[1]廖晓江.多模态磁共振成像对乳腺腺病与非钙化型乳腺癌的诊断价值[J].医学信息,2023,36(23):133-136.[doi:10.3969/j.issn.1006-1959.2023.23.034]
　LIAO Xiao-jiang.Diagnostic Value of Multimodal Magnetic Resonance Imaging in Adenosis of Breast and Non-calcified Breast Cancer[J].Journal of Medical Information,2023,36(23):133-136.[doi:10.3969/j.issn.1006-1959.2023.23.034]
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多模态磁共振成像对乳腺腺病与非钙化型乳腺癌的诊断价值()
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医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
36卷
期数:
2023年23期
页码:
133-136
栏目:
诊疗技术
出版日期:
2023-12-01

文章信息/Info

Title:
Diagnostic Value of Multimodal Magnetic Resonance Imaging in Adenosis of Breast and Non-calcified Breast Cancer
文章编号:
1006-1959（2023）23-0133-04
作者:
廖晓江
（龙南市第一人民医院影像科，江西 龙南 341700）
Author(s):
LIAO Xiao-jiang
(Department of Imaging,the First People’s Hospital of Longnan,Longnan 341700,Jiangxi,China)
关键词:
多模态磁共振成像; 乳腺腺病; 非钙化型乳腺癌
Keywords:
Multimodal magnetic resonance imaging; Adenosis of breast; Non-calcified breast cancer
分类号:
R445.2
DOI:
10.3969/j.issn.1006-1959.2023.23.034
文献标志码:
A
摘要:
目的 研究多模态磁共振成像对乳腺腺病与非钙化型乳腺癌的诊断价值。方法 选取2022年3月-2023年3月我院诊治的32例乳腺腺病与48例非钙化型乳腺癌患者为研究对象，均进行多模态磁共振成像检查，观察乳腺腺病与非钙化型乳腺癌患者MRI表现、扩散加权成像（DWI）、动态增强磁共振成像（DCE-MRI）及DWI+DCE-MRI联合诊断效能（灵敏度、特异度、准确率、阳性预测值、阴性预测值），并分析不同诊断技术对乳腺腺病与非钙化型乳腺癌的诊断准确率与术后病理结果的一致性。结果 乳腺腺病与非钙化型乳腺癌患者非肿块样强化的各种强化形态、内部特点、TIC曲线、ADC值比较，差异有统计学意义（P＜0.05），而两组肿块样强化比较，差异无统计学意义（P＞0.05）；DWI+DCE-MRI联合诊断灵敏度、阴性预测值均高于DWI诊断，特异度、阳性预测值均低于DWI诊断（P＜0.05）；DWI+DCE-MRI联合诊断灵敏度、特异度、准确率、阳性预测值、阴性预测值与DCE-MRI诊断比较，差异无统计学意义（P＞0.05）；DWI+DCE-MRI联合诊断对乳腺腺病与非钙化型乳腺癌诊断结果与术后病理结果具有高度一致性，且一致性高于DWI、DCE-MRI检查患者（P＜0.05）。结论 多模态磁共振成像对乳腺腺病与非钙化型乳腺癌鉴别诊断具有较高的价值，可表现出较显著的MRI临床特点，且DWI+DCE-MRI联合可提高诊断灵敏度，一定程度降低漏诊、误诊，值得临床应用。
Abstract:
Objective To study the diagnostic value of multimodal magnetic resonance imaging in adenosis of breast and non-calcified breast cancer.Methods A total of 32 patients with adenosis of breast and 48 patients with non-calcified breast cancer diagnosed and treated in our hospital from March 2022 to March 2023 were selected as the research objects. All patients underwent multimodal magnetic resonance imaging. The MRI manifestations, diffusion-weighted imaging (DWI), dynamic contrast-enhanced magnetic resonance imaging (DCE-MRI) and DWI+DCE-MRI combined diagnostic efficacy (sensitivity, specificity, accuracy, positive predictive value, negative predictive value) of patients with adenosis of breast and non-calcified breast cancer were observed, and the consistency between the diagnostic accuracy of different diagnostic techniques for adenosis of breast and non-calcified breast cancer and the postoperative pathological results was analyzed.Results There were statistically significant differences in various enhancement patterns, internal characteristics, TIC curves and ADC values of non-mass-like enhancement in patients with adenosis of breast and non-calcified breast cancer (P<0.05), there was no significant difference in mass-like enhancement between the two groups (P>0.05). The sensitivity and negative predictive value of DWI+DCE-MRI combined diagnosis were higher than those of DWI diagnosis, and the specificity and positive predictive value were lower than those of DWI diagnosis (P<0.05), there was no significant difference in sensitivity, specificity, accuracy, positive predictive value and negative predictive value between DWI+DCE-MRI combined diagnosis and DCE-MRI diagnosis (P>0.05). The diagnostic results of DWI+DCE-MRI combined diagnosis of adenosis of breast and non-calcified breast cancer were highly consistent with the postoperative pathological results, and the consistency was higher than that of DWI and DCE-MRI (P<0.05).Conclusion Multimodal magnetic resonance imaging has a high value in the differential diagnosis of adenosis of breast and non-calcified breast cancer, and can show significant MRI clinical features. The combination of DWI+DCE-MRI can improve the diagnostic sensitivity and reduce missed diagnosis and misdiagnosis to a certain extent, which is worthy of clinical application.

