[1]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(7):796-800.[doi:DOI:10.3969/j.issn.1005-202X.2018.07.011]
　HUANG Meiling,CAI Siqing,YAN Jianxiang,et al. Full field digital mammography and digital breast tomosynthesis for detection of breast calcification: a comparative study[J].Chinese Journal of Medical Physics,2018,35(7):796-800.[doi:DOI:10.3969/j.issn.1005-202X.2018.07.011]
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 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()
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《中国医学物理学杂志》[ISSN:1005-202X/CN:44-1351/R]

卷:
35卷
期数:
2018年第7期
页码:
796-800
栏目:
医学影像物理
出版日期:
2018-07-20

文章信息/Info

Title:
 Full field digital mammography and digital breast tomosynthesis for detection of breast calcification: a comparative study
文章编号:
1005-202X（2018）07-0796-05
作者:
 黄美铃; 蔡思清; 颜建湘; 任晓静
 福建医科大学附属第二医院放射科， 福建 泉州 362000
Author(s):
 HUANG Meiling;  CAI Siqing;  YAN Jianxiang;  REN Xiaojing
 Department of Radiology, Second Affiliated Hospital of Fujian Medical College, Quanzhou 362000, China
关键词:
 ; 全数字化乳腺摄影; 数字乳腺断层摄影; 钙化分数; 乳腺疾病; 诊断效能
Keywords:
 ; Keywords: full-field digital mammography;  digital breast tomosynthesis;  calcification score;  breast disease;  diagnostic efficiency
分类号:
R814.4；R655.8
DOI:
DOI:10.3969/j.issn.1005-202X.2018.07.011
文献标志码:
A
摘要:
 目的：研究全数字化乳腺摄影（FFDM）及数字乳腺断层摄影（DBT）对于钙化征象及其在乳腺疾病诊断效能的对比。 方法：收集福建医科大学附属第二医院2013年6月~2017年4月期间就诊的97例经FFDM及DBT检查发现有钙化征象，并具有病理结果的患者，根据乳腺影像报告和数据系统进行阅片诊断，同时计算出在FFDM及COMBO（DBT结合FFDM）两种摄片模式下的钙化分数。 结果：通过秩和检验分析两种方法下钙化分数存在显著性差异（P<0.05）。通过ROC曲线分析两种方法在乳腺疾病诊断效能发现，两者曲线下面积均大于0.5，具有诊断价值，FFDM与COMBO敏感度（95.7%）一致；COMBO特异性（92%）较FFDM特异性（76%）高。 结论：COMBO相对于FFDM能更好地观察钙化征象，提高诊断效能。
Abstract:
 Abstract: Objective To compare the performances of full field digital mammography (FFDM) and digital breast tomosynthesis (DBT) in calcification detection, and explore the efficacy of FFDM and DBT in the diagnosis of breast diseases. Methods Ninety-seven patients treated in Second Affiliated Hospital of Fujian Medical College from June 2013 to April 2017, with calcifications detected by FFDM and DBT and pathological results, were selected in the study. According to breast imaging reporting and data system for radiographic diagnosis, the calcification score was calculated when using FFDM or COMBO (DBT combined with FFDM). Results The results of rank sum test showed significant differences in calcification scores between the two methods (P<0.05). The diagnostic efficacy of two methods in breast diseases was analyzed with receiver operating characteristic (ROC) curve. The area under the curve of two methods was greater than 0.5, which indicated that both two methods were valuable in the diagnosis of breast diseases. FFDM and COMBO had the same sensitivity (95.7%), but the specificity of COMBO was higher than that of FFDM (92% vs 76%). Conclusion Compared with FFDM, COMBO has better performances in calcification detection and improve diagnostic efficacy.

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备注/Memo

备注/Memo:
 【收稿日期】2018-03-25
【基金项目】福建卫生计生委医药卫生科技创新项目（2015-CX-28）
【作者简介】黄美铃，研究方向：乳腺疾病的影像诊断，E-mail: 285960-
633@qq.com
【通信作者】蔡思清，副教授、主任医师，研究方向：乳腺疾病、骨质疏松等，E-mail: 1920455696@qq.com
更新日期/Last Update: 2018-07-24