乳腺疾病的钼靶摄影诊断价值(附40例分析)

目的提高乳腺钼靶摄影对早期乳腺癌的诊断水平。方法40例全部为女性病员，年龄27—70岁，平均45、4岁，均行乳腺钼靶X线摄影并经手术病理证实。结果术前乳腺钼靶摄影诊断乳腺癌15例，手术病理证实乳腺癌14例和乳腺良性肿瘤1例。术前乳腺钼靶摄影诊断良性肿瘤8例，术后病理报告纤维腺瘤6例、硬化性乳腺病1例及乳腺癌1例。术前乳腺钼靶摄影诊断乳腺小叶增生15例及阴性2例，术后病理证实小叶增生15例、潴留囊肿1例及乳腺癌1例。结论乳腺钼靶X线摄影数字成像是早期发现乳腺癌的首选检查方法，也可作为体检和普查使用，     

CR技术在乳腺钼靶摄影中的应用价值

乳腺X线钼靶摄影是目前诊断乳腺疾病，特别是发现早期乳腺癌的一种最重要、最有效的检查方法。计算机摄影（Computed Radiography，CR）技术可以将模拟影像数字化，利用其强大的后处理功能提高图像质量。本科利用CR的IP板代替常规胶片做乳腺钼靶摄影，并利用CR技术的图像后处理功能，提高了乳腺X线摄影的图像质量。本文通过回顾性分析320例利用CR技术处理的乳腺影像，探讨CR技术在乳腺钼靶摄影中的应用价值。     

计算机摄影钼靶检查在乳腺癌普查中的应用

目的:探讨计算机摄影(CR)钼靶检查在大规模乳腺疾病普查中的应用价值,提高早期乳腺癌的诊断水平。方法:应用钼铑双靶乳腺机和带有计算机辅助诊断(CAD)软件的CR系统,对8270例普查对象进行乳腺摄影检查,回顾性分析检查结果,其中有手术或病理活检结果的414例。结果:手术或病理活检证实的414例中,乳腺癌59例,其中临床触诊阴性的早期乳腺癌19例。早期乳腺癌主要X线表现为单纯簇状细微钙化、小结节、局部结构不良和小斑片状致密影。结论:乳腺CR钼靶摄影结合CAD是较为可靠的影像学方法,对早期乳腺癌的诊断有价值,可以应用于大规模乳腺疾病普查中。     

MRI、CT与乳腺X线钼靶摄影诊断乳腺疾病的价值比较

目的:探究MRI、CT与乳腺X线钼靶摄影三种检查方式对乳腺疾病的诊断价值,为临床治疗乳腺疾病提供理论参考。方法:选择2018年1月—2019年1月期间在我院接受治疗的96例乳腺疾病患者作为本次实验探究的研究对象,所有患者均进行MRI检查、CT扫描与乳腺X线钼靶摄影检查,比较三种检查方式对乳腺疾病的诊断准确率。结果:MRI的诊断准确率显著高于CT扫描和乳腺X线钼靶摄影,CT扫描的诊断准确率显著高于乳腺X线钼靶摄影,具有统计学意义(P<0.05)。结论:相对而言,乳腺X线钼靶摄影更适用于早期乳腺疾病的检查,MRI检查和CT扫描可有效提高乳腺疾病的诊断准确率,三种检查方法各有利弊,建议根据患者病情和个人情况,选择恰当的检查方法,或多种联合使用,能够有效提高患者的诊断准确率,对后期治疗方法的选择具有较高的参考意义,有利于提升预后效果。     

全数字化乳腺摄影对早期乳腺癌的诊断价值

目的探讨早期乳腺癌的钼靶X线表现特征及全数字化乳腺摄影在早期乳腺癌诊断中的应用价值。方法回顾性分析经手术、病理证实,资料较完整的52例早期乳腺癌的钼靶X线表现。结果 52例早期乳腺癌X线表现直接显示肿块29例,钙化20例,局限性致密及结构紊乱4例,大导管相3例,乳头内陷6例,异常血管10例,腋下淋巴结肿大9例。结论全数字化乳腺钼靶摄影在早期乳腺癌的诊断中具有很较高的应用价值,是乳腺癌首选的影像学检查方法。     

乳腺钼靶X线与乳腺超声检查对乳腺癌早期诊断效果比较

摘要 目的 比较乳腺钼靶X线与乳腺超声检查对乳腺癌早期诊断效果。方法 纳入2018年1月~2019年5月我院接诊的60例疑似乳腺癌患者进行研究。所有患者均接受乳腺钼靶X线检查和乳腺超声检查。比较两种检查方式诊断乳腺癌的效果以及对乳腺癌特征的检出情况。结果 乳腺钼靶X线诊断乳腺癌的敏感度和准确率均高于乳腺超声,差异显著（P＜0.05）;乳腺钼靶X线对乳腺癌钙化征的检出率高于乳腺超声,差异显著（P＜0.05）。结论 乳腺钼靶X线对乳腺癌早期诊断效果优于乳腺超声,可作为优选诊断手段。     

