CAJ | 학술논문

目的对比全数字化钼靶X线与MRI检查在乳腺疾病诊断中的临床价值。方法回顾性分析经组织病理学证实的43例乳腺疾病患者57个病灶的钼靶X线及MRI影像学表现，进行BI-RADS分类，并与病理对照，对比其诊断的敏感性、特异性及准确性。结果57个病灶中组织病理学结果为恶性23个，良性34个。乳腺钼靶X线诊断乳腺疾病的敏感性、特异性及准确性为60.87%、61.76%及61.40%；MRI诊断则分别为95.65%、88.24%及91.23%。两种影像学方法对乳腺疾病诊断在敏感性、特异性及准确率的差异均有统计学意义( P<0.05)。结论MRI检查对乳腺疾病的诊断价值优于钼靶X线。
목적대비전수자화목파X선여MRI검사재유선질병진단중적림상개치。방법회고성분석경조직병이학증실적43례유선질병환자57개병조적목파X선급MRI영상학표현，진행BI-RADS분류，병여병리대조，대비기진단적민감성、특이성급준학성。결과57개병조중조직병이학결과위악성23개，량성34개。유선목파X선진단유선질병적민감성、특이성급준학성위60.87%、61.76%급61.40%；MRI진단칙분별위95.65%、88.24%급91.23%。량충영상학방법대유선질병진단재민감성、특이성급준학솔적차이균유통계학의의( P<0.05)。결론MRI검사대유선질병적진단개치우우목파X선。
Objective To compare the clinical value of digital mammography and MRI in the diagnosis of breast diseases. Methods A retrospective analysis of molybdenum target X-ray and MRI iconography performance of 57 lesions of 43 cases with mammary gland disease diagnosed by histopathology, and to contrast pathology, comparing the sensitivity, specificity and accuracy of diagnosis. Results The malignant and benign of histopathology in 57 le-sions was 23 and 34 respectively. The sensitivity, specificity and accuracy of mammary gland disease diagnosed by molybdenum target X-ray was 60.87%, 61.76% and 61.40%, and that of MRI diagnosis was about 95.65%, 88.24% and 91.23% respectively. Differences of sensitivity, specificity and accuracy of mammary gland disease diagnosed by two kinds of iconography methods were of statistical differences ( P<0.05 ) . Conclusion The diag-nosis value of MRI in diagnosising breast disease is better than that of mammography.