回顾并分析2013年1月—2019年8月于上海交通大学医学院附属第一人民医院同时接受常规超声和乳腺X线摄影检查的1 096例致密型乳腺肿块患者,按照其年龄、肿块大小及有无钙化进行分组。以病理学检查结果作为金标准,探讨联合检查对乳腺X线摄影乳腺影像报告和数据系统(Breast Imaging Reporting and Data System
BI-RADS)分类的影响。同时绘制受试者工作特征(receiver operating characteristic,ROC)曲线,获得并比较乳腺X线摄影及其联合常规超声诊断致密型乳腺肿块的曲线下面积(area under curve,AUC)、灵敏度、特异度和恶性检出率。
yze the diagnostic value of ultrasound-assisted mammography in dense breast screening.
Methods:
A retrospective analysis of 1 096 patients with dense breast masses
who underwent both conventional ultrasound and mammography in Shanghai General Hospital
Shanghai Jiao Tong University School of Medicine from January 2013 to August 2019. According to age
tumor size and with or without calcification
the patients were divided into several groups. Taking the pathological results as the gold standard
the influence of combined examination on the classification of Breast Imaging Reporting and Data System (BI-RADS) versus mammography was discussed. At the same time
area under curve (AUC)
malignant detection rate
sensitivity
and specificity of mammography alone and mammography combined with conventional ultrasound in the diagnosis of dense breast masses were obtained and compared.
Results:
The increased rate of breast cancer in BI-RADS 0 and 1-3 categories by combined examination were 14.8% and 15.1%
respectively. The AUCs of mammography and mammography combined with conventional ultrasound in the diagnosis of dense breast mass were 0.774 and 0.937 (
Z
=13.757
P
<0.001)
respectively. Regardless of the dense breast masses with different age groups
different size groups and groups with or without calcification
AUC of mammography combined withconventional ultrasound was significantly higher than that of mammography alone
and the differences were statistically significant (
P
<0.05). The sensitivity of mammography alone and mammography combined with conventional ultrasound were 65.6% and 93.3% (
χ
2
= 54.955
P
<0.001); the specificity were 89.3% and 94.1% (
χ
2
=353.013
P
<0.001); the detection rate of breast cancer increased from 24.3% (266/1 096) to 34.6% (379/1 096
χ
2
= 293.450
P
<0.001). In different age groups
different size groups and groups with or without calcificat
ion
the sensitivity and specificity of mammography combined with conventional ultrasound in the diagnosis of dense breast mass were significantly higher than mammography
with statistical significance (
P
<0.05).
Conclusion:
Compared with mammography alone
ultrasound-assisted mammography can improve the detection rate of malignant tumors in patients with dense mammary glands. In particular
ultrasound-assisted mammography is of great significance for breast cancer screening in people with dense breast
whose age over 55 years or whose mass diameter <2 cm.
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