Diagnostic Efficacy of Contrast-Enhanced Ultrasound and MRI in the
Clinical Features and Prognosis of Non-Mass DCIS
LIU Fang1a, ZHOU Menghong1a, YI Xi2, YUAN Bo1b, OU Xiaoxia1a, LI Li1a
1. a. Department of Ultrasonic Imaging; b. Department of Breast Surgery, The First Hospital of Hunan University of Chinese
Medicine, Changsha Hunan 410007, China; 2. Department of Radiology, Hunan Provincial People’s Hospital (The First Affiliated
Hospital of Hunan Normal University), Changsha Hunan 410016, China
Abstract:Objective To investigate the diagnostic efficacy of contrast-enhanced ultrasound and MRI in the clinical features and
prognosis of non-mass ductal carcinoma in situ (DCIS). Methods A total of 100 patients with non-mass DCIS who underwent
contrast-enhanced ultrasound and MRI in our hospital From January 2021 to November 2023 were selected. The diagnostic accuracy
of contrast-enhanced ultrasound and MRI, and the relationship between their scores and clinical features and prognosis were
observed and recorded. Results Among the 100 patients, 83 cases of non-mass DCIS were detected by contrast-enhanced ultrasound,
with an accuracy of 83.00% (83/100); 86 cases were detected by MRI, with an accuracy of 86.00% (86/100); 93 cases were detected
by contrast-enhanced ultrasound combined with MRI, with an accuracy of 93% (93/100). There were significant differences in the
ultrasonographic evaluation of pathological type, lymph node metastasis, histological grade and nuclear grade among the groups of
non-mass DCIS patients (P<0.05). There were significant differences in MRI evaluation of pathological type, lymph node metastasis,
histological grade and nuclear grade among the groups of non-mass DCIS patients (P<0.05). Compared with the good prognosis
group, the contrast-enhanced ultrasound scores and MRI scores of the poor prognosis group were significantly increased, with
statistical difference between the groups (P<0.05). The area under curve of non-mass DCIS detected by contrast-enhanced ultrasound
was 0.790, that of MRI was 0.834, and that of the combination was 0.919. Conclusion Contrast-enhanced ultrasound and MRI have
diagnostic value for the clinical features and prognosis of non-mass DCIS, and the combined diagnostic value is higher, and can be
used for the differential diagnosis and prognosis evaluation of the clinical features of non-mass DCIS.
刘芳1a,周梦红1a,易熙2,袁博1b,欧晓霞1a,李莉1a. 超声造影及MRI对非肿块型DCIS临床特征及预后的诊断效能分析[J]. 中国医疗设备, 2023, 38(9): 81-86.
LIU Fang1a, ZHOU Menghong1a, YI Xi2, YUAN Bo1b, OU Xiaoxia1a, LI Li1a. Diagnostic Efficacy of Contrast-Enhanced Ultrasound and MRI in the
Clinical Features and Prognosis of Non-Mass DCIS. China Medical Devices, 2023, 38(9): 81-86.