多参数MRI征象对非钙化型乳腺腺病与非钙化型乳腺癌的鉴别诊断价值  

The Value of Multi-parameter MRI Features in The Differential Diagnosis of Noncalcified Breast Adenopathy and Noncalcified Breast Cancer

作　　者：陈雪琴 王长耿 李杰 付丽媛 陈自谦 郑德春[1] Chen Xue-qin;Wang Chang-geng;Li Jie;Fu Li-yuan;Chen Zi-qian;Zheng De-chun(Department of Clinical Oncology School of Fujian Medical University,Fujian Cancer Hospital,Fuzhou,350001,Fujian Province,China;Department of Jin'an Hospital,Fuzhou,350001,Fujian Province,China;Department of The 900 Hospital of the Joint Service Support Force of the People's Liberation Army of China,Fuzhou,350001,Fujian Province,China)

机构地区：[1]福建医科大学肿瘤临床学院福建省肿瘤医院放诊科,福建福州350001 [2]福州晋安区医院,福建福州350001 [3]中国解放军联勤保障部队第900医院,福建福州350001

出　　处：《中国CT和MRI杂志》2023年第7期80-83,共4页Chinese Journal of CT and MRI

基　　金：2022年福建医科大学启航基金一般项目(2022QH1167)。

摘　　要：目的 分析探讨非钙化型乳腺癌及腺病的多参数MRI表现,以提高二者在MRI诊断中的准确性。方法 回顾性收集分析经病理证实为105例乳腺癌及84例乳腺腺病患者,所有患者临床、病理及MRI影像资料完整,所有病灶均经乳腺钼靶及MRI检查,且病灶在钼靶上表现为无钙化。结果 对于表现为肿块型病变,乳腺腺病与乳腺癌在大小、分叶、毛刺、早期强化曲线、晚期强化曲线、内部强化方式及平均ADC值上具有统计学意义(均P<0.05),毛刺、Ⅲ型曲线、年龄、平均ADC值是两组病变鉴别的关键性因素,其OR值分别为7.122、6.151、1.167及0.996。对于对于表现为肿块型病变,两组病变在病灶分布、早期强化曲线、晚期强化曲线及平均ADC值上具有统计意义(均P<0.05),在内部强化特征上无统计学意义。结论 非钙化型乳腺癌及非钙化型乳腺腺病在MRI表现有一定的相似之处,形态、病灶分布、早期强化曲线、晚期强化曲线及平均ADC值可作为主要鉴别点。Objective To analyze the MRI features of non-calcified breast adenopathy and non-calcified breast cancer,and to investigate the differences between them in MRI signs in order to improve the diagnostic accuracy.Methods The study retrospectively analyzed the clinical,pathological and MRI imaging data of patients with breast adenosis(adenosis group,n=84)and breast cancer(breast cancer group,n=105),all lesions were examined by MG and MRI,and showed non-calcified lesions on MG.Results For the two groups of mass lesions,non-calcified breast adenopathy and noncalcifying breast cancer were statistically significant in size,lobulation,spiculation,early enhancement curve,late enhancement curve,internal enhancement characteristics and average ADC value(P<0.05),spiculation,outflow curve,age and average ADC value were the key factors in the two groups,and their OR values were 7.122、6.151、1.167 and 0.996,respectively.For non-mass lesions,the two groups were statistically significant in lesion distribution,early enhancement curve,late enhancement curve and average ADC value(P<0.05),but no statistical significance ininternal enhancement mode.Conclusion There are some similarities between non-calcified breast cancer and non-calcified breast adenopathy in MRI,and morphology,lesion distribution,early enhancement curve,late enhancement curve and average ADC value can be used as the main differential points.

关 键 词：多参数MRI征象 非钙化型乳腺腺病 非钙化型乳腺癌 鉴别诊断 

分 类 号：R445[医药卫生—影像医学与核医学]