参考文献/References:

[1]Foschini MP,Eusebi V.Microglandular adenosis of the breast: a deceptive and still mysterious benign lesion[J].Hum Pathol,2018,82:1-9.[2]Eun NL,Son EJ,Gweon HM,et al.The value of breast MRI for BI-RADS category 4B mammographic microcalcification: based on the 5th edition of BI-RADS[J].Clin Radiol,2018,73(8):750-755.[3]吴津民,王海宝,徐丽艳,等.多模态磁共振成像在乳腺癌诊断中的应用价值[J].安徽医学,2017,38(8):963-965.[4]顾莹莹.基于多模态乳腺癌影像融合的辅助诊断研究[D].上海:东华大学,2021.[5]Laitman Y,Feldman DM,Sklair-Levy M,et al.Abnormal Findings Detected by Multi-modality Breast Imaging and Biopsy Results in a High-risk Clinic[J].Clin Breast Cancer,2018,18(4):e695-e698.[6]范薇,张建华,潘晶晶,等.多模态MRI鉴别诊断乳腺单纯纤维腺病与混合纤维腺病的价值[J].中华放射学杂志,2019,53(2):93-97.[7]朱丹,钱海珊,韩洪秀,等.乳腺腺病与乳腺导管癌的MRI鉴别诊断及病理对照研究[J].磁共振成像,2017,8(10):753-759.[8]黄瑞岁,丁可,林彬,等.多模态MRI对非肿块型乳腺癌的诊断价值研究[J].医学影像学杂志,2021,31(6):997-1001.[9]张丽,韩立新,曹惠霞,等.3.0T磁共振扩散加权成像和VIBRANT动态增强在鉴别乳腺腺病与乳腺癌中的价值[J].临床放射学杂志,2017,36(3):342-346.[10]Kim JY,Kim JJ,Kim S,et al.Diffusion tensor magnetic resonance imaging of breast cancer: associations between diffusion metrics and histological prognostic factors[J].Eur Radiol,2018,28(8):3185-3193.[11]刘凤梅,唐勇,龚柳燕,等.乳腺MRI误诊病例的影像学分析[J].放射学实践,2018,33(6):569-573.[12]殷文兵,张海青,韩羽凤,等.多模态磁共振成像对乳腺腺病与非钙化型乳腺癌的诊断价值研究[J].医学影像学杂志,2023,33(2):253-257.[13]顾海玉.乳腺导管原位癌多模态影像与病理相关性的初步研究[D].南昌:南昌大学医学部,2021. [14]李相生,王萍,孙鹏,等.3.0TMR多期动态增强扫描在鉴别乳腺导管原位癌与乳腺腺病中的价值[J].现代肿瘤医学,2015,23(3):395-399.[15]高子梅.BI-RADS 3-5类乳腺微钙化灶X线与MRI影像学表现对比研究[D].石家庄:河北医科大学,2017.[16]刘靓,朱丹,沈晶,等．多模态MRI技术在乳腺非肿块性强化病变良恶性鉴别中的临床研究[J].中国临床医学影像杂志,2020,31(1):21-25．[17]崔晓琳,刘学静,张洁,等.动态增强MRI诊断无钙化乳腺导管原位癌[J].中国医学影像技术,2021,37(3):391-395. [18]李娜,罗娅红,于韬.MRI对乳腺成簇环状非肿块强化良恶性病变的鉴别诊断价值[J].放射学实践,2019,34(11):1242-1245.[19]林王微,王世威,卜阳阳,等.ADC联合DCE-MRI对乳腺癌的诊断价值[J].临床医学,2019,21(8):1128-1129,1132. [20]高宇飞,张晖,陈英敏,等. DKI在多模态磁共振成像技术中对乳腺良恶性肿瘤的突出诊断价值[J]. 临床放射学杂志,2021,40(10):1899-1904.

更新日期/Last Update: 1900-01-01