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[数字乳腺断层合成技术的乳腺癌诊断准确性]

[The breast cancer diagnosis accuracy of the digital breast tomosynthesis technique].

作者信息

Zhang H W, Li J T, Lü M H, Qin L, Li L F, Cui S D, Liu H

机构信息

Breast Diseases Center, Affiliated Cancer Hospital, Zhengzhou University/Henan Cancer Hospital, Zhengzhou 450008, China.

出版信息

Zhonghua Yi Xue Za Zhi. 2017 May 16;97(18):1387-1390. doi: 10.3760/cma.j.issn.0376-2491.2017.18.007.

Abstract

To explore the Digital breast tomosynthesis technique (DBT) in breast cancer diagnosis accuracy. Choose 263 cases of patients with breast lesions, using DBT combined FFDM (Full field digital mammography) independent FFDM, evaluate the diagnostic accuracy of breast cancer. The ROC curve area (AUC) of two kinds of breast cancer diagnosis methods (DBT combined FFDM and independent FFDM) were 0.954±0.014 and 0.907±0.019, with significant difference (=0.000 3). In premenopausal patients and breast density ACR3-4 cases, DBT combined FFDM diagnosis accuracy is higher than FFDM alone group, with significant difference (<0.05). DBT combined FFDM compared with independent FFDM, in a certain extent, improves the accuracy of the diagnosis of breast cancer.

摘要

探讨数字乳腺断层合成技术(DBT)在乳腺癌诊断中的准确性。选取263例乳腺病变患者,采用DBT联合全视野数字化乳腺摄影(FFDM)及单独的FFDM,评估乳腺癌的诊断准确性。两种乳腺癌诊断方法(DBT联合FFDM和单独的FFDM)的ROC曲线面积(AUC)分别为0.954±0.014和0.907±0.019,差异有统计学意义(P = 0.000 3)。在绝经前患者及乳腺密度ACR3 - 4级的病例中,DBT联合FFDM的诊断准确性高于单独使用FFDM组,差异有统计学意义(P<0.05)。DBT联合FFDM与单独的FFDM相比,在一定程度上提高了乳腺癌的诊断准确性。

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