X线钼靶摄片对乳腺疾病的诊断价值143例分析

目的探讨X线钼靶摄片对乳腺疾病的诊断价值。方法通过143例乳腺疾病的X线钼靶摄片分析，临床观察与手术病理相结合，评价X线钼靶摄片对乳腺良恶性疾病的鉴别诊断价值。结果X线钼靶对伴微小钙化的早期乳腺癌的诊断具有一定的特异性。结论X线钼靶对乳腺癌的检出和早期诊断有重要价值。     

钼靶乳腺摄影检查与CR成像系统的联合应用

目的：讨论钼靶乳腺摄影检查与cR成像系统的联合应用价值。方法：使用GE—SENOGRAPHE DMR＋乳腺成像系统与AGFA公司的乳腺专用IP板对1480例检查者进行双侧乳腺摄影，并通过GE公司MP3510-CR成像系统进行计算机乳腺图像处理分析。结果：CR成像系统能够清晰地显示乳腺的正常解剖组织和异常病理结构，尤其在乳腺图像通过后处理系统后，会更加清晰地显示一些细微的结构。结论：钼靶乳腺摄影与CR成像系统的联合应用为乳腺疾病的诊断提供了高质量的X线图像，能够清晰显示乳腺的正常解剖组织和病理异常征象，对乳腺癌的早期诊断有着重要的价值。     

乳腺钼靶X线与乳腺超声检查对乳腺癌早期诊断效果比较

目的:比较乳腺钼靶X线与乳腺超声检查对乳腺癌的早期诊断效果。方法:纳入2018年1月~2019年5月接诊的疑似乳腺癌患者60例为研究对象。所有患者均接受乳腺钼靶X线检查和乳腺超声检查,以病理检测为金标准,比较两种检查方式诊断乳腺癌的效果以及对乳腺癌特征的检出情况。结果:乳腺钼靶X线诊断乳腺癌的敏感度和准确率均高于乳腺超声,差异具有统计学意义(P<0.05);两种检查方式诊断乳腺癌的特异度、阳性预测值、阴性预测值比较差异无统计学意义(P>0.05);乳腺钼靶X线对乳腺癌钙化征的检出率高于乳腺超声,差异具有统计学意义(P<0.05);两种检查方式对乳腺癌毛刺征及肿物的检出率比较差异无统计学意义(P>0.05)。结论:乳腺钼靶X线对乳腺癌早期诊断效果优于乳腺超声。     

乳腺钼靶X线摄影在乳腺肿瘤中的诊断价值

目的：探讨乳腺肿瘤的钼靶X线摄影征象，评价钼靶X线摄影在乳腺肿瘤疾病中的诊断价值。方法：总结分析97例经手术病理证实乳腺肿瘤的X线征象，其中乳腺良性肿瘤42例，乳腺恶性肿瘤55例。结果：良性肿瘤多为圆形、卵圆形肿块，边缘见晕征，其钙化多为粗颗粒状．大小均匀；毛刺状肿块、细微簇样钙化是乳腺恶性肿瘤特异性X线征象。结论：良恶性肿瘤各有其X线特征，钼靶X线摄影在乳腺肿瘤诊断中具有重要价值。     

1502名社区女性钼靶筛查行为现状及影响因素研究The status and influencing factors of mammography screening behavior for 1502 women in community 陈乐英 吴怡颖 郁骐襄 沈坤炜 方琼*

目的 调查社区女性实施乳腺钼靶筛查行为的现状,并分析影响其实施的相关因素。方法 2012年对上海16个社区共1502名女性进行问卷调查。结果 调查中≥40岁的女性中,有544人（占49.5%）从未做过乳腺钼靶检查,仅有284人（占25.8%）每年参与乳腺钼靶检查;乳腺疾病史、是否有机会参加乳腺健康检查、是否知道乳腺自我检查方法、医院是否有专业检查人员及设备是重要影响因素（F=34.427 P＜0.001 R2=0.468）。结论 目前社区女性参与乳腺钼靶筛查行为处于较低水平,医护人员需要从其影响因素着手,探索并研究如何提高女性参与乳腺癌早期筛查率的方法。     

Roentgenographic evaluation of the augmented breast.

We performed a retrospective study to determine the sensitivity of mammography in detecting breast cancer arising in women with augmented breasts. Of eight women with breast implants in whom breast cancer developed, six had mammograms before biopsy. Only two of the six cancers were identified mammographically (sensitivity = 33%), and one of these two was seen only in retrospect. In both cases, the mammographic findings suggested a benign rather than a malignant process. All eight women had a palpable mass and early disease, and all are clinically disease-free at present. The sensitivity of mammography in detecting palpable cancers in a control group of women without implants was 92% (118 of 128). For tumors of 2 cm or less, the sensitivity was 88% (58 of 66). These results suggest that the sensitivity of mammography in detecting breast cancer is decreased when implants are present. Further investigations are needed to determine the effects of prostheses on mammographic evaluations.     

