Efficacy of digital breast tomosynthesis combined with magnetic resonance imaging in the diagnosis of early breast cancer
作者机构:Department of Breast SurgeryChangzhi People's Hospital Affiliated to Shanxi Medical UniversityChangzhi 046000Shanxi ProvinceChina Department of Diagnostic RadiologyChangzhi People's Hospital Affiliated to Shanxi Medical UniversityChangzhi 046000Shanxi ProvinceChina
出 版 物:《World Journal of Clinical Cases》 (世界临床病例杂志)
年 卷 期:2022年第10卷第28期
页 面:10042-10052页
核心收录:
学科分类:1002[医学-临床医学] 100214[医学-肿瘤学] 10[医学]
主 题:Breast cancer Magnetic resonance Digital mammography Clinical value Arc incision Breastconserving surgery Digital breast tomosynthesis
摘 要:BACKGROUND The incidence and mortality rate of breast cancer in China rank 120th and 163rd,worldwide,*** incidence of breast cancer is on the rise;the risk increases with age but is slightly reduced after *** screening,diagnosis,and timely determination of the best treatment plan can ensure clinical efficacy and *** To evaluate the clinical value of magnetic resonance imaging(MRI) combined with digital breast tomosynthesis(DBT) in diagnosing early breast cancer and the effect of breast-conserving surgery by arc *** This study was divided into two ***,110 patients with early breast cancer confirmed by pathological examination and 110 with benign breast diseases diagnosed simultaneously in Changzhi People’s Hospital of Shanxi Province and Shanxi Dayi Hospital from May 2019 to September 2020 were included in the breast cancer group and the benign group,*** groups underwent DBT and MRI examination,and the pathological results were used as the gold standard to evaluate the effectiveness of the combined application of DBT and MRI in the diagnosis of early breast ***,according to the operation method,110 patients with breast cancer were divided into either a breast-conserving group(69 patients) or a modified radical mastectomy group(41 patients).The surgical effect,cosmetic effect,and quality of life of the two groups were *** Among the 110 cases of breast cancer,66 were of invasive ductal carcinoma(60.00%),and 22 were of ductal carcinoma in situ(20.00%).Among the 110 cases of benign breast tumors,55 were of breast fibromas(50.00%),and 27 were of breast adenosis(24.55%).The sensitivity,specificity,and area under the curve(AUC) of DBT in the differential diagnosis of benign and malignant breast tumors were 73.64%,84.55%,and 0.791,*** sensitivity,specificity,and AUC of MRI in the differential diagnosis of benign and malignant breast tumors were 84.55%,85.45%,and 0.85