Abstract：Objective:To explore the clinical value of early diagnosis with molybdenum x-rays combined with magnetic resonance imaging. Methods:99 patients with breast cancer in our hospital from January 2016 to December 2018 were selected as the observation group, and 83 patients with benign breast lesions during the same period were selected as the control group. All patients underwent molybdenum radiography and total breast MRI examination, and the results were classified by the Breast Imaging Reporting Data System (BI-RADS) and compared with pathological results to evaluate the diagnostic efficacy of molybdenum radiography combined with magnetic resonance imaging, and analyzed the related influencing factors. Results:In 182 patients, 190 lesions were detected by pathological diagnosis, including 5 bilateral lesions and 3 unilateral breast lesions; X-rays of breast cancer showed signs of typical masses, calcification, structural distortion, focal asymmetry, structural distortion with calcification, and diffuse density increase; the magnetic resonance parameters Slope and SlopeR in the observation group were higher than those in the control group (P<0.05); the combined diagnostic sensitivity, specificity, and accuracy were higher than X-rays and magnetic resonance alone, and the misdiagnosis rate and missed diagnosis rate were lower than X-rays and magnetic resonance alone (P<0.05); lesions with a maximum diameter <1.71 cm were independent risk factors affecting the sensitivity of breast cancer diagnosis (P<0.05). Conclusion:There may be multiple lesions in early breast cancer patients, with different typical morphological features in molybdenum target X-rays and magnetic resonance imaging, the combination of which can complement each other, improve the diagnostic sensitivity, and be more conducive to the detection of early small lesions and provides objective evidence for clinical treatment.
张翠景, 黄廷玮, 崔瑞芳. 乳腺癌患者早期使用钼靶X线摄片联合磁共振诊断的临床价值[J]. 河北医学, 2020, 26(6): 1013-1019.
ZHANG Cuijing, HUANG Tingwei, et al. Clinical Value of Early Diagnosis with Molybdenum X-rays Combined with Magnetic Resonance Imaging of Breast Cancer Patients. HeBei Med, 2020, 26(6): 1013-1019.
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2020, Vol. 26 
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