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预防医学  2016, Vol. 28 Issue (7): 654-657    
  论著 本期目录 | 过刊浏览 | 高级检索 |
乳腺血氧功能影像检查仪联合钼靶X线检查在乳腺癌筛查中的作用
王宏雁1,宋永茂2,谢沛沛1,吴海燕2,危静1
1.杭州师范大学附属医院体检中心,浙江杭州 310015;
2.浙江大学附属第二医院乳腺外科
The application of breast blood oxygen functional imaging combined with mammography examination in breast cancer screening
WANG Hong-yan,SONG Yong-mao,XIE Pei-pei,WU Hai-yan,WEI Jing
The Affiliated Hospital of Hangzhou Normal University ,Hangzhou,Zhejing,310015,China
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摘要 目的 探讨乳腺血氧功能影像检查仪联合钼靶X线检查在40岁及以上体检妇女乳腺癌筛查中的作用。方法 10 076名妇女进行乳腺癌筛查,均进行乳腺血氧功能影像检查仪及钼靶X线检查,将乳腺影像报告和数据系统(BI-RADS)Ⅲ级以上妇女进行的活检病理诊断结果作为“金标准”,对比不同检查方法的灵敏度和特异度。结果 10 076名体检妇女中经乳腺血氧功能影像检查仪、钼靶X线诊断为BI-RADS Ⅲ级以上235例,其中早期乳腺癌13例,良性病变222例;乳腺血氧功能影像检查仪灵敏度为69.23%,特异度为85.59%;钼靶X线灵敏度为76.92%,特异度为82.88%;联合检查灵敏度为100.00%,特异度为82.88%;乳腺血氧功能影像检查仪联合钼靶X线的正确指数0.829高于单项检测的正确指数0.548和0.598(U=2.117、2.501,P<0.05)。结论 乳腺血氧功能影像检查仪联合钼靶X线检查能有效提高40岁及以上体检妇女乳腺癌筛查的准确性。
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王宏雁
宋永茂
谢沛沛
吴海燕
危静
关键词 乳腺血氧功能影像检查仪钼靶X线乳腺癌筛查    
AbstractObjective To evaluate the effect of breast blood oxygen functional imaging combined with mammography on breast cancer screening in women aged over 40 years. Methods A total of 10 076 cases of women in our hospital underwent breast blood oxygen functional imaging and mammography X-ray examination. The breast imaging report and data system (BI-RADS) III level of women performed on the biopsy pathology were used as the gold standard. The effect of different inspection methods were compared and analyzed. Results Among 10 076 cases, 235 cases were diagnosed as BI-RADS, which was diagnosed by blood oxygen functional imaging system and a molybdenum target X-ray diagnosis of III. Thirteen cases with early breast cancer were diagnosed by needle biopsy. And 222 cases were diagnosed benign lesions. The sensitivity of the blood oxygen functional imaging system was 69.23% (9/13) and 85.58% (190/222), respectively. The sensitivity of molybdenum target X-ray was 76.92% (10/13), and the specificity was 82.88% (184/222). The sensitivity of combined detection was 100.0% (13/13) and the specificity was 82.88% (184/222). The accuracy index of combined molybdenum target X-ray (0.829) was significantly higher than that of single detection (0.548 and 0.598) (U=2.117, 2.501, P<0.05). Conclusion Breast blood oxygen functional imaging instrument combined with molybdenum target examination could effectively improve the accuracy of diagnosis in breast cancer screening among women over 40 years.
Key wordsBlood oxygen functional imaging system    Molybdenum target X-ray    Breast cancer    Screening
          出版日期: 2016-07-25
中图分类号:  R737.9  
基金资助:杭州市卫生科技计划(一般)项目(2014A14)
通信作者: 危静,E-mail: whongy0105@163.com   
作者简介: 王宏雁,本科,主治医师,主要从事乳腺肿瘤前期诊断工作
引用本文:   
王宏雁,宋永茂,谢沛沛,吴海燕,危静. 乳腺血氧功能影像检查仪联合钼靶X线检查在乳腺癌筛查中的作用[J]. 预防医学, 2016, 28(7): 654-657.
WANG Hong-yan,SONG Yong-mao,XIE Pei-pei,WU Hai-yan,WEI Jing. The application of breast blood oxygen functional imaging combined with mammography examination in breast cancer screening. Preventive Medicine, 2016, 28(7): 654-657.
链接本文:  
http://www.zjyfyxzz.com/CN/      或      http://www.zjyfyxzz.com/CN/Y2016/V28/I7/654
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