影像科学与光化学 ›› 2020, Vol. 38 ›› Issue (3): 487-490.DOI: 10.7517/issn.1674-0475.191113

• 综述与论文 • 上一篇    下一篇

三种影像技术联合对乳腺疾病的诊断效能研究

王亮, 彭勇, 蒋宇宏   

  1. 武汉市第一医院 医学影像科, 湖北 武汉 430022
  • 收稿日期:2019-11-14 出版日期:2020-05-15 发布日期:2020-05-15
  • 通讯作者: 蒋宇宏

Study on the Diagnostic Effect of Three Imaging Techniques Combined for Breast Disease

WANG Liang, PENG Yong, JIANG Yuhong   

  1. Department of Radiology, Wuhan No.1 Hospital, Wuhan 430022, Hubei, P. R. China
  • Received:2019-11-14 Online:2020-05-15 Published:2020-05-15

摘要: 该回顾性研究旨在探究超声(US)、钼靶(MG)、MRI及其联合技术对乳腺疾病诊断的效果。选取2018年10月~2019年10月期间收集的456例乳腺疾病患者作为研究对象,以病理学检查为参照,分析US、MG、MRI及其联合检测对乳腺良恶性病变的鉴别效果。病理检查结果显示,乳腺恶性肿瘤主要为乳腺浸润性癌、浸润性导管癌和乳腺导管原位癌,良性肿瘤主要为纤维腺瘤。US、MG与MRI鉴别乳腺恶性肿瘤的敏感度方面,MRI优于MG和US;特异度方面,MG优于MRI和US;三种影像技术联合后的检查敏感度为97%,特异度为98%。本文证实超声、钼靶、MRI三种技术对乳腺疾病诊断具有良好的鉴别效果,且三者联合的效果更好。

关键词: 乳腺, 肿瘤, 影像技术, 价值研究

Abstract: This retrospective study was designed to explore the effect of ultrasound(US), mammography(MG), MRI and the combined examination in the diagnosis of breast diseases. 456 patients with breast diseases between October 2018 and October 2019 were enrolled in the study. The differential effects of ultrasound, mammography, MRI and the combined examination for breast benign and malignant lesions were analyzed with pathological results as references. The examination results showed that, the main malignant tumors were invasive breast cancer, invasive ductal cancer and ductal carcinoma in situ, while the main benign tumor was fibroadenoma. The sensitivity of MRI in the diagnosis of breast cancer was better than MG and US. In terms of specificity, MG was better than MRI and US. The sensitivity of the three imaging techniques combined was 97%, and the specificity was 98%. The combination was significantly higher than the single of US, MG and MRI (P<0.05). This paper confirms that ultrasound, mammography and MRI have good effects in the diagnosis of breast diseases, and their combination has the higher value.

Key words: breast, tumor, imaging technology, value research