本文選題：放射攝影術(shù) + 可疑鈣化��； 參考：《重慶醫(yī)學(xué)》2015年27期

【摘要】：目的探討高場(chǎng)MRI對(duì)乳腺X線攝影可疑鈣化良、惡性病變的鑒別診斷價(jià)值。方法 2012年10月至2014年4月該院乳腺X線檢查表現(xiàn)可疑鈣化患者48例52個(gè)病灶,所有病例術(shù)前MRI平掃及動(dòng)態(tài)增強(qiáng),X線引導(dǎo)下鉤絲定位后手術(shù)切除,對(duì)手術(shù)標(biāo)本行鉬靶X線攝影,觀察病變是否完整切除;以病理結(jié)果為金標(biāo)準(zhǔn),分析乳腺X線攝影及MRI表現(xiàn)與病理結(jié)果的相關(guān)性。結(jié)果 48例52個(gè)病灶,乳腺X線檢查美國(guó)放射學(xué)會(huì)乳腺影像報(bào)告和數(shù)據(jù)系統(tǒng)(BI-RADS)3類13個(gè),4類39個(gè);MRI檢查評(píng)估為BI-RADS-MRI 1類19個(gè),2類1個(gè),3類8個(gè),4類13個(gè),5類11個(gè);病理診斷:良性40個(gè),惡性12個(gè);MRI對(duì)可疑鈣化惡性病變的靈敏度為100.0%,特異度為70.0%,準(zhǔn)確性為76.9%,陰性預(yù)測(cè)值為100.0%,陽性預(yù)測(cè)值為50.0%;乳腺X線攝影對(duì)可疑鈣化惡性病變的陽性預(yù)測(cè)值及準(zhǔn)確性均為23.1%,二者差異有統(tǒng)計(jì)學(xué)意義(χ2=5.51,P0.05;χ2=30.15,P0.01)。結(jié)論高場(chǎng)MRI對(duì)乳腺X線攝影發(fā)現(xiàn)的可疑鈣化良、惡性病變有較好的鑒別診斷價(jià)值,可提高活檢惡性陽性率。
[Abstract]:Objective to investigate the value of high field MRI in differential diagnosis of suspected calcification and malignant lesions in mammography.Methods from October 2012 to April 2014, 48 patients (52 lesions) with suspected calcification were examined by mammography. All the patients were resected by MRI plain scan and dynamic contrast enhanced radiography-guided hookwire localization. Molybdenum target radiography was performed on the specimens.The correlation of mammography and MRI findings with pathological findings was analyzed.Results in 48 patients with 52 lesions, the mammography report and data system of the American Society of Radiography (ARS) were evaluated as BI-RADS-MRI 1, 19, 2, 8, 4, 13, 13, 5, 11, and the data system was evaluated as BI-RADS3, class 3, class 3, class 2, class 1, class 2, class 3, class 3, class 4, class 13, class 5, type 11.Pathological diagnosis: benign 40,The sensitivity, specificity, accuracy, negative predictive value, positive predictive value and positive predictive value of 12 MRI images for suspected calcified malignant lesions were 100.0, 70.0, 76.9and 100.0.The positive predictive value and accuracy of mammography for suspected calcified malignant lesions were both positive and accurate.There was significant difference between the two groups (蠂 2, 5.51, P 0.05; 蠂 2, 30.15, P 0.01; 蠂 2, 30.15, P 0.01).Conclusion High field MRI has a good value in differential diagnosis of suspected calcification and malignant lesions found by mammography, and can improve the positive rate of biopsy.
【作者單位】： 貴州省遵義市第一人民醫(yī)院放射科;貴州省遵義市第一人民醫(yī)院病理科;貴州省遵義市第一人民醫(yī)院乳甲科;
【基金】：貴州省遵義市社發(fā)攻關(guān)項(xiàng)目(遵市科合社字[2013]54號(hào))
【分類號(hào)】：R655.8;R445.2;R816.8

【參考文獻(xiàn)】

相關(guān)期刊論文 前4條

1 勾素華;朱紅;申大光;陳少華;李騫昊;;乳腺癌MR動(dòng)態(tài)增強(qiáng)與腫瘤微血管密度的相關(guān)性研究[J];廣西醫(yī)科大學(xué)學(xué)報(bào);2010年04期

2 蔣國(guó)元;周志琴;申霞;袁西偉;熊榮勤;;乳腺腺肌上皮瘤一例影像學(xué)表現(xiàn)及文獻(xiàn)復(fù)習(xí)[J];臨床放射學(xué)雜志;2014年02期

3 郭旭輝;劉慧;孫獻(xiàn)甫;賀亞寧;崔樹德;張恒偉;;X線立體定位真空輔助空芯針活檢術(shù)在診斷乳腺微小鈣化病變中的作用[J];腫瘤;2012年03期

4 趙桂嬌;付曠;郭麗麗;張肇慧;趙明;周麗;曲溪倩;;3.0T磁共振動(dòng)態(tài)增強(qiáng)曲線與早期強(qiáng)化率對(duì)乳腺病變良惡性的鑒別診斷價(jià)值[J];中國(guó)實(shí)驗(yàn)診斷學(xué);2013年01期

【共引文獻(xiàn)】

相關(guān)期刊論文 前10條

1 王冉;楊莉芬;賴林秀;羅毅;溫紅;裘品丹;李堅(jiān);;高頻超聲對(duì)乳腺微小鈣化的診斷價(jià)值[J];北方藥學(xué);2011年03期

2 彭燕;;彩超在乳腺腫瘤診斷與鑒別診斷中的應(yīng)用價(jià)值探討[J];中國(guó)醫(yī)藥導(dǎo)刊;2012年01期

3 劉鳳梅;湯發(fā);龔柳燕;;簇狀鈣化對(duì)乳腺觸診陰性的良惡性病變的鑒別診斷價(jià)值[J];放射學(xué)實(shí)踐;2013年01期

4 袁磊磊;張潔;靳二虎;馬大慶;;乳腺鉬靶上含鈣化占位性病變的動(dòng)態(tài)增強(qiáng)MRI研究[J];CT理論與應(yīng)用研究;2013年03期

5 羅志群;隋秀芳;;超聲Micropure技術(shù)檢測(cè)乳腺腫塊微鈣化的臨床價(jià)值[J];安徽衛(wèi)生職業(yè)技術(shù)學(xué)院學(xué)報(bào);2013年06期

6 王文尚;陸瑩瑩;梁波;王新民;;3.0T MRI動(dòng)態(tài)增強(qiáng)曲線半定量分型法對(duì)乳腺病變的診斷應(yīng)用[J];中國(guó)CT和MRI雜志;2015年06期

7 陳麗娟;鄭玄中;;乳腺微鈣化對(duì)良、惡性乳腺病變的診斷價(jià)值[J];中外醫(yī)療;2010年13期

8 殷漢民,陳憲;乳腺癌鈣化灶的檢測(cè)及其影像學(xué)評(píng)價(jià)[J];臨床放射學(xué)雜志;2005年03期

9 劉煌輝;王維;劉君;廖紅荔;羅賢明;葉斌;;乳腺癌鈣化灶與ER、PR及c-erbB-2表達(dá)的關(guān)系[J];臨床放射學(xué)雜志;2007年09期

10 蔣紅兵;何健龍;張方t，

本文編號(hào)：1754206