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

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...

Digital mammography:feasibility of recommended examination for male breast disease diagnosis

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.