摘要
目的 探究MRI、钼靶对良恶性乳腺病变的鉴别价值。方法 选取2020年8月至2023年8月我院收治的乳腺包块患者64例,均进行MRI和数字钼靶X线检测,比较两种方法鉴别良性乳腺病变和乳腺癌的检出率和准确性,分析其影像学特征。结果 64例乳腺病变患者中,良性乳腺病变26例(40.63%),以乳腺腺病为主,恶性乳腺病变38例(59.38%),以浸润性导管癌为主;MRI检出64例乳腺病变中的61例,总检出率为95.31%,对乳腺纤维瘤、乳腺囊肿、导管原位癌的检出率均为100.00%,对良性和恶性乳腺疾病的诊断准确率分别为84.62%和78.94%,MRI诊断恶性乳腺疾病的灵敏度为78.9 4%,特异度为84.62%,准确率为81.25%,Kappa值为0.620;钼靶检出64例乳腺病变中的57例,总检出率为89.06%,对良性和恶性乳腺疾病的诊断准确率分别为69.23%和52.63%,钼靶诊断恶性乳腺疾病的灵敏度为53.63%,特异度为69.23%,准确率为59.38%,Kappa值为0.206,钼靶诊断恶性乳腺疾病的准确率低于MRI(P<0.05)。结论 MRI对良恶性乳腺病变的检出率和诊断准确性均优于数字钼靶X线,在鉴别良恶性乳腺病变上具有更高的临床价值。
Objective To explore the differential value of MRI and mammography on benign and malignant breast lesions.Methods 64 patients with breast masses in our hospital from August 2020 to August 2023 were selected.All patients underwent MRI and digital mammography.The detection rate and accuracy of the two methods in differentiating benign breast lesions from breast cancer were compared,and the imaging characteristics were analyzed.Results Among the 64 patients with breast lesions,there were 26 cases(40.63%)of benign breast lesions(mainly breast adenosis)and 38 cases(59.38%)of malignant breast lesions(mainly invasive ductal carcinoma).MRI detected 61 of 64 breast lesions,with a total detection rate of 95.31%.The detection rates of breast fibroma,breast cyst and ductal carcinoma in situ were all 100.00%,and the diagnostic accuracy rates of benign and malignant breast diseases were 84.62%and 78.94%respectively.The sensitivity,specificity,accuracy rate and Kappa value of MRI in the diagnosis of malignant breast diseases were 78.94%,84.62%,81.25%and 0.620.Mammography detected 57 of 64 cases of breast lesions with the total detection rate of 89.06%,and the diagnostic accuracy rates of benign and malignant breast diseases were 69.23%and 52.63%,and the sensitivity,specificity,accuracy rate and Kappa value of mammography were 52.63%,69.23%,59.38%and 0.206 in the diagnosis of malignant breast diseases.The accuracy rate of mammography in diagnosing malignant breast diseases was lower than that of MRI(P<0.05).Conclusion MRI for the detection rate and diagnosis accuracy of benign and malignant breast lesions is better than that of digital mammography,and it has higher clinical value in differentiating benign and malignant breast lesions.
作者
黄钰
曹凌强
赵冬夏
王梓洋
HUANG Yu;CAO Ling-qiang;ZHAO Dong-xia;WANG Zi-yang(Henan Provincial Third People's Hospital,Zhengzhou 450000,Henan Province,China)
出处
《中国CT和MRI杂志》
2024年第3期79-81,共3页
Chinese Journal of CT and MRI
作者简介
第一作者/通讯作者:黄钰,男,副主任医师,主要研究方向:甲状腺、乳腺、普胸外科良恶性肿瘤。E-mail:superfish521@163.com。
