摘要
目的比较两种影像学诊断方式检查早期乳腺癌的诊断符合率。方法回顾性分析2012年3月—2017年12月到我院进行检查的早期乳腺癌患者61例,依次进行核磁共振(MRI)检查与乳腺钼靶检查,以病理诊断结果为金标准,观察61例患者的BI-RADS分级结果及2种诊断方式的诊断符合率。结果 61例患者中按乳腺超声BIRADS分级:Ⅰ级0例、Ⅱ级4例、Ⅲ级10例、Ⅳ级27例、Ⅴ级20例,MRI共检出早期乳腺癌56例,诊断符合率为91.80%;乳腺钼靶共检出早期乳腺癌47例,诊断符合率为77.04%,在诊断符合率上MRI更具有优势(P <0.05)。结论 MRI检查早期乳腺癌分辨率高,诊断精度优于乳腺钼靶检查,可作为确诊早期乳腺癌第一辅助诊断方式。
Objective To compare the diagnostic coincidence rate of two imaging modalities for early breast cancer. Methods A retrospective analysis was made on 61 cases of early breast cancer from March 2012 to December 2017. MRI and mammography were performed in turn. The BI-RADS grading results of 61 cases and the diagnostic coincidence rate of the two diagnostic methods were observed according to the golden standard of medical records. Results 61 patients were graded by breast ultrasound BI-RADS 0 cases in grade I, 4 cases in grade II, 10 cases in grade III, 27 cases in grade IV, 20 cases in grade V. 56 cases of early breast cancer were detected by MRI, the diagnostic coincidence rate was 91.80%; 47 cases of early breast cancer were detected by mammography, the diagnostic coincidence rate was 77.04%. MRI had more advantages in diagnostic coincidence rate （P 〈 0.05）. Conclusion MRI is superior to mammography in diagnosing early breast cancer, and it can be used as the frst diagnostic modality for early diagnosis of breast cancer.
作者
柴晓昕
邱雨
CHAI Xiaoxin;QIU Yu(Department of Radiology,Urumqi Friendship Hospital,Urumqi Xinjiang 830049,China)
出处
《中国继续医学教育》
2018年第31期59-61,共3页
China Continuing Medical Education
关键词
影像学检查
早期乳腺癌
MRI
诊断符合率
乳腺钼靶
诊断比较
imaging examination
early breast cancer
MRI
diagnostic coincidence rate
mammography
diagnostic comparison
