| MRI联合钼靶及超声对乳腺占位性病变的定性诊断价值 |
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| 引用本文： | 吴,健.MRI联合钼靶及超声对乳腺占位性病变的定性诊断价值[J].现代肿瘤医学,2021,0(2). |
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| 作者姓名： | 吴 健 |
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| 作者单位： | 三亚市人民医院放射科，海南 三亚 572000 |
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| 摘 要： | 目的:探讨MRI联合钼靶及超声对乳腺占位性病变的定性诊断价值。方法:以回顾性研究法和随机抽样法展开研究，选取从2016年1月到2017年3月在我院就诊的80例乳腺占位性病变患者作为研究对象，病理诊断为恶性乳腺占位性病变20例(恶性组)和良性乳腺占位性病变60例(良性组)，记录所有患者的多模态MRI、钼靶、超声诊断特点，并进行鉴别诊断分析。结果:相对于良性组，恶性组钼靶特征主要表现为形态不规则、钙化和毛刺多，对比差异都有统计学意义(P＜0.05)。恶性组超声造影评分为（3.54±0.14）分，良性组超声造影评分为（1.56±0.24）分，恶性组高于良性组(P＜0.05)。恶性组MRI峰值时间低于良性组(P＜0.05)，信号增强比率高于良性组(P＜0.05)。多模态MRI、钼靶、超声鉴别诊断乳腺占位性病变的敏感性与特异性分别为100.0%、90.0%、95.0%和100.0%、100.0%和100.0%。结论:MRI联合钼靶及超声对乳腺占位性病变的定性诊断应用都有很好的影像学特征，诊断敏感性与特异性都比较高，在临床上可借鉴性合理选择使用。
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| 关 键 词： | 多模态MRI 钼靶 超声 乳腺占位性病变 |
Value of multimodal MRI combined with mammography and ultrasound in the qualitative diagnosis of occupying lesions of breast |
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| WU Jian.Value of multimodal MRI combined with mammography and ultrasound in the qualitative diagnosis of occupying lesions of breast[J].Journal of Modern Oncology,2021,0(2). |
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| Authors: | WU Jian |
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| Affiliation: | Department of Radiology,Sanya City People's Hospital，Hainan Sanya 572000,China. |
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| Abstract: | Objective:To investigate the value of multimodal MRI combined with mammography and ultrasound in the qualitative diagnosis of occupying lesions of breast.Methods:With the random sampling and retrospective study method,from January 2016 to March 2017,80 patients with occupying lesions of breast were selected in our hospital diagnosis.All the patients were divided the malignant occupying lesions of breast of 20 patients (malignant group) and benign occupying lesions of breast of 60 patients(benign group) by the breast pathology diagnosis.All patients of multimodal MRI,mammography,ultrasound were recorded and the differential diagnosis effects were analysed.Results:Compared with the benign group,the malignant group of mammography showed irregular morphology,calcification,burr and differences were statistically significant (P＜0.05).The score of contrast-enhanced ultrasound in malignant group was (3.54±0.14) points,and that of benign group was (1.56±0.24) points and the malignant group was higher than that of benign group (P＜0.05).The peak time of MRI in malignant group was lower than that in benign group,and the signal enhancement ratio was higher than that in benign group,and the difference was also statistically significant (P＜0.05).The sensitivity and specificity of multimodal MRI,mammography and ultrasound in the differential diagnosis of occupying lesions of breast were 100.0%,90.0%,95.0% and 100.0%,100.0% and 100.0%,respectively.Conclusion:Multimodal MRI combined with mammography and ultrasonography for occupying lesions of breast diagnosis applications has features of good imaging,and high sensitivity and specificity of diagnosis,so they can be used reasonably in clinical use. |
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| Keywords: | multimodal MRI mammography ultrasonography occupying lesions of breast |
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