摘要
目的 分析乳腺钼靶X线、核磁共振DWI联合DCE技术(联合动态增强扫描)对乳腺占位性病变诊断敏感度和特异度的影响。方法 对我院在2022年1月到2022年12月收治的100例乳腺占位性病变患者进行分析,所有患者均接受乳腺钼靶X线、联合动态增强扫描检查,分析三种检查方式的敏感度与特异度。结果 100例患者中恶性55例,Ⅴ级15例、Ⅳ级17例,Ⅲ级11例,Ⅰ级4例,良性55例,Ⅴ级2例、Ⅳ级5例,Ⅲ级11例,Ⅰ级17例。其中乳腺钼靶X线、联合动态增强扫描诊断出恶性44例,良性56例,敏感度95.56%,特异度98.18%,准确性97.00%。联合动态增强扫描诊断出恶性42例,良性58例,敏感度82.22%,特异度90.91%,准确性87.00%。乳腺钼靶X线诊断出恶性40例,良性60例,敏感度75.56%,特异度89.09%,准确性83.00%。结论 乳腺钼靶X线、联合动态增强扫描的诊断率更接近病理诊断。
Objective To analyze the impact of mammography,nuclear magnetic resonance DWI combined with DCE technology(combined with dynamic contrast-enhanced scanning)on the sensitivity and specificity of breast space occupying lesions.Methods A total of 100 patients with breast occupying lesions admitted to our hospital from January 2022 to December 2022 were analyzed.All patients underwent mammography and combined dynamic contrast-enhanced scanning,and the sensitivity and specificity of the three examination methods were analyzed.Results Among the 100 patients,55 were malignant,15 were grade V,17 were grade IV,11 were grade III,4 were grade I,55 were benign,2 were grade V,5 were grade IV,11 were grade III,and 17 were grade I.Among them,breast molybdenum target X-ray combined with dynamic contrast-enhanced scanning diagnosed 44 cases of malignancy and 56 cases of benign,with a sensitivity of 95.56%,a specificity of 98.18%,and an accuracy of 97.00%.Combined dynamic contrast-enhanced scanning diagnosed 42 malignant cases and 58 benign cases,with a sensitivity of 82.22%,a specificity of 90.91%,and an accuracy of 87.00%.Breast molybdenum target X-ray diagnosis showed 40 cases of malignancy and 60 cases of benign,with a sensitivity of 75.56%,a specificity of 89.09%,and an accuracy of 83.00%.Conclusion The diagnostic rate of breast molybdenum target X-ray combined with dynamic contrast-enhanced scanning is closer to pathological diagnosis.
作者
李世影
朱培园
孙志朋
LI Shi-ying;ZHU Pei-yuan;SUN Zhi-peng(Department of Radiology,Zhengzhou Maternal and Child Health Hospital,Zhengzhou 450012,Henan Province,China)
出处
《罕少疾病杂志》
2025年第1期88-89,92,共3页
Journal of Rare and Uncommon Diseases
关键词
乳腺钼靶X线
核磁共振DWI
DCE技术
乳腺占位性病变
诊断
敏感度
特异度
Mammary Molybdenum Target X-ray
Nuclear Magnetic Resonance DWI
DCE Technology
Breast Occupying Lesions
Diagnosis
Sensitivity
Specificity
