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数字乳腺三维断层摄影技术在乳腺癌诊断中的价值 被引量:18

The breast cancer diagnosis accuracy of the digital breast tomosynthesis technique
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摘要 目的探讨数字乳腺三维断层摄影技术(DBT)在乳腺癌诊断上的准确度。方法选择2014年3月至2016年6月在河南省肿瘤医院就诊的乳腺病变患者263例,分别使用DBT联合全数字化乳腺摄影(FFDM)、FFDM进行独立诊断,评价两者诊断乳腺癌的准确度。结果DBT联合FFDM组及单独FFDM诊断乳腺癌的ROC曲线下面积(AUC)为0.954±O.014及0.907±0.019,差异有统计学意义(P=0.0003)。在绝经前患者及乳腺密度ACR3-4的病例中,DBT联合FFDM组的诊断准确度高于单独FFDM组,差异具有统计学意义(P〈0.05)。结论DBT联合FFDM与单独FFDM相比在一定程度上提高了诊断乳腺癌的准确度。 Objective To explore the Digital breast tomosynthesis technique (DBT) in breast cancer diagnosis accuracy. Methods 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. Results 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 (P = 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 ( P 〈 0. 05 ) . Conclusion DBT combined FFDM compared with independent FFDM, in a certain extent, improves the accuracy of the diagnosis of breast cancer.
出处 《中华医学杂志》 CAS CSCD 北大核心 2017年第18期1387-1390,共4页 National Medical Journal of China
关键词 数字乳腺三维断层摄影 全数字化乳腺摄影 乳腺癌 Digital breast tomosynthesis technique (DBT) Full field digital mammography(FFDM) Breast cancer
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