核磁共振与乳腺钼靶对早期乳腺癌影像诊断的比较研究

Comparative Study on the Imaging Diagnosis of Early Breast Cancer by Nuclear Magnetic Resonance and Mammography

目的:比较研究核磁共振与乳腺钼靶对早期乳腺癌影像诊断价值。方法:应用回顾性分析方法,选定河南省驻马店市西平县人民医院2022年1月至2023年1月收治的80例早期乳腺癌患者,按照诊断环节影像学检查工具应用方法差异,分为对照组(乳腺钼靶诊断)和实验组(核磁共振诊断)各40例,观察比较两组的诊断结果符合率、诊断分型、诊断性质。结果:实验组诊断结果符合率(97.50%)与对照组比较(90.00%),差异无统计学意义(P>0.05)。实验组导管内癌检出率(25.00%)、小叶癌早期浸润检出率(30.00%)、低乳头状型癌检出率(37.50%)及总检出率(92.50%)和对照组(20.00%、25.00%、35.00%、80.00%)比较,差异无统计学意义(P>0.05)。实验组诊断特异性(95.00%)、准确率(97.50%)高于对照组(77.50%、82.50%),差异有统计学意义(P<0.05);敏感性与对照组差异无统计学意义(P>0.05)。结论:早期乳腺癌患者的诊断中,乳腺钼靶诊断稍逊于核磁共振诊断,具有一定的临床诊断符合率,且在诊断结果的特异性、准确率上较高,但敏感性大致相同,临床可酌情结合患者的病况和经济加以选择,必要时联合诊断以降低本病误诊和漏诊发生率。

Objective To compare the diagnostic value of nuclear magnetic resonance and mammography in early breast cancer.Methods A retrospective analysis method was used.80 patients with early breast cancer admitted to the People’s Hospital of Xiping County,Zhumadian City,Henan Province from January 2022 to January 2023 were selected.According to the differences in the application methods of imaging examination tools in the diagnostic link,they were divided into a control group(mammography diagnosis)and an experimental group(nuclear magnetic resonance diagnosis),each with 40 cases.The diagnostic result consistency rate,diagnostic typing,and diagnostic nature of the two groups were observed and compared.Results The diagnostic result consistency rate of the experimental group(97.50%)compared with the control group(90.00%)had no statistical significance(P>0.05).The detection rate of intraductal carcinoma(25.00%),early infiltration of lobular carcinoma(30.00%),low papillary carcinoma(37.50%),and total detection rate(92.50%)in the experimental group compared with the control group(20.00%,25.00%,35.00%,80.00%)had no statistical significance(P>0.05).The diagnostic specificity(95.00%)and accuracy rate(97.50%)of the experimental group were higher than those of the control group(77.50%,82.50%),and the difference was statistically significant(P<0.05);the sensitivity was not statistically significant compared with the control group(P>0.05).Conclusion In the diagnosis of early breast cancer,mammography diagnosis is slightly inferior to nuclear magnetic resonance diagnosis,has a certain clinical diagnosis consistency rate,and is higher in the specificity and accuracy of the diagnostic results,but the sensitivity is roughly the same.Clinically,it can be selected according to the patient’s condition and economy,and combined diagnosis can be used when necessary to reduce the misdiagnosis and missed diagnosis rate of this disease.