X线-MRI对乳腺癌综合诊断价值.docVIP

X线\MRI对乳腺癌综合诊断价值[摘要] 目的:探讨X线、MRI对乳腺癌的综合诊断价值。方法:分析经手术病理证实的30例乳腺癌患者X线、MRI的影像表现,分别从病灶形态学、钙化、淋巴结、皮肤及胸壁受累情况及信号特点、强化模式等方面进行分析和诊断,比较两种方法在检出率、诊断准确率、病灶范围的确定等方面的价值。结果:X线检出病灶26个,检出率为87.3%,诊断准确率为83.3%;MRI检出病灶32个,检出率为100.0%,诊断准确率为92.7%。结论:乳腺X线摄影检查直观、有效,是诊断乳腺癌的首选检查方法,结合MRI可提高诊断的灵敏度和特异度。 [关键词] 乳腺癌;X线;磁共振成像 [中图分类号] R737.9[文献标识码] B[文章编号] 1673-7210(2010)03(b)-068-03 Clinical application value of X-ray and MRI in the diagnosis of breast carcinoma LI Dongmei1, YI Mei2 (1.Department of Radiology, Dalian Traditional Chinese Medical Hospital, Dalian 116013, China; 2.Department of Radiology, the Second Affiliated Hospital of Dalian Medical University, Dalian 116011, China) [Abstract] Objective: To investigate the comprehensive value of X-ray mammography and MRI in diagnosing the breast cancer. Methods: 30 cases of patients with breast cancer were enrolled, both mammography and MRI scan were performed, including tumor morphology, calcification, signal characteristics, enhanced mode and Si-time curve. The values of X-ray and MRI were evaluated. Results: 26 masses were found by X-ray mammogram, detection rate was 87.3% and accuracy rate of X-ray was 83.3%; 32 masses were detected by MRI, detection rate was 100.0% and accuracy rate of MRI was 92.7%. Conclusion: A direct and effective means to breast cancer should be based on X-ray. The molybdenum X-ray mammography is helpful in the diagnosis of breast cancer, the sensitivity and specificity combined with MRI are enhanced when compared to that of single modality. [Key words] Breast cancer; X-ray mammography; Magnetic resonance imaging 乳腺疾病的影像诊断传统方法主要采取X线摄影和超声检查,但往往受分辨率及病变部位等因素的限制而有一定的局限性。近20年,随着磁共振成像技术(MRI)的发展,乳腺MRI已成为乳腺影像检查的一个重要组成部分[1]。本研究将钼靶、MRI技术相结合,探讨其在乳腺癌诊断中的应用价值,旨在提高乳腺癌的诊断准确率。 1 资料与方法 1.1 一般资料 收集2007年10月～2009年4月在大连医科大学附属二院进行乳腺癌手术的患者30例,均行X线钼靶检查及MRI检查,经手术治疗后并获得病理结果。患者均为女性,年龄27～73岁,平均47岁。 1.2 方法 本研究使用GE普通型钼靶机及GE1.5T超导型磁共振扫描仪。钼靶摄片采用头尾位、侧斜位。磁共振扫描采用FSET1WI、T2WI加脂肪抑制横断位扫描,动态增强采用二维快速梯度回波序列(2DFSPGR)加脂肪抑制T1WI