摘要
目的探讨磁敏感加权成像(SWI)联合弥散加权成像(DWI)检查在乳腺肿瘤诊断中的临床价值。方法选取2022年1月至2023年12月在郑州市第三人民医院经病理检查证实的70例乳腺肿瘤患者,均行SWI、DWI检查。比较SWI、DWI单独及联合检查对乳腺肿瘤的诊断结果及效能。结果病理检查结果显示恶性42例(50个病灶)和良性28例(32个病灶)。恶性组的表观扩散系数值低于良性组(t=4.500,P<0.001)。SWI检查对对乳腺肿瘤的诊断结果与病理检查结果具有一般一致性(Kappa=0.720,P<0.001),而DWI单独及其联合SWI检查的诊断结果与病理检查结果具有较好一致性(Kappa=0.797,P<0.001;Kappa=0.923,P<0.001)。SWI联合DWI检查对乳腺肿瘤的诊断效能高于SWI、DWI单独检查。结论SWI联合DWI检查在乳腺肿瘤诊断中有助于判断肿瘤性质,可为乳腺肿瘤的临床诊断提供参考。
Objective To explore the clinical value of sensitivity weighted imaging(SWI)combined with diffusion weighted imaging(DWI)in the diagnosis of breast tumor.Methods From January 2022 to December 2023,70 patients with breast tumor of diagnosed in Zhengzhou Third People’s Hospital were selected for this study.All the cases were confirmed by pathological examination,and SWI and DWI were performed.The diagnostic results and efficacy of SWI and DWI in breast tumor were compared.Results The pathological findings showed that 42 cases(50 lesions)were malignant and 28 cases(32 lesions)were benign.The apparent diffusion coefficient values in the malignant group were apparently lower in comparison with the benign group(t=4.500,P<0.001).The diagnostic results of SWI were generally consistent with the pathological results(Kappa=0.720,P<0.001),while the diagnostic results of DWI alone and it combined with SWI were better consistent with the pathological results(Kappa=0.797,P<0.001;Kappa=0.923,P<0.001).The diagnostic efficacy of SWI combined with DWI was higher lower in comparison with SWI and DWI alone.Conclusion SWI combined with DWI can help to judge the nature of breast tumor,and provide reference for the clinical diagnosis of breast tumor.
作者
齐秋茹
李翠霞
QI Qiuru;LI Cuixia(Department of Radiology,Zhengzhou Third People’s Hospital,Zhengzhou 450000,China)
出处
《肿瘤基础与临床》
2024年第2期158-161,共4页
journal of basic and clinical oncology
关键词
磁敏感加权成像:弥散加权成像
乳腺肿瘤
susceptibility weighted imaging
diffusion weighted imaging
breast tumor
