磁共振成像在早期乳腺癌患者临床诊断中的应用价值

Application Value of Magnetic Resonance Imaging in Clinical Diagnosis of Early Breast Cancer Patients

目的:探讨磁共振成像(MRI)在早期乳腺癌患者临床诊断中的应用价值。方法:选取2017年1月-2020年6月在本院接受检查的乳腺肿块患者60例,患者诊断为乳腺肿块。所有患者在手术前均接受二维超声检查、MRI检查;且所有患者均接受穿刺活检或者手术切除病灶,将所有患者的病理组织学检查结果作为金标准。比较两种检查方式在早期乳腺癌患者临床诊断中的效能。结果:病理检查结果显示60例患者中有22例良性肿瘤,38例恶性肿瘤。二维超声成像诊断的准确度为80.0%,敏感度为84.2%,特异度为72.7%。MRI诊断的准确度为98.3%,敏感度为97.4%,特异度为100%。MRI的准确度、敏感度和特异度均显著高于二维超声成像,差异均有统计学意义(P<0.05)。结论:在早期乳腺癌患者临床诊断中,使用MRI检查,可有效地提高临床诊断准确率,对早期乳腺癌患者的临床诊断及治疗均具有较高的参考价值。

Objective:To explore the application value of magnetic resonance imaging(MRI)in clinical diagnosis of early breast cancer.Method:A total of 60 patients with breast mass who were examined in our hospital from January 2017 to June 2020 were selected and diagnosed as breast mass.All patients received two-dimensional ultrasound examination and MRI examination before operation.All patients received puncture biopsy or surgical resection of lesions,and the histopathological examination results of all patients were taken as the gold standard.The efficacy of the two methods in the clinical diagnosis of early breast cancer patients were compared.Result:Pathological examination showed that there were 22 benign tumors and 38 malignant tumors in 60 patients.The accuracy,sensitivity and specificity of two-dimensional ultrasound were 80.0%,84.2%and 72.7%.The accuracy,sensitivity and specificity of MRI diagnosis were 98.3%,97.4%and 100%.The accuracy,sensitivity and specificity of MRI were significantly higher than those of two-dimensional ultrasound imaging,the differences were statistically significant(P<0.05).Conclusion:In the clinical diagnosis of patients with early breast cancer,the use of MRI examination can effectively improve the accuracy of clinical diagnosis,and has a high reference value for the clinical diagnosis and treatment of patients with early breast cancer.