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乳腺MR扩散、灌注及动态增强成像诊断价值研究
引用本文:胡文娟,魏冉,王兰云,刘维燕,谢蕴,张蓓.乳腺MR扩散、灌注及动态增强成像诊断价值研究[J].临床放射学杂志,2010,29(4).
作者姓名:胡文娟  魏冉  王兰云  刘维燕  谢蕴  张蓓
作者单位:1. 交通大学附属瑞金医院放射科,上海,200025
2. 瑞金医院集团闵行区中心医院放射科,上海,200025
3. 瑞金医院集团闵行区中心医院外科,上海,200025
4. 瑞金医院集团闵行区中心医院病理科,上海,200025
基金项目:上海市科学技术委员会科研计划项目资助(编号:09411962800)
摘    要:目的探讨MR扩散、灌注及动态增强成像在乳腺病变中的诊断价值。资料与方法80例乳腺病变患者行术前MR扩散、T2*W首过灌注及动态增强检查,回顾性分析乳腺病变MRI表现,分析比较扩散、灌注及动态增强的诊断价值。结果乳腺良、恶性病变表观扩散系数(ADC)值具有显著差异,诊断敏感性、特异性、准确性分别为80%、89.19%、79.38%;恶性病变T2*W首过灌注最大信号丢失率明显高于良性病变(P<0.05),诊断敏感性、特异性、准确性分别为81.82%、83.78%、82.61%;动态增强扫描诊断敏感性、特异性、准确性分别为76.36%、83.78%、79.35%;三者联合诊断敏感性、特异性、准确性分别为92.73%,91.89%、92.39%。结论乳腺MR扩散、灌注成像有助于乳腺良恶性病变的鉴别。

关 键 词:磁共振成像  扩散  灌注  对比增强  乳腺病变  

The Diagnostic Value of MR Diffusion Weighted Imaging, Perfusion Weighted Imaging and Dynamic Contrast Enhanced Imaging in Breast Lesions
HU Wenjuan,WEI Ran,WANG Lanyun,et al..The Diagnostic Value of MR Diffusion Weighted Imaging, Perfusion Weighted Imaging and Dynamic Contrast Enhanced Imaging in Breast Lesions[J].Journal of Clinical Radiology,2010,29(4).
Authors:HU Wenjuan  WEI Ran  WANG Lanyun  
Institution:HU Wenjuan,WEI Ran,WANG Lanyun,et al.Department of Radiology,Ruijin Hospital,Shanghai Jiaotong University,Shanghai,200025,P.R.China
Abstract:Objective To evaluate the diagnostic value of diffusion weighted imaging,perfusion weighted imaging and dynamic contrast enhanced MRI in breast lesions.Materials and Methods Dynamic contrast-enhanced MRI,diffusion weighted imaging (DWI) and T2*weighted-first pass perfusion weighted imaging(PWI) of the breasts were performed in 80 female patients with suspected breast lesions before surgery. The MR imaging data were retrospectively analyzed. Using histological results as the gold standard,the diagnostic sens...
Keywords:Magnetic resonance imaging Diffusion Perfusion Contrast-enhanced Breast lesion  
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