非钙化型乳腺腺病与非钙化型乳腺癌患者应用多参数MRI征象的诊断价值分析  

The Value of multi Parameter MRI in the Diagnosis of Non Calcified Breast Adenosis And Non Calcified Breast Cancer

作　　者：廖清 李桢[1] 韩世瑜 董迪 Liao Qing;Li Zhen;Han Shiyu;Dong Di(Imaging Center Beijing Aerospace General Hospital,Beijing 100086,China)

机构地区：[1]北京航天总医院影像中心,北京100086

出　　处：《生命科学仪器》2024年第4期17-19,共3页Life Science Instruments

摘　　要：目的对比分析非钙化型乳腺腺病与非钙化型乳腺癌患者应用多参数磁共振成像(MRI)征象的诊断价值。方法选取2022年2月至2024年2月期间北京航天总医院收治的非钙化型乳腺腺病与非钙化型乳腺癌患者各45例,入组患者均接受多参数MRI检查及乳腺X线检查,明确病灶无钙化特征,对比分析两组患者的MRI影像学定量指标及定性特征。结果乳腺腺病组患者的多参数MRI早期强化率、最大上升斜率、最大径、峰值信号强度均低于乳腺癌组患者,达峰时间与ADC值均高于乳腺癌组患者,P<0.05。两组的内部强化方式对比,P>0.05。两组毛刺征、分叶征、分布、早期和晚期强化曲线对比,P<0.05。结论非钙化型乳腺腺病与非钙化型乳腺癌患者的多参数MRI征象有一定的重叠,但病灶分布、形态、ADC值及早期和晚期强化曲线等特征差异显著,可通过多参数MRI进行鉴别诊断。Objective:To compare and analyze the diagnostic value of multi-parameter MRI signs in patients with non-calcified breast adenopathy and non-calcified breast cancer.Methods:Forty-five patients with non-calcified breast adenopathy and 45 patients with non-calcified breast cancer admitted to Beijing Aerospace General Hospital from February 2022 to February 2024 were selected.All the patients in the group underwent multi-parameter MRI examination and mammography examination to confirm that the lesions were not calcified,and the quantitative and qualitative characteristics of MRI imaging were compared and analyzed.Results:The early enhancement rate、maximum ascending slope、maximum diameter and peak signal intensity of multiparameter MRI in breast adenopathy group were lower than those in breast cancer group,while the time to peak and ADC value were higher than those in breast cancer group,P<0.05.The comparison of internal reinforcement methods between the two groups,P>0.05.Comparison of burr sign、lobulation sign、distribution、early and late enhancement curves between the two groups,P<0.05.Conclusion:The multi-parameter MRI signs of non-calcified breast adenopathy and non-calcified breast cancer overlap to some extent,but the distribution、morphology、ADC value and early and late enhancement curves of lesions are significantly different,which can be differentiated by multi-parameter MRI.

关 键 词：非钙化型乳腺腺病 非钙化型乳腺癌 多参数MRI 诊断价值 

分 类 号：R445.2[医药卫生—影像医学与核医学]