Abstract Objective To explore the diagnostic efficiency of fully digital mammography, ultrasound and magnetic resonance imaging in elderly patients with breast tumors. Methods The 101 elderly patients with breast tumors admitted to Tongling People’s Hospital in Anhui Province from January 2016 to September 2020 were selected as the research subjects. All patients received fully digital mammography, ultrasound and magnetic resonance imaging. The imaging data of all patients were retrospectively analyzed. Pathological results as the “gold standard” were used, and the diagnostic efficacy of the three diagnostic methods for malignant breast tumors were compared. Results A total of 101 elderly patients with breast tumors were diagnosed with 34 cases of malignant tumors by pathological examination. There were 28, 19, 26, and 33 malignant tumors detected by fully digital mammography, ultrasound, magnetic resonance imaging and combined diagnosis, respectively. The area under the curve (AUC) of different diagnostic methods for malignant breast tumors was combined diagnosis (0.960), fully digital mammography (0.795), ultrasound (0.669), and magnetic resonance imaging (0.640). The combined diagnosis of AUC was compared with fully digital mammography, ultrasound, and magnetic resonance imaging, and the differences were statistically significant (P ＜ 0.05). The sensitivity, specificity and accuracy of the combined diagnosis of the three were 97.06%, 89.55% and 92.08%, respectively, which were higher than those of various single tests. Conclusion Fully digital mammography and ultrasound can be used as the first choice for early screening of advanced breast cancer in clinical. For patients with suspicious screening results, the results of magnetic resonance imaging can be further clarified, thereby improving the accuracy of their diagnosis.
LIN Jiping TONG Taoran ZHAO Xiping HU Xianjin▲. Diagnostic efficacy of fully digital molybdenum target X-ray, ultrasound and magnetic resonance imaging in elderly patients with breast tumors[J]. 中国医药导报, 2021, 18(22): 156-158,163.
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