The Role of Combined Breast MRI,Ultrasound and X-ray in the Diagnosis of Breast Disease and the Choice of Breast Cancer Surgery
Objective To investigate the clinical application value of breast MRI,ultrasound and mammography in the diagnosis of breast disease and the selection of surgical modality for breast cancer.Methods Patients with breast disease admitted from January 2019 to January 2020 were used as study subjects.130 patients with breast disease underwent preoperative breast MRI,ultrasound and mammography to evaluate breast lesions,and 127 patients with breast cancer underwent both breast MRI and breast ultrasound to evaluate axillary lymph nodes and further determine the surgical approach.Results The sensitivity,specificity and accuracy of the combined use of the three tests in the diagnosis of breast disease were 98.51％,98.41％and 98.46％,respectively.The sensitivity,specificity and accuracy of MRI were higher than those of ultrasound and X-ray alone,with 97.01％,90.48％and 93.85％,respectively.The sensitivity,specificity and accuracy of combined ultrasound and MRI for axillary lymph nodes were 94.00％,97.40％and 96.06％,respectively.The sensitivity,specificity,and accuracy of the combined diagnosis were not statistically different compared with those of the individual items,indicating that both ultrasound and MRI have certain advantages in the assessment of axillary lymph nodes.Conclusion The combination of breast MRI,ultrasound and mammography has high accuracy in the diagnosis of breast disease and the assessment of axillary lymph node metastasis,and each of the three examinations has its own advantages and disadvantages.
万方数据
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