近红外线扫描和X线摄影在乳腺良恶性疾病诊断方面的评价

Assesmentofinfraredlightscanningandmammographyinbreastcancerdetectionanddiagnosis

目的：参照Ｘ线摄影在乳腺疾病诊断方面的特点，对近红外线扫描技术的诊断真实性进行评价。材料与方法：将外科手术证实的１０４例乳腺疾病患者，分为乳腺癌与非乳腺癌组，观察Ｘ线摄影和近红外线扫描对乳腺良、恶性疾病诊断的真实性，并比较各自的优缺点。结果：１０４例有乳腺肿块的患者中，经手术和病理证实乳腺癌４３例，乳腺良性疾病６１例。乳腺Ｘ线摄影诊断的敏感性和特异性分别为８４％和８３％，近红外线扫描为８２％和７７％。乳腺Ｘ线摄影和近红外线扫描的阳性预期值分别为８０％和７０％，其阴性预期值均为８７％。结论：近红外线扫描辅助乳腺Ｘ线摄影可以提高乳腺癌尤其是致密型乳腺癌诊断的敏感性和阳性预期值。

Purpose:Toasesthediagnosticaccuracyofinfraredlightscanningascomparedwiththatofmammography.Materialsandmethods:104patientshadbenexaminedbybothmammogra-phyandinfraredlightscanningbeforesurgery.Thepatientsweredividedintotwogroups:cancerandnoncancer.Thediagnosticaccuracyofthesetwomodalitieswerecalculated.Results:Of104pa-tients,43hadbreastcancerand61hadbenignlesions.Thesensitivityandspecificityformammogra-phywere84%and83%;82%and77%forinfraredlightscanning.Thepredictivevaluesofpositivityformammographyandlightscanningwere80%and70%;thenegativepredictivevaluesforthesetwomodalitieswereboth87%.Conclusion:Infraredlightscanning,asanadjuncttomammography,couldenhancesensitivityandpredictivevalueofpositivityindetectingbreastcancer,especialyinra-diographicalydensebreast.