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Date Published: 18/10/2021
Abstract Views: 266
Views PDF: 145
DOI: https://doi.org/10.51298/vmj.v506i1.1159
Issue
Vol. 506 No. 1 (2021)
Section
Các bài báo
How to Cite
Thị Bích Hạnh, T. ., Minh Hải, N. ., Thu Thủy, V. ., Thị Phương Thảo, T. ., & Thị Thanh Xuân, L. . (2021). VALUE OF CONTRAST ENHANCED SPECTRAL MAMMOGRAPHY IN DIAGNOSIS OF BREAST CANCER. Vietnam Medical Journal, 506(1). https://doi.org/10.51298/vmj.v506i1.1159

VALUE OF CONTRAST ENHANCED SPECTRAL MAMMOGRAPHY IN DIAGNOSIS OF BREAST CANCER

Trần Thị Bích Hạnh1,, Nguyễn Minh Hải2, Vũ Thu Thủy1, Trần Thị Phương Thảo1, Lê Thị Thanh Xuân1
1 108 Military Central Hospital
2 Military Hospital 103, Vietnam Military Medical University

Main Article Content

Abstract

Objectives: To evaluate the diagnostic values of contrast enhanced spectral mammography (CESM) in patient withbreast cancer compared with histopathological results. Methods: Retrospective, cross-sectional study. Results: Studying on 50 patients with breast tumor lesions undergoing CESM, the average age was 49.86 ± 12.06. Multi-lobular mass on CESM had a sensitivity of 71.4%, specificity of 68.2%, a positive predictive value of 74.1% and a negative predictive value of 65.2%, with an accuracy of 60%. The indistinct margin mass on CESM had a sensitivity of 53.6%, a specificity of 77.3%, a positive predictive value of 75% and a negative predictive value of 56.7%, with an accuracy of 64%. Invasive tumor on CESM X-ray had a sensitivity of 42.9%, a specificity of 95.5%, a positive predictive value of 92.3% and a negative predictive value of 56.8%, with an accuracy of 66%. The image of enhancement on CESM had a sensitivity of 89.3%, a specificity of 90.9%, a positive predictive value of 92.6% and a negative predictive value of 87%, with an accuracy of 90%. The BIRADS classification ≥ 4 on CESM has a sensitivity of 96.4%, a specificity of 22.7%, a positive predictive value of 61.4% and a negative predictive value of 83.3%, with an accuracy of 64%. Conclusion: Image of CESM effectively evaluates hypedense lesions, clearly showing the mass nature, less omission of lesions, thus valuable in diagnosing breast cancer with subjects with dense mammary glands.

Article Details

Keywords

Breast tumor, contrast enhanced spectral mammography

References

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