|
|
|
| Comparative Study between Full-screen Digital Mammography and Digital Breast Tomography in the Diagnosis of Breast Cancer with Dense Breast and Calcification of Breast |
| QIN Jinxia, ZHAO Yunian, WANG Huihua, et al |
| Jiangsu Cancer Prevention and Treatment Institute / Cancer Hospital Affiliated to Nanjing Medical University, Jiangsu Nanjing 210000, China |
|
|
|
|
Abstract Objective: To investigate the diagnosis of breast cancer and the calcification of breast calcification in full-screen digital mammography (FFDM) and digital breast tomography (DBT). Methods: A total of 156 patients with dense breast adenocarcinoma who came to our hospital from March 2017 to March 2018 were enrolled. All patients were diagnosed by DBT and FFDM, and the breast gland density classification, lesion morphology, size, quantity and boundary were analyzed and recorded. The pathological diagnosis was used as the gold standard to evaluate the compactness of the two examination methods. The detection rate and focus characteristics of breast cancer in dense breast by two methods were evaluated. Results: A total of 157 lesions were detected in 156 patients, all of which were breast cancer. One of them was bilateral breast cancer. Using pathological examination as a standard, in 156 patients, 51 patients (32.69%) had breast cancer glandular tissue with high uniformity and dense breast cancer, and 105 patients (67.31%) had uneven and dense breast cancer. The diagnostic accuracy of DBT for dense breast breast masses and calcifications in breasts (78.34%, 54.14%) was significantly higher than that of FFDM (56.69%, 35.67%) (P<0.05). Moreover, the total diagnostic accuracy of DBT for dense mammary gland (82.80%) was significantly higher than that of FFDM (67.53%) (P<0.05). DBT showed a better overall effect on the boundary of dense breast lesions than FFDM (Z=-9.196, P<0.05). DBT showed significantly better burr signs and vascular penetration signs in dense breast cancer than FFDM (P<0.05). There was no significant difference in the total detection rate of breast cancer calcification in dense breasts between the two methods (χ2=2.136, P>0.05). Conclusion: Compared with FFDM, DBT is more conducive to the characteristics of lesions in patients with calcification, and is more suitable for the diagnosis and calcification of breast cancer in dense breast.
|
|
|
|
|
|
[1] Desantis C E, Fedewa S A, Goding S A, et al. Breast cancer statistics, 2015: Convergence of incidence rates between black and white women[J]. Ca Cancer Clin, 2016, 66(1):31~42.
[2] 杨荷霞,邢伟.乳腺全数字摄影对乳腺癌的诊断价值[J].医学影像学杂志,2016,26(1):143~146.
[3] 陈文青,何生,姜增誉,等.数字乳腺断层摄影技术在乳腺癌诊断中的研究进展[J].中国药物与临床,2018,18(3):405~407.
[4] Cen D , Xu L , Zhang S , et al. BI-RADS 3-5 microcalcifications: prediction of lymph node metastasis of breast cancer[J]. Oncotarget, 2017, 8(18):30190~30198.
[5] 张学勤,李逢春,汪秀玲.全数字化乳腺X线摄影对乳腺导管原位癌伴微浸润诊断的价值分析[J].徐州医学院学报,2016,36(9):601~603.
[6] 蔡思清,颜建湘,蔡冬鹭,等.乳腺三维断层摄影与全数字化乳腺摄影#br#在乳腺疾病诊断中的效能对比[J].中南大学学报:医学版,2016,41(10):1075~1081.
[7] 魏瑶,芦春花,李岩.全视野数字化乳腺摄影及数字乳腺断层摄影诊断致密型乳腺内病变[J].中国医学影像技术,2018,34(12):60~64.
[8] 陈泳愉,郭莉,徐庆华.乳腺癌患者免疫表型与超声征像变化的对应性分析[J].解剖学研究,2018,40(3):202~205.
[9] 陶阳,褚志刚,朱明霞,等.数字乳腺断层摄影对致密型乳腺内乳腺癌的诊断价值研究[J].临床放射学杂志,2018,37(07):1096~1100.
[10] 黄美铃,蔡思清,颜建湘,等.全数字化乳腺摄影与乳腺三维断层摄影对乳腺钙化的对比研究[J].中国医学物理学杂志,2018,35(07):796~800.
[11] Clauser P, Nagl G, Helbich T H, et al. Diagnostic performance of digital breast tomosynthesis with a wide scan angle compared to full-field digital mammography for the detection and characterization of microcalcifications[J]. European Journal of Radiology, 2016, 85(12):2161~2168. |
|
|
|
2020, Vol. 26 
