| 黄新玲,胡汉金.数字乳腺断层合成摄影和全视野数字化乳腺摄影在乳房肿块型病变中的诊断价值[J].安徽医药,2021,25(2):296-299. |
| 数字乳腺断层合成摄影和全视野数字化乳腺摄影在乳房肿块型病变中的诊断价值 |
| Applied study on the diagnostic value of digital breast tomosynthesis and full-field digital mammography in breast mass-like lesions |
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| DOI：10.3969/j.issn.1009-6469.2021.02.021. |
| 中文关键词: 乳腺疾病 乳腺肿瘤 数字乳腺断层合成摄影 全视野数字化乳腺摄影 |
| 英文关键词: Breast diseases Breast neoplasms Digital breast tomosynthesis Full-field digital mammography |
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| 中文摘要: |
| 目的探讨数字乳腺断层合成摄影技术( DBT)和全视野数字化乳腺摄影( FFDM)及 DBT联合 FFDM在乳房肿块型病变中的诊断价值。方法收集 2018年 5月至 2019年 8月在安徽医科大学附属安庆医院就诊的乳房肿块型疾病病人 101例，分别使用 FFDM、DBT及 DBT+FFDM进行独立诊断，以病理结果为金标准，参照 2013版 BI-RADS标准对病灶进行分类、评估，采用受试者工作特征( ROC)曲线对 FFDM、DBT及 DBT+FFDM三种检查方法的诊断效能进行比较。结果 101例病人中发现 54例良性病灶和 47例恶性病灶。 FFDM、DBT及 DBT+FFDM的 ROC曲线下面积( AUC)分别为( 0.719±0.045)、(0.942±0.023)、(0.963±0.018)DBT或 DBT+FFDM的 AUC均高于 FFDM，差异有统计学意义( P< 0.05)。在乳腺密度不均匀致密型、极度致密型、岁及绝经前的病人中， DBT或 DBT+FFDM的 AUC均高于单独 FFDM，差异有统计学意义( P < 0.05)。结论 DBT或 DBT联合 FFDM与单独 FFDM相比在一定程度上提高了诊断乳房良、恶性肿块型病变的准确性，增加了诊断的灵敏度年龄小于50，和特异度。 |
| 英文摘要: |
| Objective To explore the diagnostic value of digital breast tomography(DBT),full-field digital mammographyg (FFDM) and DBT combined with FFDM in breast mass-like lesions.Methods To collect 101 patients with breast mass-like lesions admitted to Anqing Hospital affiliated to Anhui Medical University from May 2018 to August 2019 ,using DBT,FFDM and DBT combined FFDM todiagnosis breast mass-like lesions independently .The pathological results were taken as the gold standard. The lesions were classifiedand evaluated according to the version of BI-RADS in 2013,Receiver operating characteristic (ROC) curve was used to compare the diagnostic efficacy of FFDM,DBT and DBT+FFDM in breast mass-like lesions.Results There were 54 benign lesions and 47 malignantlesions in 101 patients.The AUC of FFDM,DBT and DBT+FFDM were (0.719±0.045),(0.942±0.023),(0.963±0.0180) respectively,the results showed that the AUC of DBT or DBT+FFDM was higher than FFDM alone, with significant difference (P< 0.05).In breast density ACR c-d,age < 50 years and premenopausal patients ,the AUC of DBT or DBT+FFDM was both higher than that of FFDM alone,withsignificant difference(P < 0.05).Conclusion Compared with FFDM alone, DBT or DBT combined with FFDM can improve the accuracy of diagnosis of benign and malignant breast mass lesions, and increase the sensitivity and specificity of diagnosis. |
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