数字乳腺三维断层融合摄影对不可触及微小病灶的诊断价值
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摘要
目的探讨数字乳腺三维断层融合摄影(DBT)技术对不可触及微小病灶的诊断价值。方法选择2016年5月至2017年12月在秦皇岛市妇幼保健院临床查体不可触及但超声提示乳腺病灶直径≤1 cm患者50例进行回顾性研究,对其进行全数字化乳腺X线摄影(FFDM)和DBT检查,最后与手术病理结果进行对照,了解DBT对微小病灶的诊断价值。结果 50例乳腺超声提示病灶直径≤1 cm的低回声,超声分级4级1例,FFDM 4级1例,DBT分级4级4例,各分级4级病例经病理证实均为乳腺癌,DBT检出乳腺癌敏感度为80%。结论 DBT可提高良恶性病变的鉴别诊断能力,特别是对于超声提示的不可触及的微小病灶的诊断具有重要的意义。
Objective To explore the diagnostic significance of digital breast tomosynthesis( DBT) for non palpable small lesions. Methods A total of 50 cases of breast lesions with diameter less than 1 cm were found in this hospital during May 2016 to December 2017.,and the total digital mammography( FFDM) and DBT were examined. Finally,the diagnostic significance of DBT for small lesions was compared with the pathological results of operation. Results 50 cases of breast ultrasound showed the low echo of these lesions with diameter less than 1 cm,1 cases of ultrasonic grade 4,1 case of FFDM grade 4,4 cases of DBT grade 4,all these cases with grade 4 were breast cancer confirmed by pathological examination,and the sensitivity of DBT for breast cancer was 80%. Conclusion DBT can improve the ability of differential diagnosis on benign and malignant lesions,especially for the diagnosis of non palpable small lesions promptly discovered by ultrasounography.
Objective To explore the diagnostic significance of digital breast tomosynthesis( DBT) for non palpable small lesions. Methods A total of 50 cases of breast lesions with diameter less than 1 cm were found in this hospital during May 2016 to December 2017.,and the total digital mammography( FFDM) and DBT were examined. Finally,the diagnostic significance of DBT for small lesions was compared with the pathological results of operation. Results 50 cases of breast ultrasound showed the low echo of these lesions with diameter less than 1 cm,1 cases of ultrasonic grade 4,1 case of FFDM grade 4,4 cases of DBT grade 4,all these cases with grade 4 were breast cancer confirmed by pathological examination,and the sensitivity of DBT for breast cancer was 80%. Conclusion DBT can improve the ability of differential diagnosis on benign and malignant lesions,especially for the diagnosis of non palpable small lesions promptly discovered by ultrasounography.
引文
[1]刘佩芳,鲍润贤.发挥综合影像诊断优势提高乳腺癌的整体诊断水平[J].中华放射学杂志,2012,46(12):1061-1065.
[2]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.
[3]李慧芳,姚艳敏,刘景萍,等.超声下乳腺癌图像特点与腋淋巴结转移的相关因素分析[J].中国临床医生,2014,42(6):63-65.
[4]谢海珊,丛林,李丽萍,等.乳腺超声在妇女健康体检中的应用价值[J].临床和实验医学杂志,2010,9(16):1219-1220.
[5]Feig SA.Auditing and benchmarks in screening and diagnostic mammography[J].Radiol Clin North Am,2007,45(5):791-800.
[6]周纯武,李静.乳腺影像诊断的现状、问题与未来[J].中华放射学杂志,2011,45(12):1093-1095.
[7]豪洛捷影像事业部.HOLOGIC 3D数字乳腺断层成像--刷新乳腺X射线检查新标准[J].中国医学装备,2017,14(7):158-158.
[8]Helvie MA.Digital mammography imaging:breast tomosynthesis and advanced applications[J].Radiol Clin North Am,2010,48(5):917-929.
[9]李国栋,李光民,李素荣.数字乳腺断层摄影技术在女性乳腺癌筛查中的价值[J].中国辐射卫生,2014,23(6):565-566.
[10]Feng SS,Sechopoulors I.Clinical digital breast tomosynthesis system:dosimetric characterization[J].Radiology,2012,263(1):35-42.
[2]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.
[3]李慧芳,姚艳敏,刘景萍,等.超声下乳腺癌图像特点与腋淋巴结转移的相关因素分析[J].中国临床医生,2014,42(6):63-65.
[4]谢海珊,丛林,李丽萍,等.乳腺超声在妇女健康体检中的应用价值[J].临床和实验医学杂志,2010,9(16):1219-1220.
[5]Feig SA.Auditing and benchmarks in screening and diagnostic mammography[J].Radiol Clin North Am,2007,45(5):791-800.
[6]周纯武,李静.乳腺影像诊断的现状、问题与未来[J].中华放射学杂志,2011,45(12):1093-1095.
[7]豪洛捷影像事业部.HOLOGIC 3D数字乳腺断层成像--刷新乳腺X射线检查新标准[J].中国医学装备,2017,14(7):158-158.
[8]Helvie MA.Digital mammography imaging:breast tomosynthesis and advanced applications[J].Radiol Clin North Am,2010,48(5):917-929.
[9]李国栋,李光民,李素荣.数字乳腺断层摄影技术在女性乳腺癌筛查中的价值[J].中国辐射卫生,2014,23(6):565-566.
[10]Feng SS,Sechopoulors I.Clinical digital breast tomosynthesis system:dosimetric characterization[J].Radiology,2012,263(1):35-42.