磁共振和乳腺X线摄影在早期乳腺癌中的诊断价值

Diagnostic Value of Magnetic Resonance and Mammography in Early Breast Cancer

目的:分析磁共振和乳腺X线摄影在早期乳腺癌中的诊断价值。方法:选取2023年3月~2023年10月于本院接受检查的40例疑似早期乳腺癌患者,所有受检者均接受磁共振、乳腺X线摄影检查,将手术穿刺病理诊断结果作为金标准,对磁共振和乳腺X线摄影的检验结果和诊断效能进行分析与比较。结果:磁共振的诊断特异度、敏感度、准确度分别是91.67%、92.86%、92.50%;乳腺X线摄影的诊断特异度、敏感度、准确度分别是83.33%、71.43%、75.00%。两种影像学技术在毛刺或星芒状的检出率比较,P>0.05,在其他几项影像学表现上,存在明显的统计学意义。结论:相比于乳腺X线摄影,磁共振在早期乳腺癌患者诊断上的优势更明显,准确度更高,但对于钙化的检出率偏低,临床上可根据实际情况合理选择最佳的诊断方式。

Objective:To analyze the diagnostic value of magnetic resonance and mammography in early breast cancer.Methods:The study subjects were 60 patients with suspected early breast cancer who were examined in our hospital from August 2023 to October 2023.All the subjects received MRI and mammography.The pathological diagnosis results of surgical puncture were taken as the gold standard,and the test results and diagnostic efficacy of MRI and mammography were analyzed and compared.Results:The diagnostic specificity,sensitivity,accuracy of MRI were 91.67%,92.86%,92.50%,respectively.The diagnostic specificity,sensitivity and accuracy of mammography were 83.33%,71.43%,75.00%respectively.The detection rate of MRI for axillary lymph node enlargement,pectoralis major muscle invasion,mass or nodule was significantly higher than that of mammography(P<0.05),and the detection rate of MRI for calcification was significantly lower than that of mammography(P<0.05).There was no statistical significance in the detection rate of burr or star-shaped between MRI and mammography.Conclusion:Compared with mammography,magnetic resonance has more obvious advantages and higher accuracy in the diagnosis of early breast cancer patients,but the detection rate of calcification is low,and the best diagnosis method can be reasonable according to the actual situation in clinic.