首页|数字乳腺体层合成对非对称性致密影型乳腺癌诊断的效果分析

数字乳腺体层合成对非对称性致密影型乳腺癌诊断的效果分析

Analysis of the effect of digital breast tomosynthesis in the diagnosis of breast cancer with asymmetric mammographic densities

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目的:分析数字乳腺体层合成(DBT)对非对称性致密影型乳腺癌诊断的效果.方法:选取 2023 年 1 月—12 月山东省立医院菏泽医院收治的乳腺疾病患者 120 例,其中非对称性致密影型乳腺癌患者 50 例,乳腺良性疾病患者 70 例.所有患者均接受DBT及乳腺X线检查.比较不同检查方式在非对称性致密影型乳腺癌诊断中的效能,比较对乳腺癌分子分型诊断结果.结果:DBT诊断结果显示,阳性 52 例,阴性 68 例;乳腺X线结果显示,阳性 45 例,阴性 75 例.DBT对非对称性致密影型乳腺癌诊断灵敏度、准确率高于乳腺X线诊断(P<0.05);DBT对乳腺炎、囊肿伴感染检出率高于乳腺X射线摄影诊断(P<0.05);DBT与乳腺X射线摄影在乳腺增生、纤维腺瘤中的检出率比较差异无统计学意义(P>0.05);DBT对乳腺小叶癌、乳腺血管肉瘤检出率高于乳腺X射线摄影(P<0.05).DBT与乳腺X射线摄影在乳腺导管癌、导管癌合并小叶癌中的检出率比较差异无统计学意义(P>0.05).结论:DBT在非对称性致密影型乳腺癌中具有较高诊断效能,并且可对乳腺良恶性疾病进行分型诊断,具有较高的检出率.
Objective To analyze the effect of digital breast tomosynthesis(DBT)on the diagnosis of breast cancer with asymmetric mammographic densities.Methods A total of 120 patients with breast diseases treated in Heze Hospital of Shandong Provincial Hospital from January to December 2023 were selected,including 50 patients with asymmetric mammographic density breast cancer and 70 patients with benign breast diseases.All patients underwent DBT and mammography,to compare the efficacy of different examination methods in the diagnosis of asymmetric mammographic density breast cancer,and to compare the diagnosis results of molecular classification of breast cancer.Results The results of DBT diagnosis showed that 52 cases were positive and 68 cases were negative.Mammogram results showed 45 positive cases and 75 negative cases.The sensitivity and accuracy of DBT in the diagnosis of asymmetric mammographic density breast cancer were higher than that of mammography(P<0.05).The detection rate of DBT in mastitis,cyst with infection was higher than that in mammography diagnosis(P<0.05).There was no significant difference between the detection rate of DBT and mammography in breast hyperplasia and fibroadenoma(P>0.05).The detection rate of DBT in breast lobular carcinoma and breast angiosarcoma was higher than that of mammography(P<0.05).There was no significant difference between the detection rate of DBT and mammography in ductal carcinoma and ductal carcinoma combined with lobular carcinoma(P>0.05).Conclusion DBT has high diagnostic efficiency in asymmetric mammographic density breast cancer,and can classify and diagnose benign and malignant breast diseases with high detection rate.

Digital breast tomosynthesisAsymmetric mammographic densityBreast cancer diagnosis

李勇

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山东省立医院菏泽医院<菏泽市立医院>放射影像科 山东 菏泽 274000

数字乳腺体层合成 非对称性致密影型 乳腺癌诊断

2024

影像研究与医学应用

影像研究与医学应用

ISSN:
年,卷(期):2024.8(7)
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