MRI在早期乳腺癌诊断中的临床价值  

The value of MRI in diagnosis of breast cancer

作　　者：李洪义[1] 邵建民[2] 胡明成[1] 包权[1] 邢健[1] 魏秀芳[1] 尹燕伟[1] 刘鹤[1] LiHongyi Shao Jianmin Hu Mingcheng Bao Quan Xing Jian Wei Xiufang Yin Yanwei Liu He(MRI Room, Hongqi Hospital of Mudanjiang Medical University, Heilongjiang Mudanjiang 157000, China Luohe Medical College, Henan Luohe 462002, China.)

机构地区：[1]牡丹江医学院红旗医院磁共振室,黑龙江牡丹江157000 [2]河南省漯河医学高等专科学校,河南漯河462002

出　　处：《现代肿瘤医学》2016年第23期3814-3818,共5页Journal of Modern Oncology

摘　　要：目的:探讨磁共振动态扫描对乳腺癌诊断的临床价值。方法:对158例病例进行磁共振动态增强扫描(乳腺钼靶或乳腺超声发现肿块)。对穿刺活检证实乳腺癌的86例患者,回顾性分析磁共振波谱分析(MRS)及磁共振弹性成像(MRE)检查,并进行两者诊断准确性比较。结果:107例患者行磁共振动态增强扫描诊断乳腺癌,与手术或病理诊断的符合率为96.26%。MRS和MRE两项检查对于早期乳腺癌诊断的准确性分别可达78.48%和81.65%。结论:磁共振动态扫描对乳腺癌的诊断及治疗具有重要价值。Objective： To investigate the clinical value of MRI scans in breast cancer diagnosis. Methods： A total of 158 cases with breast cancer tested by breast B ultrasound and mammography did dynamic contrast- enhanced magnetic resonance scanning. 86 breast cancer patients who had been confirmed by puncture biopsy contrast diagnose accuracy of MRS and MRE was retrospectively analyzed. Results： There were 107 cases with breast cancer diagnosed by enhanced dynamic MRI scan,and the coincidence rate of diagnosis with operation or pathology was 96. 26%. The accuracy test of MRS and MRE for breast cancer diagnosis was 78. 48% and 81. 65%. Conclusion： In breast cancer the dynamic contrast enhanced MRI scans has great value of diagnosis and treatment.

关 键 词：核磁共振 乳腺癌 动态增强扫描 磁共振波谱分析 磁共振弹性成像 

分 类 号：R737.9[医药卫生—肿瘤]