磁共振成像與高頻超聲在乳腺癌診斷中的臨床價值
發(fā)布時間:2018-04-26 12:30
本文選題:乳腺癌 + 磁共振成像; 參考:《中國老年學雜志》2017年14期
【摘要】:目的探討磁共振成像(MRI)與高頻超聲在乳腺癌診斷中的臨床價值。方法選取臨床懷疑為乳腺癌的80例女性患者,術后66例病理檢查證實為乳腺癌,術前行MRI及高頻超聲檢查,分析檢查準確性。結果 MRI檢測62例診斷為乳腺癌,18例診斷為良性病變;高頻超聲檢測60例診斷為乳腺癌,20例診斷為良性病變;MRI與高頻超聲聯(lián)合檢測時67例診斷為乳腺癌、13例診斷為良性病變。MRI與高頻超聲診斷乳腺癌時敏感度、特異度、陽性預測值、診斷符合率比較差異無統(tǒng)計學意義(P0.05),聯(lián)合檢查時敏感度、診斷符合率均高于單獨任何一項檢查(P0.05),特異度、陽性預測值與單項檢查比較差異無統(tǒng)計學意義(P0.05)。結論 MRI與高頻超聲檢查診斷乳腺癌的敏感性、特異性、陰性預測值、診斷符合率接近,以上方法聯(lián)合檢查能明顯提高敏感性及診斷符合率。
[Abstract]:Objective to evaluate the clinical value of MRI and high-frequency ultrasound in the diagnosis of breast cancer. Methods Sixty-six women with suspected breast cancer were examined by MRI and high-frequency ultrasound before operation. Results 62 cases of breast cancer were diagnosed by MRI. 18 cases were diagnosed as benign lesions. The sensitivity, specificity, positive predictive value of MRI and high frequency ultrasound in the diagnosis of breast cancer were detected by high frequency ultrasound in 60 cases with breast cancer and 20 cases with benign lesions, and in 67 cases with breast cancer by MRI and high frequency ultrasound in 13 cases of benign lesions. The sensitivity, specificity and positive predictive value of MRI and high frequency ultrasound in the diagnosis of breast cancer were analyzed. There was no significant difference in diagnostic coincidence rate (P 0.05). The sensitivity and diagnostic coincidence rate of combined examination were higher than that of any single test (P 0.05, specificity). There was no significant difference between positive predictive value and single test (P 0.05). Conclusion the sensitivity, specificity, negative predictive value and diagnostic coincidence rate of MRI and high-frequency ultrasound in the diagnosis of breast cancer are similar. The combination of the above methods can obviously improve the sensitivity and diagnostic coincidence rate.
【作者單位】: 昆明醫(yī)科大學第三附屬醫(yī)院云南省腫瘤醫(yī)院放射科;
【基金】:云南省科技廳-昆明醫(yī)科大學應用基礎研究聯(lián)合專項基金(No.2014FB062)
【分類號】:R445;R737.9
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相關期刊論文 前1條
1 鄭瑩;吳春曉;張敏璐;;乳腺癌在中國的流行狀況和疾病特征[J];中國癌癥雜志;2013年08期
【共引文獻】
相關期刊論文 前10條
1 吳s,
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