PET-CT联合B超检查对乳腺癌腋窝淋巴结转移的应用价值
The Value of PET-CT Combined with B-ultrasound in Axillary Lymph Node Metastasis of Breast Cancer
申江玉 1苗振伟 1杨立平 1张杰1
作者信息
- 1. 301800 天津,天津市宝坻区人民医院医学影像科
- 折叠
摘要
目的 分析正电子发射断层摄影-计算机断层摄影(positron emission tomography-computed tomography,PET-CT)联合B超检查,对乳腺癌腋窝淋巴结转移的诊断效果.方法 回顾性分析天津市宝坻区人民医院2021年4月—2023年12月收治的60例乳腺癌患者的病历资料,所有患者均接受B超和PET-CT检查,以病理检查结果为金标准,比较B超检查、PET-CT检查和联合检查对乳腺癌腋窝淋巴结转移的诊断结果和诊断效能.结果 60例乳腺癌患者中,病理检查显示乳腺癌腋窝淋巴结转移阳性49例、阴性11例.B超检查显示乳腺癌腋窝淋巴结转移阳性42例、阴性18例.PET-CT检查显示乳腺癌腋窝淋巴结转移阳性44例、阴性16例.PET-CT联合B超检查显示乳腺癌腋窝淋巴结转移阳性47例、阴性13例.PET-CT联合B超检查的灵敏度、准确率和阴性预测值,均高于单独使用B超和PET-CT检查,差异有统计学意义(P＜0.05).B超检查与PET-CT检查对乳腺癌腋窝淋巴结转移的诊断效能比较,差异无统计学意义(P＞0.05).结论 PET-CT联合B超检查诊断乳腺癌腋窝淋巴结转移具有较好的效果,优于单独使用B超和PET-CT检查.
Abstract
Objective To analyze the diagnostic effect of positron emission tomography-computed tomography(PET-CT)combined with B-ultrasound in axillary lymph node metastasis of breast cancer.Methods The medical records of 60 breast cancer patients admitted to Tianjin Baodi District People's Hospital from April 2021 to December 2023 were retrospectively analyzed.All patients received B-ultrasound and PET-CT examination.The results of pathological examination were used as the gold standard.The diagnostic performances of B-ultrasound,PET-CT and combined examination were compared for axillary lymph node metastasis of breast cancer.Results In 60 cases of breast cancer,pathological examination showed that axillary lymph node metastasis was positive in 49 cases and negative in 11 cases of breast cancer.B-ultrasound showed that there were 42 positive and 18 negative cases of axillary lymph node metastasis in breast cancer.PET-CT showed that there were 44 positive and 16 negative cases of axillary lymph node metastasis in breast cancer.PET-CT combined with B-ultrasound showed that 47 cases of breast cancer had axillary lymph node metastasis and 13 cases were negative.The sensitivity,accuracy and negative predictive value of PET-CT combined with ultrasound were all significantly higher than those of B-ultrasound and PET-CT alone(P<0.05).There was no significant difference between B-ultrasound and PET-CT in the diagnosis of axillary lymph node metastasis of breast cancer(P>0.05).Conclusion PET-CT combined with B ultrasound has a better effect in the diagnosis of axillary lymph node metastasis of breast cancer,which is superior to B ultrasound and PET-CT alone.
关键词
乳腺癌/腋窝淋巴结转移/影像学/PET-CT/B超/联合检查/诊断/效果Key words
Breast Cancer/Axillary Lymph Node Metastasis/Imaging/PET-CT/B-ultrasound/Joint Inspection/Diagnosis/Effect引用本文复制引用
出版年
2024
NETL
NSTL
万方数据