首页 | 本学科首页   官方微博 | 高级检索  
     

数字乳腺X线摄影:男性乳腺疾病诊断的推荐检查可行性分析
引用本文:曾辉,徐泽园,曾凤霞,徐维敏,文婵娟,陈卫国. 数字乳腺X线摄影:男性乳腺疾病诊断的推荐检查可行性分析[J]. 医学影像学杂志, 2022, 0(1): 42-45
作者姓名:曾辉  徐泽园  曾凤霞  徐维敏  文婵娟  陈卫国
作者单位:南方医科大学南方医院放射科
基金项目:广东省医学科研基金项目(编号:B2020095);南方医科大学南方医院院长基金项目(编号:2017C040);南方医科大学南方医院临床研究专项项目(编号:2019CR002,2019CR003)。
摘    要:目的 基于敏感性、特异性等指标的评价,探讨数字乳腺X线摄影及超声对男性乳腺病变的诊断价值.方法 选取79例行乳腺X线摄影检查的男性乳腺肿块病例,部分病例同时行超声检查(62例).乳腺病灶评价依据2013版BI-RADS,通过2位高年资乳腺放射医师对征象进行分析后作出BI-RADS分类,并将BI-RADS 4a类以上定义...

关 键 词:男性乳腺疾病  数字乳腺X线摄影  超声检查

Digital mammography:feasibility of recommended examination for male breast disease diagnosis
ZENG Hui,XU Zeyuan,ZENG Fengxia,XU Weimin,WEN Chanjuan,CHEN Weiguo. Digital mammography:feasibility of recommended examination for male breast disease diagnosis[J]. Journal of Medical Imaging, 2022, 0(1): 42-45
Authors:ZENG Hui  XU Zeyuan  ZENG Fengxia  XU Weimin  WEN Chanjuan  CHEN Weiguo
Affiliation:(Department of Radiology, Nanfang Hospital, Southern Medical University, Guangzhou 510515, P.R.China)
Abstract:Objective To explore the diagnostic value of digital mammography and breast ultrasound in male breast lesions based on the evaluation of diagnostic efficacy,including sensitivity,specificity and other indicators.Methods The cases of male breast masses undergoing mammography were retrospectively collected,and a total of 79 cases were finally included,with some cases also undergoing breast ultrasonography,for a total of 62 cases.Breast lesions were evaluated according to the 2013 edition of the breast imaging reporting and data system(BI-RADS).The signs were analyzed by two senior breast radiologists,and the image BI-RADS classification was made.According to the clinical practice,BI-RADS4a or above was considered positive,and the pathological results were used as the gold standard to finally evaluate the diagnostic efficacy of digital mammography and breast ultrasound for male breast lesions.Results 1)There were 89 cases of male breast lesions,aged from 16 to 83 years,with a mean age of 53.9 years and a median age of 56.0 years;2)The BI-RADS category of digital mammography was 61 cases of category 2,6 cases of category 3,3 cases of category 4a,1 case of category 4b,3 cases of category 4c,and 5 cases of category 5.There were 62 cases of breast ultrasound,and the BI-RADS category was 5 cases of category 0,1 cases of category 1,39 cases of category 2,3 cases of category 3,5 cases of category 4a,2 case of category 4b,5 cases of category 4c,and 2 cases of category 5.Among them,5 cases were diagnosed as category 0 by ultrasound.In mammography,the BI-RADS category was 3 cases in category 2 and 2 cases in category 3 and 1;3)Digital mammography had a sensitivity of 100%,specificity of 94.4%,positive predictive value of 66.7%,negative predictive value of 100%,and area under the ROC curve of 0.972 for male breast disease;breast ultrasound had a sensitivity of 100%,specificity of 79.6%,positive predictive value of 42.1%,negative predictive value of 100%,and area under the ROC curve of 0.898 for male breast disease.Conclusion Both digital mammography and breast ul-trasound have high diagnostic efficacy for male breast diseases.In particular,digital mammography shows more significant advantages in sensitivity and specificity,and is more accurate in BI-RADS category.Digital mammography can be used as a recommended examination method for men with breast disease on a dose allowable basis.
Keywords:Male breast disease  Digtal mammography  Ultrasound examination
本文献已被 维普 等数据库收录!
设为首页 | 免责声明 | 关于勤云 | 加入收藏

Copyright©北京勤云科技发展有限公司  京ICP备09084417号