中国临床医学影像杂志2024，Vol.35Issue(1)：31-34,4.DOI:10.12117/jccmi.2024.01.007
FS-T2WI联合DWI在乳腺良恶性囊实性病变鉴别诊断中的价值
Value of FS-T2WI combined with DWI in the differential diagnosis of benign and malignant cystic solid lesions of the breast
摘要
Abstract
Objective:To explore the value of fat saturation T2-weighted imaging(FS-T2WI)combined with diffusion weight-ed imaging(DWI)in the differential diagnosis of benign and malignant cystic and solid lesions of the breast.Methods:A ret-rospective study was conducted on 95 cases with cystic and solid lesions of breast treated in our hospital from January 2021 to December 2022,with a total of 113 lesions.Before treatment,the patients were scanned with FS-T2WI and DWI sequence,and the images were analyzed to obtain ADC values and FS-T2WI nonuniformity.The results of surgical pathology were used as the gold standard.The receiver operator curve(ROC)was used to analyze the differential efficacy of FS-T2WI and DWI se-quence scanning in benign and malignant cystic and solid breast disease.Results:Pathological tissue biopsies were performed on 95 cases,38 cases had malignant nodules and 57 cases had no malignant nodules.According to the results,the patients were divided into benign group and malignant group.Comparing the data of patients in the two groups,it was found that the number of nodules in the malignant group was significantly greater than that in the benign group,and the diameter of the largest tumor was larger than that in the benign group(P<0.05).Pathological examination showed that there were 113 nodules,including 48 malignant nodules and 65 benign nodules.According to the different nature of the nodules,they were divided into benign and malignant nodules.Comparing the FS-T2WI and DWI sequence scanning results of different nodules,it was found that there were statistically significant differences in the characteristics,thickness,and internal enhancement characteris-tics of the cyst wall between benign and malignant nodules.The average diameter of malignant nodules was larger than that of benign nodules,and the ADC and SIR values were smaller than those of benign nodules(P<0.05).The AUC of ADC value and SIR value for the diagnosis of benign and malignant cystic and solid breast lesions were 0.801 and 0.818,respectively,and the AUC of the combined detection of the two was 0.908.The sensitivity and specificity of the combined diagnosis were 81.3%and 86.3%,respectively,which were higher than the diagnostic efficacy of the single diagnosis.Conclusion:FS-T2WI and DWI sequence scanning have high value in differential diagnosis of breast cystic solid benign and malignant lesions,and the sensitivity and specificity of the combined diagnosis of both are higher than those of single diagnosis.关键词
乳腺肿瘤/乳腺疾病/磁共振成像Key words
Breast Neoplasms/Breast Diseases/Magnetic Resonance Imaging分类
医药卫生引用本文复制引用
郑海龙,严高武..FS-T2WI联合DWI在乳腺良恶性囊实性病变鉴别诊断中的价值[J].中国临床医学影像杂志,2024,35(1):31-34,4.基金项目
四川省卫生健康委员会科研课题(编号:19PJ284). （编号:19PJ284）
