探究超声与DCE-MRI在乳腺非肿块型病变诊断中的效能OA
To explore the efficacy of ultrasound and DCE-MRI in the diagnosis of breast non-mass lesions
目的:探究超声与动态对比增强MRI(DCE-MRI)在乳腺非肿块型病变诊断中的效能.方法:选取 2024 年 1 月—2025 年 1 月我院收治乳腺非肿块型病变患者 100 例,统计患者一般资料、DCE-MRI参数、超声特征等.结果:与良性病变患者相比,恶性病变患者微钙化、血流分级Ⅱ~Ⅲ级、结构扭曲、后方回声减弱占比升高,TTP、ADC值水平降低(P<0.05);乳腺非肿块型良、恶性病变患者生长方位占比对比无统计学差异(P>0.05).ROC曲线分析联合检测高于各单项诊断价值,Kappa值显示联合诊断的一致性最高(P<0.05).另外超声检查可行性优于DCE-MRI技术检查.结论:DCE-MRI在乳腺非肿块型病变中诊断价值高于超声,但超声检查操作时间、成本效益等方面综合分析优于DCE-MRI,且联合检测对乳腺非肿块型病变有较高诊断价值,利于辅助诊断患者病变发生情况,为临床提供参考依据.
Objective:To investigate the efficacy of ultrasound and dynamic contrast-enhanced MRI(DCE-MRI)in the di-agnosis of breast non-mass lesions.Methods:A total of 100 patients with breast non-mass lesions admitted to our hospital from January 2024 to January 2025 were enrolled,and the general data,DCE-MRI parameters,and ultrasound characteristics of the patients were collected.Results:Compared with patients with benign lesions,patients with malignant lesions had higher proportions of microcalcifications,blood flow grades Ⅱ~Ⅲ,structural distortion,and posterior echogenicity diminution,as well as lower levels of TTP and ADC values(P<0.05).There was no significant difference in the proportion of growth orientation be-tween patients with benign and malignant breast non-mass lesions(P>0.05).ROC curve analysis showed that the diagnostic value of the combined detection was higher than that of each single method,and the Kappa value indicated the highest consistency of the combined diagnosis(P<0.05).In addition,ultrasound feasibility was superior to DCE-MRI technical examination.Con-clusion:The diagnostic value of DCE-MRI is higher than that of ultrasound in breast non-mass lesions,but ultrasound is better than DCE-MRI in comprehensive analysis of operation time,cost-effectiveness and other aspects of the comprehensive analysis,and the combined detection has high diagnostic value for breast non-mass lesions,which is conducive to assisting in diagnosing the occurrence of lesions in patients and providing a reference for clinical practice.
魏秋菊;安娜;秦会敏;张晓娟;闫凤琴
衡水市人民医院,河北 衡水 053000衡水市人民医院,河北 衡水 053000衡水市人民医院,河北 衡水 053000衡水市人民医院,河北 衡水 053000衡水市人民医院,河北 衡水 053000
医药卫生
乳腺疾病超声检查,多普勒,彩色磁共振成像
Breast DiseasesUltrasonography,Doppler,ColorMagnetic Resonance Imaging
《中国临床医学影像杂志》 2026 (4)
246-249,4
河北省2025年度医学科学研究课题计划(编号:20251611).
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