Clinical value of color Doppler ultrasound in diagnosis of microcalcification in breast cancer

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Clinical value of color Doppler ultrasound in diagnosis of microcalcification in breast cancer

更新时间：2025-12-15

- Clinical value of color Doppler ultrasound in diagnosis of microcalcification in breast cancer
- Vol. 26, Issue 6, Pages: 415-418(2017)
- 作者机构：
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- Published Online：19 January 2018，
  
  Published：19 January 2018
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魏玉心. 彩色多普勒超声诊断微钙化乳腺癌的临床价值[J]. 肿瘤影像学, 2017, 26(6): 415-418
DOI：

魏玉心. 彩色多普勒超声诊断微钙化乳腺癌的临床价值[J]. 肿瘤影像学, 2017, 26(6): 415-418 DOI：

摘要

目的：

探讨彩色多普勒超声诊断微钙化乳腺癌的临床价值。

方法：

选取2010年1月2014年1月于山东省单县东大医院接受治疗的19例微钙化乳腺病变患者，对所有患者实施彩色多普勒超声及钼靶X线摄影检查，比较两种方法。

结果：

X线摄影诊断结果与病理结果相比差异无统计学意义(

=0.684，

＞0.05)，彩色多普勒超声的诊断准确率低于病理结果(

=4.75，

＜0.05)。此外，两种方法联合提高了诊断的特异度和阳性预测值，但降低了灵敏度和阴性预测值，即漏诊率提高，误诊率降低。

结论：

随着高频超声技术的不断发展，其能检测出乳腺肿块的内部钙化，但对无肿块微钙化的识别还存在一定困难，而钼靶X线摄影对微钙化乳腺癌的诊断有一定优势，将两种方法联合使用能显著提高微钙化乳腺癌的诊断准确率，从而有效提高早期乳腺癌的诊断率。

Abstract

Objective:

To explore the clinical value of color Doppler ultrasound in the diagnosis of microcalcification in breast cancer.

Methods:

From Jan. 2010 to Jan. 2014

a total of 19 patients with microcalcification in breast lesions were chosen. All the patients underwent color Doppler ultrasound examination and X-ray mammography. The two methods were compared.

Results:

There was no significant difference in diagnosis results between X-ray mammography and pathology (

=0.684

0.05)

but the diagnosis accuracy of color Doppler ultrasound was lower than that of pathology (

=4.75

0.05). Combina

tion of the two methods improved the specificity and positive predictive value

but reduced the sensitivity and negative predictive value.

Conclusion:

Highfrequency ultrasound could detect the internal calcifications in breast lesions

but not for microcalcification. X-ray mammography has a certain advantage in diagnosis of microcalcification. The combination of the two methods can significantly improve the diagnosis accuracy of microcalcification in breast lesions

and effectively improve the diagnosis of early breast cancer.

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Related Author

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Related Institution

Department of Ultrasound, Shanghai Pudong New Area People's Hospital

Department of Glandular surgery, Xingtai Central Hospital

Department of Ultrasound, Zhongshan Hospital, Fudan University

Shanghai Institute of Medical Imaging

Department of Pharmacy, Wuxi Maternal and Child Health Hospital Affiliated to Nanjing Medical University

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