首页|乳腺AI与钼靶在乳腺结节定性诊断及术前指导中的应用价值

乳腺AI与钼靶在乳腺结节定性诊断及术前指导中的应用价值

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目的:观察乳腺人工智能(AI)与钼靶在乳腺结节定性诊断及术前指导中的应用价值.方法:选取 2019 年 1 月—2023 年 6 月萍乡市人民医院收治的乳腺结节患者 164 例,对所有患者行乳腺AI检查及乳腺钼靶检查,以病理诊断结果为金标准,比较乳腺AI、钼靶及两者联合对乳腺结节定性诊断及术前指导的价值.结果:164 例患者中,经手术病理结果发现 174 个乳腺结节,共 136 个良性病变(纤维腺瘤 54 例,乳腺病 26 例,肉芽肿性小叶性乳腺炎 52 例,单纯性囊肿 4 例),38 个恶性病变(浸润性导管癌 14 例,乳头状癌 12 例,导管原位癌 12 例).乳腺AI检查定性诊断乳腺结节的敏感度、特异度及准确性分别为 73.68%、91.17%及 87.36%;乳腺钼靶检查为 57.89%、85.29%及 79.31%;两者联合敏感度及准确性分别为 89.47%、91.95%,均显著高于单独诊断,差异均有统计学意义(P<0.05).结论:乳腺AI联合钼靶检测能显著提高乳腺结节定性诊断效能,对于乳腺结节术前评估价值较高.
The Application Value of Breast AI and Molybdenum Target in Qualitative Diagnosis and Preoperative Guidance of Breast Nodules
Objective:To observe the application value of breast artificial intelligence(AI)and mammography in qualitative diagnosis and preoperative guidance of breast nodules.Method:A total of 164 patients with breast nodules admitted to Pingxiang People's Hospital from January 2019 to June 2023 were selected,and all patients underwent breast AI and mammography.The pathological diagnosis results were used as the gold standard.The value of breast AI,mammography and their combination in qualitative diagnosis and preoperative guidance of breast nodules were compared.Result:Among 164 patients,174 breast nodules were found through surgical pathology,with a total of 136 benign lesions(54 fibroadenomas,26 breast diseases,52 granulomatous lobular mastitis and 4 simple cysts)and 38 malignant lesions(14 invasive ductal carcinoma,12 papillary carcinoma and 12 ductal carcinoma in situ).The sensitivity,specificity and accuracy of qualitative diagnosis of breast nodules using breast AI examination were 73.68%,91.17%and 87.36%,respectively;those of breast molybdenum target examination was 57.89%,85.29%and 79.31%;the combined sensitivity and accuracy of the two methods were 89.47%and 91.95%,respectively,which were significantly higher than those of individual diagnosis,the differences were statistically significant(P<0.05).Conclusion:Breast AI combined with mammography can significantly improve the qualitative diagnostic efficiency of breast nodules,and has high value in preoperative evaluation of breast nodules.

Breast AIMammographyBreast noduleQualitative diagnosisPreoperative guidance

李琪、李丰章、刘天笑

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萍乡市人民医院影像科 江西 萍乡 337000

乳腺AI 乳腺钼靶 乳腺结节 定性诊断 术前指导

2024

中国医学创新
中国保健协会

中国医学创新

影响因子:1.706
ISSN:1674-4985
年,卷(期):2024.21(24)