Diagnostic value of digital breast tomosynthesis technique for breast suspicious calcified lesions
10.3760/cma.j.issn.1007-631X.2018.12.017
- VernacularTitle:数字乳腺三维断层摄影技术在乳腺可疑钙化型疾病中的诊断价值
- Author:
Juntao LI
1
;
Xuhui GUO
;
Peiqi TIAN
;
Xiaomi FU
;
Lianfang LI
;
Shude CUI
;
Hengwei ZHANG
Author Information
1. 河南省乳腺病诊疗中心
- Keywords:
Breast diseases;
Mammography;
Digital breast tomosynthesis technique;
Breast suspicious calcified lesions
- From:
Chinese Journal of General Surgery
2018;33(12):1042-1045
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the diagnostic value of digital breast tomosynthesis technique (DBT) in breast suspicious calcified lesions.Methods Clinical data of 135 patients using DBT and FFDM (Full field digital mammography) was respectively analyzed.Results Of the 135 cases,43 cases were malignant,and 92 cases were benign.The diagnostic sensitivity DBT and FFDM were 93.0% (40/43)and 88.4% (38/43),specificity were 88.0% (81/92) and 75.0% (69/92),accuracy were 89.6% (121/135) and 79.3% (107/135),the differences were statistically significant (P <0.05).The ROC curve area (AUC) of DBT and FFDM were 0.905 ± 0.026 and 0.817 ± 0.034 (P =0.000 2).In premenopausal,postmenopausal and breast density ACR3-4 cases,DBT accuracy is higher than FFDM (P < 0.05).The BI-RADS classification difference of the benign calcified lesions was statistically significant (x2 =11.740,P =0.038 5).Conclusions Compared with the traditional FFDM,DBT has a higher value in the diagnosis of breast suspicious calcified lesions,especially for benign calcified lesions.