摘要
目的：探讨伪彩色图像与原钼靶片在乳腺病变诊断中的优劣。材料和方法：随机选取４３例女性乳腺病变患者进行钼靶Ｘ线检查（双侧摄片），将阳性乳腺片４５张进行计算机伪彩色处理。由两位资深的放射诊断医生分别以双盲法对原片和伪彩色图像作出诊断，并将二者诊断结果分别与手术病理作对照，比较伪彩色图像和原片在边缘效应、立体感及病灶内部结构显示等３个方面的优劣。结果：伪彩色图像在边缘效应、立体感及病灶内部结构显示等３个方面均明显优于原片（Ｐ＜０．００５）。而且，伪彩色图像提供了人眼阅读原片时难以分辨的病灶细节。结论：伪彩色图像在乳腺病变诊断中优于原钼靶片，对良。
Purpose:Tocomparetheoriginalmammogramwiththeirpseudo-coloredimagesintermsofdiagnosticcapability.Materialsandmethods:Forty-threefemalepatientswithbreastle-sionsrandomlyselectedwereexamined(bothbreasts)withmolybdenummammography.Forty-fivesuspiciousmammogramsobtainedwereprocessedwithpseudo-colortechniquebycomputer.Doubleblindprocedurewasemployedtocomparethemolybdenummammogramsandthepseudo-colorim-agesbytwoexperiencedmammographersintermsofborderefect,stereoefectandinternaldetailsoflesion.Finaly,theradiologicdiagnosiswascorrelatedwithoperative-pathologicfindings.Re-sults:Theborderefect,thesenseofstereoandtheinternalresolutionoflesioninpseudo-colorim-agesweremuchbeter(P<0.005)thantheoriginalmammogram.Threewrongdiagnosisbasedontheoriginalmammogramswascorrectedwiththepseudo-colortechnique.Conclusion:Thepseudo-colorimagesprovidedadditionaldetailsofthelesionnotrecognizablewiththeoriginalmammograms.Thismayhaveagreatclinicalvalueindiferentialdiagnosisofbenignandmalignantlesionsofthebreastandimprovementinthedetectionofearlybreastcancer.
出处
《中华放射学杂志》
CAS
CSCD
北大核心
1996年第7期472-475,共4页
Chinese Journal of Radiology
关键词
X线摄影
乳腺疾病
乳腺癌
钼靶片
MammographyImageprocessing,computed-assistedBreastdiseases
