Contrast-enhanced mammography combined with ultrasound can improve the diagnostic efficiency of BI-RADS 3-5 papillary breast lesions
Objective To investigate the advantages of incorporating morphological analyses of contrast-enhanced mammography(CEM)and ultrasound for various subtypes of papillary breast lesions,and to compare the diagnostic characteristics and performance of this imaging method in distinguishing between these subtypes.Methods This study involved 70 female patients diagnosed with papillary breast lesions from January 2020 to July 2024.For each patient,BI-RADS lesion features of the CEM and ultrasound were recorded.And the different measurements of diagnostic performance were recorded.Results Among the 70 female patients,90 lesions were identified,including 18 malignant ones,4 intraductal papillomas without atypical proliferation,and 48 benign papillary lesions.The areas under ROC curves for CEM combined with ultrasound was 0.863.Specificity and accuracy of CEM combined with ultrasound showed highest values was 79.1%and 84.2%,respectively.However,the sensitivity and negative predictive value of the CEM with ultrasound were similar to those of CEM alone.Conclusion For BI-RADS 3-5 papillary breast lesions,incorporating CEM combined with ultrasound can improved the confidence level in diagnosis.
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