动态增强MRI在乳腺良恶性疾病鉴别诊断中的应用.pdfVIP

维普资讯 2008年 6月第 46卷第 18期 · 论 著 · 动态增强MRI在乳腺良恶性疾病鉴别诊断中的应用 曾少 良 (广东省惠州市中心人民医院放射科，广东惠州516001) 摘【要】目的 评价动态增强MRI对乳腺良恶性病变的诊断价值。方法 对60例经手术病理证实的乳腺疾病患者行 MRI平 扫和动态增强检查。结果 28例乳腺癌的形态学特征性表现有形态不规则、环形强化和毛刺征。32例乳腺良性病变特征性 表现有类圆形或分叶状，边缘光整，强化均匀及强化后可见低信号间隔。良恶性病变T1WI和T2WI信号强度无显著性差异 (P0．05)；良恶性病变增强后边缘形态分布差异有显著性 (P0．01)；良恶性组间早期强化率差异有显著性 (P0．01)；对乳 腺癌诊断的敏感性为67．9％、特异性为77．8％、准确性为72．5％。结论 MRI动态增强减影技术对乳腺癌的诊断有一定的诊 断价值，值得在临床上推广应用。 [关键词】乳腺；肿瘤；磁共振成像 中【图分类号】R737．9 文【献标识码】A 文【章编号】1673—9701(2008)18—93—02 Apply Diagnostic Value of Bening and Maling na t in Breast Lesions by Enhna ced 胁 己I ZENG Shaoliang DepartmentofRadiology，Huizhou CentralHospital，Guangdong516001 A【bstract】ObjectiveToevaluatethediagnosticvalueofbenignandmalingnatinbreastlesionsbyenhnacedMRI．Methods60 cases confirmed by surgery nad pahtology ofthe disease in patients wiht breast by MRISCna nad dynamic enhna ced inspections． ResuLs The morphologicalfeatures of the breastcnacer perfomr nace irregularshape，strengthen nad Burr ring levy．Bening breast lesions chraacteristic of a round orsub—fronds，whole-edge，srtengthen nad intensify after hte unifomr htatlow singal spacing．Bening nadmalingnatlesionsT1WInadT2WIsingalstrengthnosingificnatdifference(P0．05)；bening nadmalingnatlesionsenhnacde ease of speciesdistribution htereweresingfiicnatdifferences (P0．01)；bening nadmalingantgroup eralyenhnacementweresingfiicnat differences (P0．01)；breastcnacerdiagnosisrateof sensitivity，specfiitynadaccuracywere67．9％，77．8％ nad72．5％．Conclusion MRIdny ma icenhnaced by video technoloyg in the diagnosisof breastcnacerhave acertain value． K【eyWords】Breast；Tumor；Mangeticresonnaceimaging 乳腺癌是女性常见的恶性肿瘤之一，影像学检查在其早期 ms、回波链长度2)、T