乳腺钼靶摄影与3.0T磁共振检查在乳腺癌患者中的诊断评估效能评价

Diagnostic efficacy evaluation of mammography and 3.0T magnetic resonance imaging in breast cancer patients

目的:探讨乳腺钼靶摄影与3.0T磁共振检查在乳腺癌患者中的应用效果。方法:遵循随机原则选取某院80例患者作为调查对象,分别给予患者乳腺钼靶摄影以及3.0T磁共振检查,以病理诊断结果为金标准,比较两种检查方法的准确度、特异度以及灵敏度。结果:乳腺钼靶摄影共诊断出恶性包块患者52例,良性包块28例,3.0T磁共振检查共诊断出恶性包块54例,良性包块26例。乳腺钼靶摄影法灵敏度为67.3%,特异度为40.0%,准确度为58.8%。3.0T磁共振检查灵敏度为89.1%,特异度为80.0%,准确度为86.3%。两种检查方法效能(模拟ROC曲线的AUC)比较。3.0T磁共振检查明显胜出。结论:在乳腺癌患者的诊断中,3.0T磁共振检查具有更高的使用价值,其准确率以及灵敏度均更高,但两者在临床检查过程中各有利弊,在诊断时可根据具体情况进行检查。

Objective:To investigate the application efficacy of mammography and 3.0T magnetic resonance imaging(MRI)in breast cancer patients.Methods:Following random principles,80 patients were selected for this study.The patients underwent both mammography and 3.0T MRI examinations.Pathological diagnosis results were used as the gold standard to compare the accuracy,specificity,and sensitivity of the two examination methods.Results:Mammography diagnosed 52 cases of malignant masses and 28 cases of benign masses,while 3.0T MRI diagnosed 54 cases of malignant masses and 26 cases of benign masses.The sensitivity,specificity,and accuracy of mammography were 67.3%,40.0%,and 58.8%,respectively.The sensitivity,specificity,and accuracy of 3.0T MRI were 89.1%,80.0%,and 86.3%,respectively.Comparing the efficacy of the two examination methods,indicating a significant superiority of 3.0T MRI.Conclusion:In the diagnosis of breast cancer,3.0T MRI has higher utility,with superior accuracy and sensitivity.However,both methods have their advantages and disadvantages in clinical examination,and the choice of diagnostic method should be based on specific circumstances.