Comparative Study on Breast Imaging Diagnostic Methods of Commonly Used_CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Authors：

HUANG Yan , YU Chengze , WANG Gangle , YANG Tao , LU Hong , SONG Zhiwu , BIAN Chenfeng.

Department of Surgery, Affiliated 307 Hospital，Academy of Military Medical Sciences, Beijing 100071, China;

Corresponding author：

Keywords：

BreastColor-doppler ultrasonographyMammographyNear-infrared light scanning

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【Abstract】　Objective　To compare the accuracy of color-doppler ultrasonography, mammography and near-infrared light scanning for diagnosing breast diseases. Methods　The diagnostic accuracy of the above three imaging methods were analyzed and compared with each other on the basis of the postoperative pathological results. Results
Five hundreds and sixty-five cases (breast cancer: 274 cases, benign diseases: 291 cases) were examined. The sensitivity of color-doppler ultrasonography, mammography and near-infrared light scanning for diagnosing breast cancer were 83.7%(200/239), 84.2%(64/76) and 76.9%(100/130), respectively. The specificity were 88.6%(226/255), 93.2%(69/74) and 82.6%(114/138), and the accuracy were 86.2%(426/494), 88.7%(133/150) and 79.9%(214/268), respectively. Color-doppler ultrasonography and mammography were superior to near-infrared light in the item of accuracy (P＜0.05), especially for lesions of breast cancers that were less than 2 cm. The false negative rate of near-infrared light was higher (48.8%, 21/43）than those of the other methods in detecting breast cancer at early stage. The sensitivity for detecting intraductal papilloma and inflammation of breast using color-doppler ultrasonography were 58.8%(10/17) and 69.2%(18/26), respectively, which were higher than that of near-infrared light scanning 〔0 and 23.5%(4/17)， P＜0.05 and P＜0.01〕. The sensitivity and the accuracy of near-infrared light without physical examination reduced significantly, in which the sensitivity reduced from 76.9%(100/130) to 56.9%(74/130), P＜0.01, and the accuracy reduced from 79.9%(214/298) to 61.9%(166/268), P＜0.01. Conclusion　Color-doppler ultrasonography and mammography are accurate imaging methods for diagnosing breast diseases.

Citation： HUANG Yan,YU Chengze,WANG Gangle,YANG Tao,LU Hong,SONG Zhiwu,BIAN Chenfeng.. Comparative Study on Breast Imaging Diagnostic Methods of Commonly Used. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2006, 13(5): 576-579. doi: Copy

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2. 　刘景平，李春梅，夏　天，等. 近红外线扫描及彩色多普勒超升对乳腺癌的诊断价值比较 [Ｊ]. 中国普外基础与临床杂志， 1998； 5(5)∶303.
3. 　胡永升. 现代乳腺影像诊断学 [M]. 北京：北京科学出版社， 2001∶45~430.
4. 　王建华. 实用医学科研方法 [M]. 北京：北京人民卫生出版社， 2003∶192~194.
5. 　Schulz-Wendtland R, Bock K, Aichinger U, et al. Ultrasound examination of the breast with 7.5 MHz and 13 MHz-transducers: scope for improving diagnostic accuracy in complementary breast diagnostics? [Ｊ]. Ultraschall Med， 2005; 26(3)∶209.
6. 　Berg WA, Gutierrez L, NessAiver MS, et al. Diagnostic accuracy of mammography, clinical examination, US, and MR imaging in preoperative assessment of breast cancer [Ｊ]. Radiology， 2004; 233(3)∶830.
7. 　Boehm T, Hochmuth A, Malich A, et al. Contrast-enhanced near-infrared laser mammography with a prototype breast scanner: feasibility study with tissue phantoms and preliminary results of imaging experimental tumors [Ｊ]. Invest Radiol， 2001; 36(10)∶573.

CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Comparative Study on Breast Imaging Diagnostic Methods of Commonly Used

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