Head and Neck Imaging

The Application of MRI, CT and X-ray in Preoperative Diagnosis and Treatment Guidance of Breast Cancer

Author:SUN Yan-xia, DING Min

affiliation:Department of Breast, Xinxiang First People's Hospital, Xinxiang 453000, Henan Province, China

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Abstract

Objective To study the value of MRI, CT and X-ray in the preoperative diagnosis and treatment of breast cancer. Methods 120 cases of patients with suspected breast cancer who were admitted to our hospital during March 2014 to March 2016 were selected as subjects, and all patients received MRI, CT and X-ray examinations in a week. With the operation and pathological results as golden standard, the sensitivity, specificity, positive predictive value, negative predictive value and accuracy of X ray, CT and MRI in the diagnosis of breast cancer were calculated. Results The sensitivity, specificity and accuracy of X ray examination were 72.9%, 62.5% and 70.8% respectively, while those of CT scan were 86.5%, 70.8% and 83.3% respectively, and those of MRI scan were 96.9%, 79.2% and 93.3% respectively. The conformity of MRI scan with pathological findings was the highest in terms of the tumor size, followed by CT scan, and conformity of X-ray was the lowest. Conclusion The accuracy rates of MRI are the highest in the diagnosis of breast cancer and measurement of lesion size, followed by CT, and the accuracy rates of X-ray are the lowest. Reasonable imaging method is helpful to choose treatment for breast cancer.

【Keyword】Breast Cancer; Magnetic Resonance Imaging; Multi-slice Spiral CT; Mammography

【Chart number】R737.9

【Document Identification Number】A

【DOI】 10.3969/j.issn.1672- 5131.2017.09.014