磁共振成像、超声弹性成像、X线在乳腺癌临床诊断中的应用价值研究

doi:10.7517/issn.1674-0475.210209

摘要/Abstract

摘要： 文章旨在研究磁共振成像（MRI）、超声弹性成像（UE）、X线在乳腺癌临床诊断中的应用价值。选取乳腺肿块患者147例，其中良性病变10例、恶性病变137例，分别行MRI、UE、X线检查。与良性病变患者相比，恶性病变患者MRI评分、应变率比值（SR）、X线评分均升高（P<0.05）。在恶性病变中，MRI检查对Ⅴ类患者检出率高于UE、X线检查，差异有统计学意义（P<0.05）。以Ⅳ、Ⅴ类为阳性诊断，MRI、UE乳腺癌检出率均高于X线乳腺癌检出率（P<0.05）。三项联合乳腺癌敏感性、准确性高于三项单一检测，特异性低于三项单一检测（P<0.05）。MRI、UE、X线在诊断乳腺癌良、恶性方面具有重要作用，三项联合检查乳腺癌诊断效能较高。

关键词: 磁共振成像, 超声弹性成像, X线, 乳腺癌

Abstract: This paper aims to study the application value of magnetic resonance imaging (MRI), ultrasonic elastography (UE) and X-ray in the clinical diagnosis of breast cancer. A total of 147 patients with breast masses were selected, including 10 cases of benign lesions and 137 cases of malignant lesions. MRI, UE and X-ray were performed respectively. Compared with patients with benign lesions, MRI score, SR and X-ray score of patients with malignant lesions were higher (P<0.05). In malignant lesions, the detection rate of MRI in class Ⅴ patients was higher than that of UE and X-ray examination, and the difference was statistically significant (P<0.05). The detection rate of breast cancer in MRI and UE was higher than that in X-ray (P<0.05). The sensitivity and accuracy of three combined detection of breast cancer were higher than three single detection, and the specificity was lower than three single detection (P<0.05). MRI, UE and X-ray play an important role in the diagnosis of benign and malignant breast cancer.

Key words: magnetic resonance imaging, ultrasonic elastography, X-ray, breast cancer

刘迪, 贺松, 牛向欣, 李娇娇, 杨帆, 张斌. 磁共振成像、超声弹性成像、X线在乳腺癌临床诊断中的应用价值研究[J]. 影像科学与光化学, 2021, 39(5): 749-753.

LIU Di, HE Song, NIU Xiangxin, LI Jiaojiao, YANG Fan, ZHANG Bin. Application Value of Magnetic Resonance Imaging, Ultrasonic Elastography and X-ray in Clinical Diagnosis of Breast Cancer[J]. IMAGING SCIENCE AND PHOTOCHEMISTRY, 2021, 39(5): 749-753.

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