影像科学与光化学2024，Vol.42Issue(1)：53-57,5.DOI:10.7517/issn.1674-0475.231007
致密类乳腺病变不同影像学检查方案的效果评价
Comprehensive Evaluation of the Effectiveness and Cost of Different Imaging Protocols in Breast Cancer Screening
摘要
Abstract
The single or combined diagnostic efficacy of ultrasound,mammography and magnetic resonance imaging in dense breast was evaluated in combination with medical economics.Data from 130 patients with 134 lesions of dense breast who underwent surgery or needle biopsy were retrospectively analyzed,and all patients completed ultrasound,mammography and magnetic resonance examination within 2 weeks before surgery.The results showed that mammography in a single examination protocol was of limited value in the diagnosis of dense breast lesions.Magnetic resonance imaging had high sensitivity and specificity,but the cost-effectiveness ratio was high(4.84),making it unsuitable for general screening.Ultrasound had high sensitivity and the lowest cost-effectiveness ratio(0.99),which could be used as the preferred examination,but had insufficient specificity,so supplementary examination was needed to improve the diagnostic effect.The combination of ultrasound and magnetic resonance had the highest accuracy and the lowest incremental cost-effectiveness ratio,making it the optimal solution from a medical economics perspective.Dense breast ultrasound has found suspicious lesions,and then combined with magnetic resonance examination,can significantly improve the diagnostic efficiency.关键词
致密类乳腺/超声/钼靶/磁共振/卫生经济/效果评价Key words
dense breast/ultrasound/mammography/magnetic resonance imaging/medical economics/effect evaluation引用本文复制引用
马财,王永胜,陈文静..致密类乳腺病变不同影像学检查方案的效果评价[J].影像科学与光化学,2024,42(1):53-57,5.基金项目
上海市金山区医药卫生科技创新资金项目(2022-WS-15) （2022-WS-15）
