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MRI动态增强技术对小乳腺癌的诊断价值

顾培华 蔡庆 沈玉英 雷海燕

中国医学装备Issue(10):86-88,3.
中国医学装备Issue(10):86-88,3.DOI:10.3969/J.ISSN.1672-8270.2014.10.029

MRI动态增强技术对小乳腺癌的诊断价值

Preliminary application of dymaic-contrast MRI in diagnosis of small breast cancer

顾培华 1蔡庆 1沈玉英 1雷海燕1

作者信息

  • 1. 苏州市立医院东区放射科 江苏 苏州 215001
  • 折叠

摘要

Abstract

Objective: To study the imaging features and time- signal intensity curve of small breast lesions, and to evaluate the value of clinical application of dynamic contrast-enhanced MRI scan technique in diagnosis of small breast cancers. Methods: Thirty nine female patients pathologically confirmed small breast lesions(≤2 cm)underwent bilateral breast dynamic contrast enhanced MRI. Use MRI workstation function software to describe the time- signal intensity curve(TIC). Results: 19 cases were pathologically confirmed as small breast cancer, 20 cases were benign breast tumor. 15 cases of small breast cancer showed TIC typeI, 3 cases showed type II, 1 cases showed type III.Eleven among 19 cases of early enhancement rate ≥60%. Two among 20 cases of benign tumor TIC curve showed type I, 2 cases showed type II , 16 cases showedtype III, 5 cases of benign tumor early enhancement rate≥60%. The morphological characteristics, early enhanced rate≥60%, TIC type I as the diagnostic criteria.The combination of two types of information in the presented diagnostic algorithm achieved an optimized sensitivity of 92%, specificity of 90%, accuracy of 95%. Conclusion:MRI features of breast lesions in combination with the TIC and the early phase enhancement rate improves breast small tumor diagnosis sensitivity and specificity, which can provide valuable information in diagnosis of small breast cancer.

关键词

乳腺癌/磁共振动态增强扫描/时间-信号曲线

Key words

Breast cancer/Dynamic enhanced magnetic resonance imaging scanning/Time-signal intensity curve

分类

医药卫生

引用本文复制引用

顾培华,蔡庆,沈玉英,雷海燕..MRI动态增强技术对小乳腺癌的诊断价值[J].中国医学装备,2014,(10):86-88,3.

基金项目

苏州市科技发展计划项目(SYS201257):“早期乳腺癌MR功能成像和病理、生物因子相关性研究” (SYS201257)

中国医学装备

OACSTPCD

1672-8270

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