超声、数字化X线摄影及MRI诊断乳腺良恶性病变的临床价值

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Abstract Objective To investigate the clinical diagnostic value of ultrasound, digital mammography (DM), MRI and combined diagnosis of benign and malignant breast lesions. Methods The breast ultrasound, DM, MRI features and clinical data of 56 lesions in 53 patients in Dongguan Eighth People′s Hospital and Affiliated Mindong Hospital of Fujian Medical University were retrospectively analyzed form April 2015 to March 2018. Based on the BI-RADS, benign and malignant lesions were classified and compared with pathology. The ROCs were plotted and the area under the curve (AUC) were calculated, and the diagnostic efficacy of each and combined examinations were analyzed. Results There were 56 lesions in 53 patients, 38 located in benign and 18 located in malignant. In the 38 benign lesions group, according to the ultrasound dignosis, there were 3 cases of type Ⅱ, 23 cases of type Ⅲ, 9 cases of type Ⅳa and 3 cases of type Ⅳb; according to the DM dignosis, there were 5 cases of type 0, 8 cases of type Ⅱ, 12 cases of type Ⅲ, 7 cases of type Ⅳa and 4 cases of type Ⅳb; according to the MRI dignosis, there were 7 cases of type Ⅱ, 17 cases of type Ⅲ, 11 cases of type Ⅳa, 2 cases of type Ⅳb, and 1 case of type Ⅳc. In the 18 malignant lesions group, according to the ultrasound dignosis, there were 2 cases of type 0, 1 case of type Ⅲ, 6 cases of type Ⅳa, 4 cases of type Ⅳb, 4 cases of type Ⅳc and 1 case of type Ⅴ; according to the DM dignosis, there were 2 cases of type 0, 2 cases of type Ⅲ, 3 cases of type Ⅳa, 2 cases of type Ⅳb, 2 cases of type Ⅳc and 7 cases of type Ⅴ; according to the MRI dignosis, there were 1 case of type Ⅳa, 4 cases of type Ⅳb and 13 cases of type Ⅴ. The AUC of combination of three techniques and MRI, DM, ultrasound were 0.987, 0.976, 0.809, 0.779 respectively, the three combined examination and MRI diagnostic efficacy superior to ultrasound and DM (P < 0.05), and the combined examination and MRI no significant difference(P = 0.308). Conclusion There have some ultrasound, DM and MRI had features in benign and malignant breast disease, a variety of imaging methods of comprehensive utilization can improve the diagnostic performance.

Key words： Ultrasound Mammography Magnetic resonance imaging Breast Benign and malignant Diagnosis

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	LAI Wei1 XIAN Yunkai2 CHEN Fang3 LIU Lizhen1 LI Denghui1 JIANG Shuanglan2 LIU Jianxin1 GUO Qinglu4▲

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LAI Wei1 XIAN Yunkai2 CHEN Fang3 LIU Lizhen1 LI Denghui1 JIANG Shuanglan2 LIU Jianxin1 GUO Qinglu4▲. The clinical value of ultrasound, digital mammography and MRI in diagnosis benign and malignant breast diseases[J]. 中国医药导报, 2018, 15(22): 127-130,138.

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http://www.yiyaodaobao.com.cn/EN/ OR http://www.yiyaodaobao.com.cn/EN/Y2018/V15/I22/127

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