三阴性乳腺癌的多模态影像表现

Multimodal imaging of triple-negative breast carcinoma

摘要:

目的 探讨常规超声结合弹性成像、钼靶X 射线多模态影像学对三阴性乳腺癌的诊断价值。方法 回顾性分析63 例三阴性乳腺癌的常规超声、弹性成像及钼靶X 射线表现，比较超声结合弹性成像和钼靶X 射线诊断三阴性乳腺癌的临床价值，分析两者联合诊断三阴性乳腺癌的准确性。结果 超声结合弹性成像、钼 靶X 射线及两者联合对三阴性乳腺癌的诊断符合率分别为84.1%、77.80% 和92.1%。乳腺超声结合弹性成像 与钼钯X 射线表现比较，超声对三阴性乳腺癌的诊断符合率高，两种影像检查相结合时对三阴性乳腺癌的诊 断符合率高于单独使用超声及钼钯X 射线时。结论 多模态影像有利于提高三阴性乳腺癌的诊断率。

Abstract:

Objective To investigate the diagnostic value of conventional ultrasonography combined with elastography and mammography in multimodal imaging of triple-negative breast carcinoma. Methods The manifestations of conventional ultrasonogram, elastogram and mammogram in 63 cases of triple-negative breast carcinoma were analyzed retrospectively. The clinical value of ultrasonography combined with elastography and mammography in diagnosis of triple-negative breast carcinoma was compared. The accuracy of combined diagnosis for triple-negative breast carcinoma was analyzed. Results The accordance rates of ultrasonography combined with elastography, mammography and their combination for diagnosis of thriple-negative breast cancer were 84.1%, 77.80% and 92.1% respectively. Compared with mammography, the diagnosis accuracy of ultrasonography in thriple-negative breast cancer was higher. When the two images were combined, the diagnostic accuracy for the thriple-negative breast cancer was higher than that of single use of ultrasonography or mammography. Conclusions Multimodal imaging is helpful to improve the diagnostic rate of triple-negative breast carcinoma.