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3.0 T MRI结合全数字化乳腺X线诊断触诊阴性乳腺癌的价值
引用本文:董江宁,韦超,方昕,陈玉兰,张萍,韦树华,王圣应,何杰. 3.0 T MRI结合全数字化乳腺X线诊断触诊阴性乳腺癌的价值[J]. 安徽医科大学学报, 2017, 52(1). DOI: 10.19405/j.cnki.issn1000-1492.2017.01.029
作者姓名:董江宁  韦超  方昕  陈玉兰  张萍  韦树华  王圣应  何杰
作者单位:1. 安徽医科大学附属省立医院西区(安徽省肿瘤医院)医学影像科,合肥,230031;2. 安徽医科大学附属省立医院西区(安徽省肿瘤医院)乳腺外科,合肥,230031;3. 安徽医科大学附属省立医院西区(安徽省肿瘤医院)病理科,合肥,230031
基金项目:安徽省科技攻关项目卫生专项基金
摘    要:回顾性分析经手术病理证实的临床触诊阴性乳腺癌(IBC)28例,根据诊断方法的不同,分为单一磁共振(MRI)组和MRI结合全乳腺数字化X线(MG)组,采用配对卡方检验比较两组诊断准确率.MRI结合MG方法对28例IBC诊断准确率为92.8℅(26/28),优于单一MRI组[67.9℅(19/28)](P<0.05).3.0T MRI能清晰显示IBC的影像学征象,结合MG微钙化征象及乳腺X线立体定位细针活检(SNLB)技术可以提高IBC的诊断准确率.

关 键 词:乳腺  触诊  磁共振成像  全数字化乳腺X线摄影  触诊阴性乳腺癌

Diagnostic value of 3. 0 T MRI with full-field digital mammography in impalpable breast cancer
Abstract:All data of 28 patients with impalpable breast cancer were retrospectively analyzed. According to the different diagnosis way, the study data were divided into the 3. 0T MRI group and the 3. 0T MRI with mammogra-phy( MG) group, and then the diagnostic accuracy was compared by paired-Chi-square test. The diagnosis accura-cy of MRI combined MG group was 92. 8℅( 26/28 ) , better than the MRI group′s 67. 9℅( 19/28 ) , P<0. 05 . The 3. 0T MRI can clearly show the characteristic MRI signs of IBC. With mammographic sign of microcalcification and SNLB, the diagnostic accuracy of IBC may be improved further.
Keywords:breast  palpation  magnetic resonance imaging  full-field digital mammography  impalpable breast cancer
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