中国医药科学2025，Vol.15Issue(1)：157-160,4.DOI:10.20116/j.issn2095-0616.2025.01.38
MR动态增强TIC曲线联合弥散加权成像检查对乳腺病变鉴别诊断的价值
Value of MR dynamic enhanced TIC curve combined with diffusion-weighted imaging in differential diagnosis of breast lesions
摘要
Abstract
Objective To explore the value of magnetic resonance(MR)dynamic enhanced time-intensity curve(TIC)combined with diffusion-weighted imaging(DWI)in the differential diagnosis of breast lesions.Methods A total of 274 patients with breast lesions admitted to the Imaging Department,Zhangzhou Municipal Hospital of Fujian Province from January to December 2023 were selected as the research subjects.All patients underwent magnetic resonance imaging(MRI)examination,and TIC curve analysis was performed on the enhanced images.DWI was performed to obtain ADC values,and the value of different examination methods for breast lesions was evaluated according to pathological results,and the ADC values and TIC curves of benign and malignant lesions were compared.Results Pathological examination confirmed 152 cases(55.47%)as benign and 122 cases(44.53%)as malignant.The sensitivity of combined diagnosis was 98.36%,and the accuracy was 97.08%,both of which were higher than those of individual examination(P＜0.05).The ADC value in the benign lesion group was higher than that in the malignant lesion group(P＜0.05).The TIC curves of the benign lesion group were mainly type Ⅰ(57.89%)and typeⅡ(32.89%),while the TIC curves of the malignant lesion group were mainly type Ⅱ(54.92%)and type Ⅲ(39.34%).Conclusion The use of MRI dynamic enhanced TIC curve combined with DWI examination for the differential diagnosis of benign and malignant breast lesions has high accuracy and diagnostic sensitivity.关键词
乳腺病变/良恶性/MR动态增强/时间-强度曲线/弥散加权成像Key words
Breast lesions/Benign and malignant/MR dynamic enhanced/Time-intensity curve/Diffusion-weighted imaging分类
医药卫生引用本文复制引用
薛秋榕,郑幼榕,沈晓燕,郭毓娟..MR动态增强TIC曲线联合弥散加权成像检查对乳腺病变鉴别诊断的价值[J].中国医药科学,2025,15(1):157-160,4.基金项目
福建省自然科学基金资助项目(2023J011813). （2023J011813）
