Zhuoran Wang, Xufeng Cao, Chunmei Jia, Na Mi, Tingting Li, Jingjie Wang, Ruiqi Fan, Jiayu Quan
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引用次数: 0
Abstract
Objective: The aim of this study is to investigate the influence of ultrasound and molybdenum target X-ray characteristics in predicting non-mass breast cancer.
Methods: A retrospective analysis was conducted on the clinical data of 185 patients presenting with non-mass breast lesions between September 2019 and 2021. The non-mass lesions were categorized into benign and malignant types based on ultrasonographic findings, which included lamellar hypoechoic, ductal alteration, microcalcification, and structural disorder types. Furthermore, an examination was undertaken to discern variances in molybdenum target X-ray parameters, ultrasonographic manifestations, and characteristics among individuals diagnosed with non-mass breast lesions.
Results: The ultrasonographic depiction of microcalcified lesions and the identification of suspicious malignancy through molybdenum target X-ray evaluation exhibited independent associations with non-mass breast cancer, yielding statistically significant differences (p < 0.05). Subsequently, the logistic regression model was formulated as follows: Logit (P) =-1.757+2.194* microcalcification type on ultrasound + 1.520* suspicious malignancy on molybdenum target X-ray evaluation. The respective areas under the receiver operating characteristic curves for microcalcification type on ultrasound, suspicious malignancy on molybdenum target X-ray, and the integrated diagnostic model were 0.733, 0.667, and 0.827, respectively, demonstrating discriminative capacities.
Conclusion: Using both ultrasound and molybdenum target X-ray diagnostics can increase the accuracy of non-mass breast cancer detection. The findings of this study have the potential to augment the detection rate of non-lumpy breast cancer and provide an imaging basis for enhancing the prognosis of individuals with breast cancer.
研究目的本研究旨在探讨超声和钼靶X射线特征对预测非肿块型乳腺癌的影响:对2019年9月至2021年期间185例非肿块乳腺病变患者的临床资料进行回顾性分析。根据超声检查结果将非肿块病变分为良性和恶性类型,其中包括片状低回声、导管改变、微钙化和结构紊乱类型。此外,还对被诊断为非肿块性乳腺病变的个体进行了检查,以发现钼靶 X 射线参数、超声表现和特征的差异:结果:微钙化病灶的超声描绘和通过钼靶X射线评估确定可疑恶性肿瘤与非肿块型乳腺癌有独立关联,差异有统计学意义(P < 0.05)。随后,建立了如下逻辑回归模型:Logit(P)=-1.757+2.194*超声检查微钙化类型+1.520*钼靶 X 射线评估可疑恶性程度。超声微钙化类型、钼靶 X 射线可疑恶性程度和综合诊断模型的接收者操作特征曲线下面积分别为 0.733、0.667 和 0.827,显示了鉴别能力:结论:同时使用超声波和钼靶 X 射线诊断可提高非肿块型乳腺癌检测的准确性。该研究结果有望提高非肿块型乳腺癌的检出率,并为改善乳腺癌患者的预后提供影像学依据。
期刊介绍:
The Journal of Multidisciplinary Healthcare (JMDH) aims to represent and publish research in healthcare areas delivered by practitioners of different disciplines. This includes studies and reviews conducted by multidisciplinary teams as well as research which evaluates or reports the results or conduct of such teams or healthcare processes in general. The journal covers a very wide range of areas and we welcome submissions from practitioners at all levels and from all over the world. Good healthcare is not bounded by person, place or time and the journal aims to reflect this. The JMDH is published as an open-access journal to allow this wide range of practical, patient relevant research to be immediately available to practitioners who can access and use it immediately upon publication.