Abstract：Objective: To explore and compare the clinical value of mammography, ultrasound and MRI in the diagnostic accuracy of breast cancer. Methods: One hundred and twenty-nine suspected breast cancer patients(26 to 75 years old) from July 2011 to June 2017 in our hospital were selected. All patients underwent mammography, ultrasound and MRI within one month. The positive predict value(PPV), negative predict value(NPV), accuracy, sensitivity, specificity of double imaging modalities were analyzed and compared by constructing a summary of receiver-operating characteristic(ROC) curves, area under the ROC curve(AUC). Results: The PPV and NPV of mammography and ultrasound in breast cancer was lower than that of MRI(89.5%, 98.1%). The accuracy(93.0%), sensitivity(98.6%) and AUC(0.938) of MRI in the diagnosis of breast cancer were significantly higher than the accuracy(72.9%), sensitivity(85.5%), AUC(0.806) of mammography, and accuracy(73.6%), sensitivity(71.0%) and AUC(0.814) of ultrasound(P<0.000 1). Conclusion: The accuracy, sensitivity, and AUC of MRI in the diagnosis of breast lesions are higher than mammography and ultrasound. And the performance of MRI is better in distinguishing malignant from benign breast carcinoma.
司 爽，张 伟，王慧颖，梁 畅. 乳腺X线摄影、超声及磁共振诊断乳腺癌的性能评价[J]. 中国临床医学影像杂志, 2020, 31(1): 20-23.
SI Shuang, ZHANG Wei, WANG Hui-ying, LIANG Chang. Performance evaluation of breast cancer diagnosed with mammography, ultrasound and MRI. JOURNAL OF CHINA MEDICAL IMAGING, 2020, 31(1): 20-23.
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