中国医学影像技术
中國醫學影像技術
중국의학영상기술
CHINESE JOURNAL OF MEDICAL IMAGING TECHNOLOGY
2009年
10期
1892-1895
,共4页
何小江%黄劲雄%陈贵兵%俞浩%吴华
何小江%黃勁雄%陳貴兵%俞浩%吳華
하소강%황경웅%진귀병%유호%오화
放射性核素显像%X线钼靶%乳腺肿瘤
放射性覈素顯像%X線鉬靶%乳腺腫瘤
방사성핵소현상%X선목파%유선종류
Radionuclide imaging%X-ray mammography%Breast neoplasms
目的 比较~(99m)Tc-奥曲肽显像和X线钼靶诊断乳腺癌的临床应用价值. 方法 32例临床怀疑乳腺癌的女性患者,均进行~(99m)Tc-奥曲肽显像和X线钼靶摄影,以手术病理结果为标准,比较二者对乳腺癌的诊断效能. 结果 ~(99m)Tc-奥曲肽显像和X线钼靶摄影诊断乳腺癌的灵敏度分别为91.67%、66.67%(χ~2=4.54,P<0.05),特异性分别为100%、37.50%(χ~2=4.65,P<0.05),准确性分别为93.75%、59.38%(χ~2=10.54,P<0.05),阳性预测值分别为100%、76.19%(χ~2=5.93,P<0.05),阴性预测值分别为80.00%、27.27%(χ~2=3.92,P<0.05).联合两种方法诊断的灵敏度、特异性、准确性、阳性预测值和阴性预测值分别为95.83%、100%、96.88%、82.14%和47.06%. 结论 ~(99m)Tc-奥曲肽显像对乳腺癌的诊断效能高于X线钼靶摄影,两者联合可进一步提高诊断效能.
目的 比較~(99m)Tc-奧麯肽顯像和X線鉬靶診斷乳腺癌的臨床應用價值. 方法 32例臨床懷疑乳腺癌的女性患者,均進行~(99m)Tc-奧麯肽顯像和X線鉬靶攝影,以手術病理結果為標準,比較二者對乳腺癌的診斷效能. 結果 ~(99m)Tc-奧麯肽顯像和X線鉬靶攝影診斷乳腺癌的靈敏度分彆為91.67%、66.67%(χ~2=4.54,P<0.05),特異性分彆為100%、37.50%(χ~2=4.65,P<0.05),準確性分彆為93.75%、59.38%(χ~2=10.54,P<0.05),暘性預測值分彆為100%、76.19%(χ~2=5.93,P<0.05),陰性預測值分彆為80.00%、27.27%(χ~2=3.92,P<0.05).聯閤兩種方法診斷的靈敏度、特異性、準確性、暘性預測值和陰性預測值分彆為95.83%、100%、96.88%、82.14%和47.06%. 結論 ~(99m)Tc-奧麯肽顯像對乳腺癌的診斷效能高于X線鉬靶攝影,兩者聯閤可進一步提高診斷效能.
목적 비교~(99m)Tc-오곡태현상화X선목파진단유선암적림상응용개치. 방법 32례림상부의유선암적녀성환자,균진행~(99m)Tc-오곡태현상화X선목파섭영,이수술병리결과위표준,비교이자대유선암적진단효능. 결과 ~(99m)Tc-오곡태현상화X선목파섭영진단유선암적령민도분별위91.67%、66.67%(χ~2=4.54,P<0.05),특이성분별위100%、37.50%(χ~2=4.65,P<0.05),준학성분별위93.75%、59.38%(χ~2=10.54,P<0.05),양성예측치분별위100%、76.19%(χ~2=5.93,P<0.05),음성예측치분별위80.00%、27.27%(χ~2=3.92,P<0.05).연합량충방법진단적령민도、특이성、준학성、양성예측치화음성예측치분별위95.83%、100%、96.88%、82.14%화47.06%. 결론 ~(99m)Tc-오곡태현상대유선암적진단효능고우X선목파섭영,량자연합가진일보제고진단효능.
Objective To compare the value of (~99m) Tc-octreotide scintigraphy and planar X-ray mammography in the diagnosis of breast cancer. Methods A total of 32 patients with suspected breast cancer were enrolled into this study. All patients underwent (~99m) Tc-octreotide scintigraphy and planar X-ray mammography. The diagnostic efficiency of (~99m) Tc-octreotide scintigraphy and planar X-ray mammography were compared based on the post-surgery pathology. Results The sensitivity of (~99m) Tc-octreotide scintigraphy and planar X-ray mammography in the diagnosis of breast cancer was 91.67% and 66.67%, the specificity was 100% and 37.50%, the accuracy was 93.75% and 59.38%, respectively. Combining (~99m) Tc-octreotide scintigraphy with planar X-ray mammography, the sensitivity, specificity, accuracy, positive predicting values and negative predicting values for breast cancer was 95.83%, 100%, 96.88%, 82.14% and 47.06%, respectively. Conclusion The diagnostic efficiency of (~99m) Tc-octreotide scintigraphy for breast cancer is superior to planar X-ray mammography. (~99m) Tc-octreotide scintigraphy combined with planar X-ray mammography, the diagnostic efficiency for breast cancer will be further improved.
