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[电阻抗断层成像和/或超声及乳腺X线摄影在乳腺疾病诊断中的应用:一项对照研究]

[Utilisation of electrical impedance tomography and/or ultrasound and mammography in breast disease diagnosis: a controlled study].

作者信息

Xu F, Li M X, Jusko H Z, Jiang Hongchuan

机构信息

Department of Breast Surgery Beijing Chaoyang Hospital, Capital Medical University, Beijing 100020, China.

出版信息

Zhonghua Yi Xue Za Zhi. 2017 May 16;97(18):1391-1395. doi: 10.3760/cma.j.issn.0376-2491.2017.18.008.

Abstract

To investigate the diagnostic accuracy of electrical impedance tomography (EIT) for benign and malignant breast diseases incomparison to conventional ultrasonography and mammography. A total of 121 patients with 126 breast lesions who underwent mammography ultrasonography and EIT were enrolled in the study. All of these lessions were were confirmed by pathological biopsy. The accuracy, sensitivity, specificity, positive predictive value and negative predictive value of EIT, ultrasonography and mammography were calculated with histology as the gold standard. The accuracy of EIT, ultrasonography and mammography were 75.4%, 81.7% and 76.1% respectively. The sensitivity was 76.8%, 94.6% and 74.4% respectively. The specificity was 74.3%, 71.4% and 77.6% respectively. The accuracy, sensitivity and specificity of EIT combined with ultrasound in diagnosis of breast lesions were 91.3%, 98.2% and 85.7%, respectively. The accuracy(χ(2)=4.896, =0.027) and specificity(χ(2)=4.242, =0.039) ere significantly higher on EIT compared to ultrasound.The accuracy, sensitivity and specificity of EIT combined with mammography were 95.5%, 97.4% and 93.9%, respectively, which were significantly higher than those of mammography (χ(2)=13.474, <0.001; χ(2)=8.573, =0.003; χ(2)=5.333, =0.021). When together with ultrasound or mammography, electrical impedance tomography (EIT) could be a valuable complementary examination in the diagnosis of breast diseases. Furthermore, EIT could provide very useful additional information for metabolic assessment of mammary glands, which may be used for early screening of breast diseases.

摘要

为了研究电阻抗断层成像(EIT)在乳腺良恶性疾病诊断中的准确性,并与传统超声和乳腺X线摄影进行比较。本研究共纳入121例患有126个乳腺病变的患者,这些患者均接受了乳腺X线摄影、超声检查和EIT检查。所有病变均经病理活检确诊。以组织学为金标准,计算EIT、超声和乳腺X线摄影的准确性、敏感性、特异性、阳性预测值和阴性预测值。EIT、超声和乳腺X线摄影的准确性分别为75.4%、81.7%和76.1%。敏感性分别为76.8%、94.6%和74.4%。特异性分别为74.3%、71.4%和77.6%。EIT联合超声诊断乳腺病变的准确性、敏感性和特异性分别为91.3%、98.2%和85.7%。与超声相比,EIT的准确性(χ(2)=4.896,P=0.027)和特异性(χ(2)=4.242,P=0.039)显著更高。EIT联合乳腺X线摄影的准确性、敏感性和特异性分别为95.5%、97.4%和93.9%,显著高于乳腺X线摄影(χ(2)=13.474,P<0.001;χ(2)=8.573,P=0.003;χ(2)=5.333,P=0.021)。电阻抗断层成像(EIT)与超声或乳腺X线摄影联合使用时,可能是乳腺疾病诊断中有价值的补充检查。此外,EIT可为乳腺代谢评估提供非常有用的额外信息,可用于乳腺疾病的早期筛查。

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