Digital breast tomosynthesis versus full field digital mammography in the diagnosis of distortion of breast structure
-
摘要: 目的 对比乳腺断层合成(DBT)与全数字化乳腺摄影(FFDM)对乳腺结构扭曲病变的诊断价值。 方法 收集经DBT+FFDM发现乳腺结构扭曲病变并具有病理结果的132例患者的资料,分析DBT与FFDM两种检查方法对乳腺结构扭曲病变的检出率、准确率、特异度、敏感度、阳性预测值及阴性预测值的差异。 结果 132例病变中,非致密性乳腺43例,致密性乳腺89例,致密性乳腺中FFDM对结构扭曲病变的检出率为77.5%, 显著低于DBT的检出率100.0%(P<0.01); 在单纯乳腺结构扭曲中, DBT的诊断敏感度为63.2%, 显著高于FFDM诊断敏感度28.6%(P<0.05); DBT对伴肿块结构扭曲的诊断特异度69.0%、阴性预测值80.0%, 显著高于FFDM的诊断特异度28.6%、阴性预测值46.2%(P<0.05)。 结论 相较FFDM检查,DBT检查对乳腺结构扭曲病变具有更高的诊断价值。Abstract: Objective To compare the value of digital breast tomosynthesis(DBT)and full field digital mammography(FFDM)in the diagnosis of distortion of breast structure. Methods Clinical materials of 132 patients with pathologically confirmed distortion of breast structure detected by DBT and FFDM were collected. The differences in detection rate, accuracy, specificity, sensitivity, positive predictive value and negative predictive value between DBT and FFDM in diagnosis of distortion of breast structure were analyzed. Results Among 132 patients, there were 43 cases of uncompacted breast and 89 cases of compacted breast. The detection rate of FFDM for distortion of breast structure in cases with compacted breast was 77.5%, which was significantly lower than 100.0% of DBT(P<0.01). For the diagnosis of simple structural distortion of breast, the diagnostic sensitivity of DBT was 63.2%, which was significantly higher than 28.6% of FFDM(P<0.05). For the diagnosis of lesions with mass structure distortion, the diagnostic specificity of DBT was 69.0%, and negative predictive value was 80.0%, which were significantly higher than 28.6% and 46.2% of FFDM(P<0.05). Conclusion DBT shows a greater value than FFDM in the diagnosis of distortion of breast structure.
-
-
SicklesE A, D'Orsi C J, Bassett L W, et al. ACR BI-RADS®Mammography//ACR BI-RADS®Atlas, Breast ImagingReporting and Data System[M]. Reston, VA: AmericanCollege of Radiology, 2013: 1-25.
刘万花. 乳腺比较影像诊断学[M]. 南京: 东南大学出版社, 2017: 72-72. 李弋, 叶兆祥, 吴涛, 等. 数字乳腺断层摄影与全数字化乳腺摄影对致密型乳腺病变诊断的初步对比研究[J]. 中华肿瘤杂志, 2013, 35(1): 33-37. Lee S H, Jang M J, Kim S M, et al. Factors affecting breast cancer detectability on digital breast tomosynthesis and two-dimensional digital mammography in patients with dense breasts[J]. Korean J Radiol, 2019, 20(1): 58-68.
边甜甜, 林青. 数字乳腺断层摄影新技术的临床应用价值及发展前景[J]. 中华放射学杂志, 2013, 47(8): 761-763. 尤超, 顾雅佳, 彭卫军, 等. 乳腺断层合成结合全屏数字化乳腺摄影对乳腺疾病的诊断价值[J]. 中华放射学杂志, 2015, 49(2): 94-98. Gaur S, Dialani V, Slanetz PJ, et a1. Architectural distortion ofthe breast[J]. MR Am J Roentgenol, 2013, 201(5): W662-670.
司丽芳, 刘小娟, 杨开颜, 等. 乳腺X线摄影与MRI对乳腺原发局部结构扭曲伴微小钙化病变诊断价值的对比研究[J]. 实用放射学杂志, 2015, 31(12): 1956-1959 , 1991.
Tagliafico A, Tagliafico G, Astengo D, et al. Comparative estimation of percentage breast tissue density for digital mammography, digital breast tomosynthesis, and magnetic resonance imaging[J]. Breast Cancer Res Treat, 2013, 138(1): 311-317.
边甜甜, 林青, 李丽丽, 等. 对比数字乳腺断层合成与乳腺X线摄影对致密型乳腺内肿块的诊断价值[J]. 中华放射学杂志, 2015, 49(7): 483-487. 庄姗, 赵玉年, 陈骏, 等. X线摄影、三维断层摄影和磁共振对乳腺导管原位癌的诊断价值比较[J]. 中国肿瘤外科杂志, 2019, 11(5): 354-357. 蔡思清, 颜建湘, 蔡冬鹭, 等. 乳腺三维断层摄影与全数字化乳腺摄影在乳腺疾病诊断中的效能对比[J]. 中南大学学报: 医学版, 2016, 41(10): 1075-1081. 徐姝, 于韬, 罗娅红. 数字乳腺断层摄影对致密型乳腺内结构扭曲病变的诊断价值[J]. 中国医学影像学杂志, 2019, 27(4): 263-266. 朱薇萍, 张盛箭, 顾雅佳, 等. 乳腺X线摄影、磁共振对结构扭曲良恶性病变的对比分析[J]. 医学影像学杂志, 2016, 26(8): 1422-1425. Michell M J, Iqbal A, Wasan R K, et al. A comparison of the accuracy of film-screen mammography, full-field digital mammography, and digital breast tomosynthesis[J]. Clin Radiol, 2012, 67(10): 976-981.
蔡冬鹭, 蔡思清, 颜丽笙, 等. 数字乳腺三维断层摄影剂量控制[J]. 中国医学物理学杂志, 2015, 32(5): 702-706. -
期刊类型引用(4)
1. 王玉华，姜京汝，花义同，刘瑾. 数字乳腺体层合成联合超声对乳腺内结构扭曲病变的诊断价值分析. 影像研究与医学应用. 2023(06): 35-37 . 
百度学术
2. 赖苏梅. 数字乳腺断层摄影与全数字化乳腺摄影诊断乳腺病变的对比研究. 现代医用影像学. 2023(07): 1265-1268 . 百度学术
3. 沈梓璇，刘海龙. DCE-MRI联合FFDM检查在乳腺病变定性诊断中的应用. 中国处方药. 2022(06): 145-146 . 百度学术
4. 解丽君. X线及超声造影对乳腺导管内占位病变的鉴别诊断. 影像研究与医学应用. 2022(21): 29-31 . 百度学术
其他类型引用(0)
计量
- 文章访问数: 243
- HTML全文浏览量: 56
- PDF下载量: 10
- 被引次数: 4
下载:
苏公网安备 32100302010246号