磁共振联合乳腺X线摄影对乳腺导管原位癌的检出率分析

Analysis of the Detection Rate of Ductal Carcinoma in Situ of the Breast by Combined Use of Magnetic Resonance Imaging and Mammography

摘要: 目的：探讨开展乳腺导管原位癌诊断工作时联合应用磁共振、乳腺X线摄影对检出率的影响。方法：选取48例于2025年1月~2026年2月在哈密市中心医院接收的乳腺导管原位癌患者，均展开磁共振、乳腺X线摄影检查，对比分析诊断情况。结果：两种方法联合应用对乳腺导管原位癌的检出率是95.83%，分别高于磁共振单独应用的83.33%及乳腺X线摄影单独应用的81.25% (P < 0.05)；两种方法联合应用的诊断准确性是97.91%，特异性是100.00%，敏感性是97.87%，分别高于磁共振单独应用的87.50%、75.00%、88.64%及乳腺X线摄影单独应用的83.33%、60.00%、86.05% (P < 0.05)。结论：在乳腺导管原位癌中，联合应用磁共振、乳腺X线摄影有较高的检出率，可达到良好诊断效能。

Abstract: Objective: To explore the effect of combined application of magnetic resonance imaging and mammography on the detection rate in the diagnosis of ductal carcinoma in situ of the breast. Method: 48 patients with ductal carcinoma in situ of the breast who were admitted to Hami Central Hospital from January 2025 to February 2026 were selected and underwent magnetic resonance imaging and mammography examinations. The diagnostic results were compared and analyzed. Result: The detection rate of breast ductal carcinoma in situ using the combination of two methods was 95.83%, which was higher than the 83.33% of magnetic resonance imaging alone and the 81.25% of mammography alone (P < 0.05); The diagnostic accuracy, specificity, and sensitivity of the combined application of the two methods were 97.91%, 100.00%, and 97.87%, respectively, higher than the 87.50%, 75.00%, and 88.64% of magnetic resonance imaging alone and 83.33%, 60.00%, and 86.05% of mammography alone (P < 0.05). Conclusion: The combined use of magnetic resonance imaging and mammography has a high detection rate and good diagnostic efficacy in ductal carcinoma in situ of the breast.