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MRI 在早期乳腺癌诊断中的临床价值
引用本文:李洪义,邵建民,胡明成,包权,邢健,魏秀芳,尹燕伟,刘鹤. MRI 在早期乳腺癌诊断中的临床价值[J]. 现代肿瘤医学, 2016, 0(23): 3814-3818. DOI: 10.3969/j.issn.1672-4992.2016.23.036
作者姓名:李洪义  邵建民  胡明成  包权  邢健  魏秀芳  尹燕伟  刘鹤
作者单位: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
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。

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

The value of MRI in diagnosis of breast cancer
Abstract: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.
Keywords:MRI  breast cancer  dynamic enhanced MRI  MRS  MRE
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