MRI增强扫描和X线钼靶应用于早期乳腺癌诊断价值对比研究

发布时间：2018-03-29 05:21

  本文选题：X线钼靶　切入点：MRI增强扫描　出处：《四川医学》2016年06期

【摘要】：目的分析比较MRI增强扫描和X线钼靶应用于早期乳腺癌的诊断价值。方法回顾性分析在我院诊断的早期乳腺癌患者共120例,均进行MRI增强扫描和X线钼靶检查,对比观察两种不同检查方式的诊断结果。结果120例早期乳腺癌X线钼靶检查显示49例患者病变形态多为不规则形、分叶状、星芒状,边缘多数可见轻微或明显的毛刺和(或)浸润,36例患者肿块内、近旁或块影内、外伴有恶性钙化;MRI增强检查显示63例病灶表现为不规则边缘毛刺(Ⅲ型强化曲线46例、Ⅱ型强化曲线17例);36例边缘光滑类圆形、浅分叶肿块(Ⅱ型强化曲线8例、Ⅲ型强化曲线28例);局灶簇样强化6例(Ⅲ型强化曲线),其它强化形式9例(Ⅱ型强化曲线1例、Ⅲ型强化曲线8例)。120例早期乳腺癌的患者X线钼靶正确诊断71例,MRI增强扫描正确诊断114例,差异有统计学意义(P0.05)。对于MRI增强扫描诊断的满意度明显高于X线钼靶诊断的满意度,差异有统计学意义(P0.05)。结论 MRI增强扫描对早期乳腺癌具有较高的正确诊断率,而X线钼靶摄影对微小钙化检出率高,可为MRI增强扫描提供重要的补充信息,两种方法联合应用对早期乳腺癌的诊断具有非常重要的临床意义。
[Abstract]:Objective to analyze and compare the diagnostic value of MRI enhanced scan and mammography in early stage of breast cancer. Methods 120 cases of early breast cancer diagnosed in our hospital were retrospectively analyzed. Results X-ray molybdenum target examination of 120 cases of early breast cancer showed that 49 cases had irregular shape, lobular shape and star shape. In most cases, slight or obvious burrs and / or infiltrations were found in 36 cases, near or in the shadow, and with malignant calcification on MRI enhanced MRI in 63 cases, the lesions showed irregular marginal burrs (type 鈪，

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