数字乳腺断层合成摄影技术联合乳腺能谱成像对致密型乳腺内病变的诊断价值

doi:10.7517/issn.1674-0475.201007

影像科学与光化学 ›› 2021, Vol. 39 ›› Issue (3): 474-478.DOI: 10.7517/issn.1674-0475.201007

数字乳腺断层合成摄影技术联合乳腺能谱成像对致密型乳腺内病变的诊断价值

邹丹丹¹, 胡菲¹, 韩旭¹, 安建立²

1. 秦皇岛市第一医院医学影像科, 河北秦皇岛 066000;
2. 秦皇岛市第一医院介入科, 河北秦皇岛 066000

收稿日期:2020-10-21 出版日期:2021-05-15 发布日期:2021-05-17
通讯作者: 邹丹丹
基金资助:
秦皇岛市科学技术研究与发展计划（201902A125）项目资助

Value of Digital Mammography Combined with Energy Spectrum Imaging in Diagnosis of Dense Intramammary Lesions

ZOU Dandan¹, HU Fei¹, HAN Xu¹, AN Jianli²

1. Imaging Department, First Hospital of Qinhuangdao, Qinhuangdao 066000, Hebei, P. R. China;
2. Interventional Department, First Hospital of Qinhuangdao, Qinhuangdao 066000, Hebei, P. R. China

Received:2020-10-21 Online:2021-05-15 Published:2021-05-17

摘要/Abstract

摘要： 本文旨在研究数字乳腺断层合成摄影技术（digital breast tomosynthesis，DBT）联合乳腺能谱成像（contrast-enhanced spectral mammography，CESM）对致密型乳腺内病变患者的诊断价值。通过选取疑似乳腺疾病患者70例，先进行DBT检查再进行CESM检查，结果发现，DBT对致密型乳腺病变BI-RADS分类3~5型检出率为84.29%，低于CESM检查的95.71%（χ²=5.079，P=0.024）。DBT检查以不均匀致密型和高度致密型边缘清晰征象为主，CESM检查以不均匀致密型、高度致密型边缘毛刺征象为主，差异有统计学意义（P<0.05）。DBT与CESM两项联合检查诊断致密型乳腺病变敏感性和准确性较高，与单项结果相比较，差异有统计学意义（P<0.05）。本研究结果提示，DBT联合CESM对致密型乳腺内病变诊断效果显著，两者能实现互补。

关键词: 数字乳腺断层合成摄影, 能谱成像, 致密型乳腺, 预后

Abstract: The purpose of this study was to investigate the diagnostic value of digital breast tomography (DBT) combined with breast energy spectrum imaging (CESM) in patients with dense breast lesions. From March 2018 to July 2020, 70 cases of suspected breast disease in our hospital were selected. DBT was performed on them firstly, and then CESM was performed. It was found that the detection rate of dense breast lesions by DBT was 84.29%, which was lower than 95.71% by CESM (χ²=5.079, P=0.024). DBT showed signs of heterogeneous dense type and highly dense type with clear edges, while CESM showed signs of heterogeneous dense type and highly dense type with burr, the difference was statistically significant (P<0.05). The sensitivity and accuracy of DBT combined with CESM for dense breast lesions were higher than any single one, and the difference was statistically significant (P<0.05). It is suggested that DBT combined with CESM have a significant effect on the diagnosis of dense intramammary lesions, which can be complementary examinations.

Key words: digital mammography, spectral imaging, dense breast, prognosis

邹丹丹, 胡菲, 韩旭, 安建立. 数字乳腺断层合成摄影技术联合乳腺能谱成像对致密型乳腺内病变的诊断价值[J]. 影像科学与光化学, 2021, 39(3): 474-478.

ZOU Dandan, HU Fei, HAN Xu, AN Jianli. Value of Digital Mammography Combined with Energy Spectrum Imaging in Diagnosis of Dense Intramammary Lesions[J]. IMAGING SCIENCE AND PHOTOCHEMISTRY, 2021, 39(3): 474-478.

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数字乳腺断层合成摄影技术联合乳腺能谱成像对致密型乳腺内病变的诊断价值

Value of Digital Mammography Combined with Energy Spectrum Imaging in Diagnosis of Dense Intramammary Lesions

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