病理检查乳腺占位性病变性质的一致性好(Kappa值=0.964);乳腺钼靶联合MRI检查灵敏度、特异度、准确度均较各项单独检查高,差异有统计学意义(P<0.017)。结论 乳腺钼靶联合MRI鉴别诊断乳腺占位性病变性质的价值较高,可有效区分病变良恶性,为临床诊治提供客观依据。Objective To explore the value of mammography combined with magnetic resonance imaging(MRI)in differentiating the nature of breast space occupying lesions.Methods A total of 117 patients with breast space occupying lesions admitted to our hospital from May 2023 to October 2024 were selected.All patients underwent mammography and MRI examinations,and pathological examinations were performed in parallel.Based on the pathological examination results,the value of mammography and MRI alone and in combination for differential diagnosis of the nature of breast space occupying lesions was analyzed.Results Out of 117 cases of breast space occupying lesions,72 cases were diagnosed as benign,accounting for 61.54%,and 45 cases were diagnosed as malignant,accounting for 38.46%;according to the results of surgical pathological examination,the sensitivity of mammography and MRI alone and in combination for differential diagnosis of breast space occupying lesions were 80.00%(36/45),84.44%(38/45),and 97.78%(44/45),respectively.The specificity was 87.50%(63/72),86.11%(62/72),and 98.61%(71/72),respectively.The accuracy was 84.62%(99/117),85.47%(100/117),and 98.29%(115/117),respectively;the consistency between mammography and MRI alone and pathological examination of breast space occupying lesions is ideal(Kappa values=0.675,0.697),and the consistency between mammography and MRI combined examination and pathological examination of breast space occupying lesions is good(Kappa value=0.964);the sensitivity,specificity,and accuracy of mammography combined with MRI examination are higher than those of individual examinations,and the difference is statistically significant(P<0.017).Conclusion The combination of mammography and MRI has high value in differentiating the nature of breast space occupying lesions,effectively distinguishing between benign and malignant lesions,and providing objective basis for clinical diagnosis and treatment.

关 键 词：乳腺占位性病变 乳腺钼靶 磁共振成像 鉴别诊断价值 

分 类 号：R445.2[医药卫生—影像医学与核医学]