毛刺型乳腺癌在数字断层融合摄影及动态增强MRI检查中的对比研究  

A Comparative Study of Burr Breast Cancer in Digital Tomography and Dynamic Enhanced MRI

作　　者：刘伟娟[1] 马洪舟[1] LIU Weijuan;MA Hongzhou(Department of Radiology,Heze Municipal Hospital,Shandong Province,Heze,Shandong Province,274000 China)

机构地区：[1]山东省菏泽市立医院放射科,山东菏泽274000

出　　处：《世界复合医学》2022年第1期68-72,共5页World Journal of Complex Medicine

摘　　要：目的探讨毛刺型乳腺癌中毛刺在数字断层融合摄影及动态增强乳腺MRI检查中的诊断价值。方法2019年1月—2020年11月对同时进行数字断层融合摄影乳腺X线检查,动态增强乳腺MRI检查,并经手术证实的42例毛刺型乳腺癌患者进行回顾性分析。统计并分析毛刺征象在两种检查中出现的比率。结果在42例毛刺型乳腺癌患者的影像表现中,经数字断层融合摄影乳腺X线检查发现毛刺37例(占总病例88.1%),其中棘状突起5例(11.9%),细毛刺10例(23.8%),粗毛刺22例(52.4%)。经乳腺MRI检查中发现毛刺33例(占总病例78.6%):其中棘状突起7例(16.7%),细毛刺3例(7.1%),粗毛刺23例(54.8%)。结论对于乳腺癌毛刺征的显示,乳腺数字断层摄影(DBT)与乳腺MRI检查各具有优势。在临床实际工作中应将二者合理联合使用,才能大大提高乳腺癌的检出率及准确率。Objective To investigate the diagnostic value of burrs in burr breast cancer in digital tomography and dynamic-enhanced breast MRI.Methods From January 2019 to November 2020,42 patients with burr breast cancer who underwent digital ct fusion mammography and dynamic enhanced breast MRI at the same time and were confirmed by surgery were retrospectively analyzed.Counted and analyzed the ratio of glitch signs in the two inspections.Results Among the 42 cases of burr breast cancer patients,37 cases of burrs were found by digital tomography mammography(88.1%of the total cases).Among them,5 cases(11.9%)of spinous protrusions,10 cases(23.8%)of fine burrs,and 22 cases(52.4%)of coarse burrs.33 cases of burrs were found in breast MRI examination(78.6%of the total cases).Among them,7 cases(16.7%)of spinous protrusions,3 cases(7.1%)of fine burrs,and 23 cases(54.8%)of coarse burrs.Conclusion For the display of breast cancer spur sign,digital breast tomography(DBT)and breast MRI have their own advantages.In clinical practice,the two should be used in a reasonable combination to greatly improve the detection rate and accuracy of breast cancer.

关 键 词：乳腺癌 毛刺征 数字断层融合摄影 动态增强 磁共振成像 

分 类 号：R4[医药卫生—临床医学]