数字化钼靶X线与MRI检查在乳腺疾病诊断中的价值对比

The comparison study of the value of mammography and magnetic resonance imaging in diagnosising breast diseases

目的对比全数字化钼靶X线与MRI检查在乳腺疾病诊断中的临床价值。方法回顾性分析经组织病理学证实的43例乳腺疾病患者57个病灶的钼靶X线及MRI影像学表现,进行BI-RADS分类,并与病理对照,对比其诊断的敏感性、特异性及准确性。结果 57个病灶中组织病理学结果为恶性23个,良性34个。乳腺钼靶X线诊断乳腺疾病的敏感性、特异性及准确性为60.87%、61.76%及61.40%;MRI诊断则分别为95.65%、88.24%及91.23%。两种影像学方法对乳腺疾病诊断在敏感性、特异性及准确率的差异均有统计学意义(P<0.05)。结论 MRI检查对乳腺疾病的诊断价值优于钼靶X线。

Objective To compare the clinical value of digital mammography and MRI in the diagnosis of breast diseases. Methods A retrospective analysis of molybdenum target X-ray and MRI iconography performance of 57 lesions of 43 cases with mammary gland disease diagnosed by histopathology, and to contrast pathology, comparing the sensitivity, specificity and accuracy of diagnosis. Results The malignant and benign of histopathology in 57 le-sions was 23 and 34 respectively. The sensitivity, specificity and accuracy of mammary gland disease diagnosed by molybdenum target X-ray was 60.87%, 61.76% and 61.40%, and that of MRI diagnosis was about 95.65%, 88.24% and 91.23% respectively. Differences of sensitivity, specificity and accuracy of mammary gland disease diagnosed by two kinds of iconography methods were of statistical differences （ P＆lt;0.05 ） . Conclusion The diag-nosis value of MRI in diagnosising breast disease is better than that of mammography.