网站首页期刊介绍通知公告编 委 会投稿须知电子期刊广告合作联系我们
最新消息:
动态增强MRI对致密型乳腺中T1及Tis期乳腺癌诊断的价值
作者:胡亮武  周春容  曹跃勇 
单位:宜宾市第二人民医院 放射科, 四川 宜宾 644000
关键词:动态增强MRI 乳腺DR钼靶 致密腺体型 乳腺癌 T1及Tis期 
分类号:R445.2
出版年·卷·期(页码):2018·46·第一期(54-56)
摘要:

目的:比较动态增强MRI与乳腺DR钼靶对致密型乳腺T1及Tis期乳腺癌诊断的价值。方法:选取72例致密型乳腺患者,分别进行动态增强MRI检查及乳腺DR钼靶检查,采用χ2检验比较两种检查中T1及Tis期乳腺癌的检出率和诊断准确率。结果:对致密型乳腺患者,T1及Tis期乳腺癌的检出率动脉增强MRI为79.17%(57/72),乳腺DR钼靶为41.67%(30/72),两者差异有统计学意义(P<0.05);动脉增强MRI检查的准确率为72.22%(52/72),乳腺DR钼靶检查的准确率为37.50%(27/72),两者差异也有统计学意义(P<0.05)。结论:动脉增强MRI能明显提高致密型乳腺患者中T1及Tis期乳腺癌的检出率及准确率。

Objective:To compare the value of dynamic contrast-enhanced MRI(DCE-MRI) and breast DR mammography in the diagnosis of T1 and Tis breast cancer of dense gland. Methods:Seventy-two patients with dense glandular type were examined by DCE-MRI and DR mammography respectively. The detected ratio and diagnostic accuracy of the two methods were compared by chi square test.Results:Detected ratio of the T1 and Tis breast cancer of dense gland was 79.17%(57/72) by DCE-MRI and 41.67%(30/72) by DR mammography, the difference was statistically significant (P<0.05);Accuracy ratio was 72.22% (52/72) by DCE-MRI examination and 37.50% (27/72)by DR mammography examination, the difference was statistically significant (P<0.05).Conclusion:DCE-MRI can significantlly improve the detection ratio and accuracy ratio for T1 and Tis breast cancer in dense breast.

参考文献:

[1] 刘佩芳.MRI检查在乳腺癌诊治中的作用[J].实用肿瘤杂志,2005,20(5):375-377.
[2] 王菊,刘佩芳,李军楠,等.乳腺X线和超声检查对T1及Tis期乳腺癌诊断效能的比较[J].中华医学杂志,2015,95(1):34-36.
[3] KUHL C K.MRI of breast tumors[J].Eur Radiol,2000,10(1):46-58.
[4] 姜婷婷,李志,汪登斌,等.MRI对X线上致密型乳腺中乳腺癌的诊断价值[J].中国医学计算机成像杂志,2012,18(4):317-321.
[5] KOLB T M,LICHY J,NEWHOUSE J H.Comparison of the peformance of screening mammography,physical examination,and breast US and evaluation of the factors that influence them:ananalysis of 27,825 patient evaluations[J].Radiology,2002,225(1):165-175.
[6] BLUEMKE D A,GATSONIS C A,CHEN M H,et al.Magnetic resonance imaging of the breast prior to biopsy[J].JAMA,2004,292(22):2735-2742.
[7] 鲍润贤.中华乳腺医学乳腺卷[M].北京:人民卫生出版社,2002:66-124.
[8] 姜婷婷,赵亚娥,汪登斌,等.乳腺X线摄影与MRI对致密型乳腺内病变的诊断[J].放射学实践,2011,26(10):1067-1071.
[9] 钟琦,崔凤.MRI动态增强联合DWI对致密型乳腺中的小乳腺癌的诊断价值[J].浙江临床医学,2015,17(7):1214-1215.
[10] 张亚平,董光,耿海,等.DCE-MRI和DWI对乳腺腺病和乳腺癌的诊断价值[J].实用放射学杂志,2017,33(4):533-536,553.
[11] 刘媛,归奕飞.致密型乳腺影像学筛查技术及进展[J].实用放射学杂志,2017,33(1):138-140,164.
[12] 朱融,董光,耿海,等.动态增强磁共振扫描及弥散加权成像对无占位效应乳腺病灶的诊断价值[J].医学影像学杂志,2015,25(6):1083-1087.
[13] 陈倩,沈玉英,陈双庆,等.多模态MRI对致密型乳腺中乳腺癌的诊断价值[J].实用放射学杂志,2016,32(10):1535-1538.
[14] 胡益祺,冉玲平,冯梦丹,等.RSNA2015乳腺影像学[J].放射学实践,2016,31(2):102-107.
[15] 张莉,洪常华.DBT与FFDM对致密型乳腺病变诊断对比分析[J].医学影像学杂志,2016,26(8):1536-1538.

服务与反馈:
文章下载】【发表评论】【查看评论】【加入收藏
提示:您还未登录,请登录!点此登录
您是第 238577 位访问者


 ©《现代医学》编辑部
联系电话:025-83272479;83272481
电子邮件: xdyx@pub.seu.edu.cn

苏ICP备09058541