Comparison of Contrast-Enhanced Spectral Mammography and Contrast-Enhanced MRI in Screening Multifocal and Multicentric Lesions in Breast Cancer Patients

被引:9
作者
Feng, Lei [1 ]
Sheng, Lei [2 ]
Zhang, Litao [2 ]
Li, Na [3 ]
Xie, Yuanzhong [2 ]
机构
[1] Jining 1 Peoples Hosp, Dept Radiol, Jining 272013, Peoples R China
[2] Qingdao Univ, Affiliated Hosp, Dept Clin Imaging, Taian City Cent Hosp, Tai An 271000, Shandong, Peoples R China
[3] Shandong First Med Univ & Shandong Acad Med Sci, Grad Sch, Tai An 271000, Shandong, Peoples R China
关键词
PERFORMANCE; DIAGNOSIS; CESM;
D O I
10.1155/2022/4224701
中图分类号
R8 [特种医学]; R445 [影像诊断学];
学科分类号
1002 ; 100207 ; 1009 ;
摘要
Objectives. We aimed to determine the difference between contrast-enhanced spectral mammography (CESM) and contrast-enhanced magnetic resonance imaging (CE-MRI) in detecting multifocal and multicentric breast cancer (MMBC). Methods: This study was conducted among breast cancer patients between July 1, 2017, and May 30, 2021. The sensitivity, specificity, and accuracy of CESM and CE-MRI in the diagnosis of MMBC were evaluated with pathological results as the gold standard. Results. A total of 188 lesions were detected in 54 patients with MMBC, including 177 breast cancer and 11 benign lesions. Based on CESM and CE-MRI, 4 false-positive cases and 3 false-negative cases and 7 false-positive cases and 1 false-negative case, respectively, were found. The accuracy of CESM was higher than that of MRI (96.3% vs 95.7%), and the specificity was higher than that of MRI (63.6% vs 36.4%). There were no significant differences in the sensitivity, specificity, and accuracy for the detection of MMBC between CESM and CE-MRI (p = 0.500; p = 0.250; p = 0.792). Conclusion. CESM is an effective method for the detection of MMBC, which is consistent with the sensitivity and accuracy of CE-MRI.
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页数:8
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