Clinical value of suspicious calcification in the diagnosis and surgical treatment of breast lesions using contrast-enhanced spectral mammography

• Published in: Zhong hua yi xue za zhi Vol. 100; no. 1; p. 42
• Main Authors: Sun, X F, Xing, W, Yu, S N, Sha, Y Y, Pan, L, Chen, Q
• Format: Journal Article
• Language: Chinese
• Published: China 07.01.2020
• Subjects: Adult; Aged; Aged, 80 and over; Breast Neoplasms - diagnostic imaging; Breast Neoplasms - surgery; Calcinosis; Contrast Media; Female; Humans; Mammography; Mastectomy; Middle Aged; Breast diseases; Surgical procedures, operative; Mammography
• ISSN: 0376-2491
• DOI: 10.3760/cma.j.issn.0376-2491.2020.01.010

To evaluate clinical value of suspicious calcification in the diagnosis and surgical treatment of breast lesions using contrast-enhanced spectral mammography. Ninty-four patients who underwent CESM with suspicious calcification on the low-energy(LE) images in Third Affiliated Hospital of Soochow University from April 2017 to April 2019 were collected.All patients were female, with an average age of 51 years (26 to 89 years).All patients underwent biopsy or surgery to obtain pathological results. Two experienced radiologists provide BI-RADS classification for LE images and CESM. To assess pairwise agreement between BI-RADS classification on CESM and LE images among readers, test were calculated. Using pathology results as the gold standard,the diagnostic efficacy of LE images and CESM were analyzed by receiver operating characteristic (ROC)curve, and test was used to compare the areas under the ROC curves (AUC) among them, calculated the sensitivity, specificity. The intraclass correlation coefficient (ICC) wa