磁共振动态增强成像和彩色多普勒超声对乳腺癌新辅助化疗效果评估的对比探讨  

The Comparison Discussion of the Effect Evaluation of Neoadjuvant Chemotherapy of Breast Cancer with Dynamic Contrast Enhanced Magnetic Resonance Imaging and Color Doppler Ultrasonography

作　　者：陈豪[1] 张丽雅[1] 周旭峰[1] 李华丽[1] 何莎莎[1] 刘林[1] 

机构地区：[1]郑州大学附属洛阳中心医院,河南洛阳471000

出　　处：《中国医学创新》2016年第6期4-7,共4页Medical Innovation of China

摘　　要：目的:比较磁共振动态增强成像技术和彩色多普勒超声操作在乳腺癌新辅助化疗效果评估中的应用效果。方法:选择2013年4月-2015年3月本院收治的女性乳腺癌患者68例,所有患者治疗前后均行病理活检,在接受新辅助化疗之后完成乳腺癌改良根治术。患者实施化疗前均进行体检和彩色多普勒超声检查,其中32例患者因病情需要于辅助化疗前行磁共振动态增强成像检查,对比磁共振动态增强成像技术和彩色多普勒超声的疗效评估和术后病理结果的一致性。结果:通过术后病理反应分级标准进行评价,磁共振动态增强成像对于新辅助化疗的治疗效果优于彩色多普勒超声技术,特异性和准确性表现良好、一致性较高,差异显著。结论:磁共振动态增强成像对于乳腺癌患者新辅助化疗效具有积极评估效果,具有临床推广意义。[ Abstract ] Objective： To compare the application effect of dynamic contrast enhanced magnetic resonance imaging and color Doppler ultrasonography for neoadjuvant chemotherapy of breast cancer. Method： 68 cases of female breast cancer from April 2013 to March 2015 in our hospital were selected. All patients were performed with pathological biopsy before and after the treatment. After neoadjuvant chemotherapy was given, the modified radical mastectomy was completed. Before the patients were given chemotherapy, physical examination and the color Doppler ultrasound were given. Among them, 32 cases of patients were given with dynamic contrast enhanced magnetic resonance imaging because of illness need before adjuvant chemotherapy. Then the consistency of the curative effect evaluation of dynamic contrast enhanced magnetic resonance imaging and color Doppler ultrasonography and the postoperative pathologic results were studied. Result： Through the evaluation of the postoperative pathological response classification standard, the curative effect on the neoadjuvant chemotherapy of dynamic contrast enhanced magnetic resonance imaging was higher than the color Doppler ultrasound, the specificity and accuracy of performance was good, and the consistency was high, there had significant differences. Conclusion： The evaluation effect of the application in the evaluating the effect of neoadjuvant chemotherapy of breast cancer of dynamic contrast enhanced magnetic resonance imaging is positive; and it has the clinical significance.

关 键 词：磁共振动态增强成像 彩色多普勒超声 乳腺癌 新辅助化疗 

分 类 号：R737.9[医药卫生—肿瘤]