钼靶X射线超声及MRI对乳腺癌诊断应用价值.docVIP

钼靶X射线超声及MRI对乳腺癌诊断应用价值 　　（河北省邯郸市中心医院，河北邯郸056001） 　　[摘要]目的：探讨钼靶X射线、超声及MRI对乳腺癌的临床诊断价值。方法：以117例疑似乳腺癌患者为研究对象，将钼靶X射线、超声及MRI检查结果与病理诊断结果对比，考察不同影像手段对各类乳腺疾病的诊断能力。结果：MRI对乳腺癌的敏感性、准确度等均优于钼靶X射线和超声，但特异性与钼靶X射线相当。与超声相比，钼靶X射线的特异性、阳性预测值较高，但在其他诊断能力相关的参数方面则无优势。结论：钼靶X射线、超声及MRI在诊断乳腺疾病方面各有优劣，但钼靶X射线可作为乳腺癌临床初诊的首选手段，临床确诊时可联用多种影像手段。 　　[关键词]乳腺疾病；乳腺癌；钼靶X射线；超声；MRI 　　中图分类号：R445文献标识码： B文章编号：2095-5200（2014）04-026-03 　　DOI：10.11876/mimt201404008 　　The clinical value of the mammography X-ray, ultrasound and MRI for the qualitative diagnosis of breast cancerZHAO Jun.（The central hospital in Handan city of Hebei province, Handan 056001, China） 　　[Abstract]Objective：To evaluate the diagnostic value of the mammography X-ray, ultrasound and MRI for breast cancer, expected to provide a reference for the clinical diagnosis of these diseases. Methods：117 cases patients with suspected breast cancer were the objects of the study, compared the results of the detection with mammography X-ray, ultrasound and MRI between the results of pathological examination, to investigate the diagnostic ability of different image means for all types of breast disease. Results：The sensitivity, accuracy of MRI for breast cancer were better than X-ray mammography and ultrasound, but the specificity was similar with X-ray mammography. Compared ultrasound, the specificity, positive predictive value of X-ray mammography was much higher, but had no advantage in the other parameters related with diagnostic capabilities.Conclusions：Mammography X-ray, ultrasound and MRI have their own advantages and disadvantages for the diagnosis of breast diseases, but the mammography X-ray can be as the preferred means for the first diagnosis of breast cancer, and multiple imaging means could be joint based on the needs of clinical diagnosis. 　　[Key words]Breast disease；breast cancer；molybdenum target X-ray；ultrasound；MRI乳腺癌为近年较为高发的女性恶性肿瘤，发病机制除与女性激素分泌异常有关外，外界辐射、环境污染等也是导致其发病的重要因素。世界范围内乳腺癌发病率每年约上升2.3%左右，乳腺癌居于欧洲发达国家女性恶性肿瘤发病率之首，在我国也已跃居第二位[1]。乳腺癌虽