全数字化乳腺X线钼靶摄影对中青年乳腺癌的诊断价值

目的:探讨全数字化乳腺X线钼靶摄影对中青年乳腺癌的诊断价值.方法:回顾分析经病理证实的36例中青年(50岁以下)乳腺癌患者的X线钼靶影像学表现.结果:在36例乳腺癌中,位于右侧者19例、左侧者17例,均为单侧发病;病理为浸润性导管癌25例、浸润性小叶癌5例、导管内癌4例、乳头状癌1例、髓样癌1例.X线征象表现为肿块或结节、钙化、片状阴影、结构紊乱等.结论:全数字化乳腺钼靶X线摄影对中青年女性乳腺癌有较高诊断价值.     

早期乳腺癌的X线摄影与CT的对照研究

目的：探讨早期乳腺癌的X线和CT的特征性表现．提高其诊断率。方法：50例乳腺癌和20例乳腺良性病变均行X线和CT检查，乳腺摄片时间为月经后10d内．所有病例均经病理证实。结果：X线诊断早期乳腺癌39例，其敏感性和特异性分别为78．4％和85％，准确性为80％。CT诊断早期乳腺癌42例，其敏感性和特异性分别为84％和80％，准确性为82．9％。二者综合诊断，其敏感性和特异性为81．2％和82．5％，准确性为81．4％。结论：二者综合检查可提高早期乳腺癌诊断的敏感性和准确性。     

早期乳腺癌综合检测价值

目的：探讨早期乳腺癌综合检测临床价值。材料与方法：选择临床有或无症状、未扪及包块或包块小于2cm，怀疑为乳腺癌患者，行冷光透照、液晶热图及X线钼靶检查，至少两项检查高度怀疑为乳腺癌者，均经外科手术治疗并做病理学检查。结果：43例患者中，38例术后病理证实为乳腺癌，误诊5例，其中3例为乳腺纤维瘤，2例为炎症，准确率为88．4％。结论：综合检测提高了早期乳腺癌的检出率。     

Radiographers’ Reflections on Women With High Breast Density Tissue—An Interview Study

Women aged between 40 and 74 years are called to do mammography screening in Sweden with the aim of early detection of breast cancer, which is the most common type of cancer in women. Women with dense breast tissue are more likely to develop breast cancer, and mammography is not an optimal diagnostic method for them because of reduced sensitivity. Radiographers who work in mammography departments are exposed to ethical dilemma daily, which is whether they should inform women about the density of their breast. The purpose of the study is to illustrate thoughts that radiographers have on breast density during mammography examination. The study was performed with qualitative method, where semistructured interviews were conducted. The material from the interviews was analyzed, condensed into different units and afterward in different codes that became different categories. The informants had separate opinions about if women in Sweden should be informed about breast density. On the other hand, radiographers considered that women should not be informed if there are no guidelines for the assessment and follow-up of breast density. With regard to supplementary examinations, all informants consider that it would be good for women with high-dense breast tissue to be offered supplementary examinations during mammography screening.     

Comparison of breast mammography,sonography and physical examination for screening women at high risk of breast cancer in taiwan

Recommended surveillance for screening breast cancer, which includes regular mammography and clinical breast examination, has long been established in Western countries. This strategy may be too costly and unnecessary for countries with low incidences of breast cancer. The purpose of the present study is to compare breast mammography, sonography and physical examination in screening female relatives of breast cancer index cases from the hospital, and their relative efficiency. A total of 935 women over 35 years old, who were relatives of breast cancer patients, were invited to an annual screening by means of a combination of mammography, sonography and physical examination on a single day. A biopsy was performed when any of the three investigations indicated a possibility of malignancy. A total of 21 breast cancers, including sixteen invasive cancers and 5 noninvasive cancers, were detected among the 935 high-risk women. Of the cancers, 18, including 16 invasive cancers and 3 noninvasive cancers, were detected by sonography. In contrast, only 11 invasive cancers were detected by mammography, and 7 by physical examination. There were only 14 cancers detected by a combination of mammography and physical examination. The 7 (33.3%) additional cancers were detected when sonography was added. The sensitivity of sonography was 90.4%, which was higher than mammography (52.4%) and physical examination (33.3%), or even a combination of these two modalities (66.7%). This indicates that sonography is a more accurate screening tool for breast cancer in the high-risk group. Although breast sonography has not yet been recommended as a routine screening tool for breast cancer in Western countries, it may be superior to mammography and physical examination for the screening of Taiwanese high-risk female relatives of breast cancer index cases. If it should also be considered as a routine adjunct screening modality for Taiwanese women with lower rates of breast cancer will need further study.     

超声联合X线钼靶对早期乳腺癌的诊断价值

目的 探讨超声联合X线钼靶检查对早期乳腺癌的诊断价值.方法 回顾性分析经手术病理证实的74例早期乳腺癌的超声与X线钼靶影像学检查资料.结果 超声与X线钼靶对早期乳腺癌的检出率分别为85.1%(63/74)、89.2%(66/74),差异无统计学意义;二者联合使用对早期乳腺癌的检出率为98.6%(73/74),与单用一种检查方法 的检出率比较差异均有统计学意义(P<0.05).结论 超声联合X线钼靶检查能明显提高对早期乳腺癌的诊断准确率.