摘要
目的探讨高频超声、1.5T磁共 振(MRI)对乳腺癌的诊断价值。方法 回顾 性分析我院2013年1月-2015年4月经手术 病理证实50例乳腺癌患者影像学资料,观 察高频超声、MRI影像学表现,同时与手 术病理结果比较,分析高频超声、MRI单 独、联合诊断正确率。结果 以手术病理 结果为金标准,高频超声诊断乳腺癌正 确率为84.0%,MRI诊断正确率为92.0%, 高频超声+MRI诊断正确率为98.0%。高频 超声+MRI诊断正确率明显高于高频超声检 查,差异有统计学意义(P<0.05)。结论 1.5T MRI诊断乳腺癌正确率比高频超声 高,高频超声+MRI检查能明显提高乳腺癌 诊断准确率,临床值得推广。
Objective To investigate the diagnostic value of high frequency ultrasound and 1.5T magnetic resonance imaging (MRI) in breast cancer. Methods The imaging data of 50 cases of patients with breast cancer confirmed by operation and pathology during January 2013 to April 2015 were retrospectively analyzed. The high frequency ultrasound and MRI imaging findings were observed and were compared with surgical and pathological results. The accuracies of high frequency ultrasound, MRI alone and combined diagnosis were analyzed. Results With the surgical and pathological results as the gold standard, the dianostic accuracy of high frequency ultrasound in breast cancer was 84.0% while of MRI was 92.0% and of the combination of the two was 98.0%. The dianostic accuracy of high frequency ultrasound combined with MRI was significantly higher than that of high frequency ultrasound and the difference was statistically significant (P<0.05). Conclusion The accuracy of 1.5T MRI in the diagnosis of breast cancer is higher than that of high frequency ultrasound. High frequency ultrasound combined with MRI can significantly improve the dianostic accuracy in breast cancer. In clinic, it is worthy of promotion.
【关键词】高频超声;MRI;乳腺癌;影像学表现
【中图分类号】R445.2;R736
【文献标识码】A
【DOI】10.3969/j.issn.1672-5131.2015.12.010
前言
乳腺癌以中年女性为主要发病对象,发病率及死亡率均较高,其 发病机制尚不清楚,可能与家族遗传、外界环境、自身激素分泌异常 等有关[1]。由于乳腺癌早期症状无特异性,大部分患者临床确诊时已 处于中晚期状态,失去最佳手术机会,不利于其预后[2]。为此早期诊 断出肿瘤对手术方案制定、预后改善具有十分重要的意义。目前临床 常用影像学方法包括X线、超声、磁共振成像(MRI)等,其中MRI软组 织分辨率高,操作简单且可多方位成像,对早期乳腺癌检出率较高, 逐渐成为当下疾病诊断的重要手段。基于此,本文以手术病理为金标 准,通过比较高频超声、1.5T MRI单独、联合诊断乳腺癌正确率,以 为乳腺癌临床诊治提供影像学依据,报告如下。
中国CT和MRI杂志
第13卷, 第 12 期
2015年12月
相关文章