摘要
目的:分析磁共振弥散加权成像(diffusion-weighted imaging,DWI)联合钼靶乳腺摄影对乳腺良恶性疾病鉴别效果。方法:选择唐山市妇幼保健院于2023年1月至2023年12月收治的疑似乳腺癌患者87例进行研究,以手术病理检测结果为金标准,分析钼靶摄影、磁共振成像(magnetic resonance imaging,MRI)及联合检测在乳腺良恶性病变中的诊断效能。结果:87例疑似乳腺癌患者中检出良性病变者25例,占28.74%;检出恶性病变者62例,占71.26%。钼靶摄影及DWI在乳腺良恶性病变中的诊断敏感度、准确性与特异度差异无统计学意义;钼靶摄影联合DWI在乳腺良恶性病变中的诊断敏感度、准确性均高于单项检测,差异有统计学意义;钼靶摄影联合DWI检测特异度高于磁共振成像,差异有统计学意义;钼靶摄影联合DWI阳性预测值、阴性预测值均高于单项检测,差异有统计学意义。结论:为乳腺病变患者实施钼靶乳腺摄影联合磁共振动态增强与弥散加权成像有助于为临床进行良恶性病变鉴别和诊断提供重要依据和参考。
Objective: To analyze the differential effect of diffusion⁃weighted imaging (DWI) combined with mammography on benignand malignant breast diseases. Methods: 87 cases of suspected breast cancer patients admitted to our hospital from January 2023 toDecember 2023 were studied. The diagnostic efficacy of mammography, magnetic resonance imaging(MRI) and combined detection inbenign and malignant breast lesions was analyzed with the results of surgical and pathological examination as the gold standard.Results: Among 87 suspected breast cancer patients, 25 cases ( 28 . 74 %) had benign lesions, and 62 cases ( 71 . 26 %) had malignantlesions. There was no statistically significant difference in the diagnostic sensitivity, accuracy, and specificity of mammography and DWI in benign and malignant breast lesions. The diagnostic sensitivity and accuracy of mammography combined with DWI in benignand malignant breast lesions were higher than those of single detection, and the difference was statistically significant. The specificityof molybdenum target photography combined with DWI detection was higher than that of MRI, and the difference was statisticallysignificant. The positive and negative predictive values of mammography combined with DWI were higher than those of singledetection, and the difference was statistically significant. Conclusion: The implementation of mammography combined with dynamiccontrast⁃enhanced MRI and diffusion⁃weighted imaging for patients with breast lesions can provide important basis and reference forclinical differentiation and diagnosis of benign and malignant lesions.
作者
董景兰
戚坤
郑红
张宇
张腊梅
DONG Jinglan;QI Kun;ZHENG Hong;ZHANG Yu;ZHANG Lamei(Radiology Department,Tangshan Maternal and Child Health Hospital,Hebei 063000,China;Ultrasound Department,Tangshan Maternal and Child Health Hospital,Hebei 063000,China;Laboratory,Tangshan Maternal and Child Health Hospital,Hebei 063000,China)
出处
《影像科学与光化学》
2025年第4期34-39,151,共7页
Imaging Science and Photochemistry
基金
2022年度河北省医学科学研究课题计划资助(20221761)。
关键词
磁共振弥散加权成像
钼靶乳腺摄影
乳腺良恶性疾病
diffusion weighted magnetic resonance imaging
mammography
benign and malignant breast diseases
作者简介
第一作者:董景兰,女,本科,唐山市妇幼保健院放射科,主治医师,主要从事妇儿影像诊断研究。
