| 宋颖,李静,张仁知,高国华,周纯武.乳腺可视化触诊成像系统鉴别诊断乳腺良恶性病变：与临床触诊、X线及超声对照[J].中国医学影像技术,2014,30(4):527~530 |
| 乳腺可视化触诊成像系统鉴别诊断乳腺良恶性病变：与临床触诊、X线及超声对照 |
| Palpation imaging system in differentiating benign and malignant breast lesions：Compared with physical examination, mammography and ultrasonography |
| 投稿时间：2013-08-06 修订日期：2014-03-03 |
| DOI： |
| 中文关键词: 乳腺肿瘤 触诊成像 临床触诊 乳房X线摄影术 超声检查 |
| 英文关键词:Breast neoplasms Palpation imaging Physical examination Mammography Ultrasonography |
| 基金项目: |
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| 中文摘要: |
| 目的 探讨乳腺可视化触诊成像系统对乳腺病灶良恶性病变的鉴别诊断价值。方法 对169例乳腺病变患者（共195个病灶）行触诊成像、临床触诊和X线，对其中151例行超声检查。比较以上4种方法鉴别乳腺良恶性病变的敏感度、特异度，评估各方法对不同腺体类型乳腺病灶的诊断价值。结果 触诊成像对良恶性病灶的诊断敏感度为82.40%，特异度为80.00%，敏感度高于临床触诊（60/125，48.00%，P<0.001）但低于X线（117/125，93.60%，P=0.003）及超声（105/110，95.45%，P<0.001），特异度高于X线（39/70，55.71%，P=0.002）及超声（38/61，62.29%，P=0.023）。对于不同腺体类型的乳腺，触诊成像鉴别良恶性病灶的敏感度和特异度变化不大。结论 触诊成像对于鉴别乳腺良恶性病灶具有较高的应用价值，有望成为现有乳腺检查技术的补充。 |
| 英文摘要: |
| Objective To evaluate the efficacy of palpation imaging (PI) in differentiation of benign and malignant breast lesions. Methods A total of 169 patients (195 breast lesions confirmed by pathology) underwent PI, physical examination and mammography, among them 151 people underwent ultrasonography. The efficacies of 4 examinations in differentiating benign and malignant lesions were compared. Results The sensitivity of PI for differentiating benign and malignant lesions (82.40%) was higher than that of physical examination (60/125, 48.00%, P<0.001), but lower than that of mammography (117/125, 93.60%, P=0.003) and ultrasound (105/110, 95.45%, P<0.001). The specificity of PI (80.00%) was high than that of mammography (39/70, 55.71%, P=0.002) and ultrasound (38/61, 62.29%, P=0.023). For patients with different type of breast composition on mammography, the sensitivity and specificity of PI were stable. Conclusion PI has capability to distinguish benign and malignant breast lesions, and may become an important supplement of ultrasound, mammography in diagnosis of breast diseases. |
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