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乳腺癌新辅助化疗前后动态增强MRI半定量
引用本文:尹波,刘莉,邹丽萍,耿道颖. 乳腺癌新辅助化疗前后动态增强MRI半定量[J]. 中国医学计算机成像杂志, 2011, 17(3)
作者姓名:尹波  刘莉  邹丽萍  耿道颖
作者单位:1. 复旦大学附属华山医院放射科
2. 复旦大学附属华山医院病理科
摘    要:目的:用动态增强MRI半定量法研究乳腺癌新辅助化疗前后血流动力学的变化特点.方法:新辅助化疗的26例乳腺癌患者(女性,平均55.2岁)纳入研究,化疗前后采用同一方案进行乳腺动态MRI增强扫描,使用1.5T超导M RI成像仪、3D FSE序列(TR/TE:5.4ms/2.8ms;FOV:34cm;层厚:3mm;间隔:0mm),速度3ml/s团注钆喷葡胺0.2mmol/kg;在工作站上完成血流半定量测定,并对化疗前后结果进行比较.结果:化疗前早期强化参数Efirst、Vfirst、Ee和Ve的均值大于化疗后的残留病灶(P<0.05),化疗前Emax、Vmax和Slopemax的均值大于化疗后残留病灶的均值,化疗前Tmax均值小于化疗后均值(P<0.05),化疗前Ewash和Vwash值高于化疗后的残留病灶(P<0.05).结论:乳腺癌新辅助化疗前后动态增强MRI半定量研究显示残留病变血流动力学明显下降,血流速率显著减小.

关 键 词:乳腺肿瘤  新辅助化疗  磁共振成像

Breast Cancer with Neoadjuvant Chemotherapy: Alteration of Dynamic Enhancement - MRI Semi - quantitative Parameters
YIN Bo,LIU Li,ZOU Li-ping,GENG Dao-ying. Breast Cancer with Neoadjuvant Chemotherapy: Alteration of Dynamic Enhancement - MRI Semi - quantitative Parameters[J]. Chinese Computed Medical Imaging, 2011, 17(3)
Authors:YIN Bo  LIU Li  ZOU Li-ping  GENG Dao-ying
Affiliation:YIN Bo1,LIU Li1,ZOU Li-ping2,GENG Dao-ying11 Department of Radiology,Huashan Hospital,Fudan University2 Department of Pathology,Fudan University12 Wulumuqi Middle Rd,Shanghai 200040,P.R.C.
Abstract:Purpose:To explore alteration of characteristics in dynamic enhancement-MRI(DCE-MRI) semi-quantitative parameters.Methods:Twenty-six patients with surgically and pathologically proven breast carcinoma who had undergone breast DCE-MRI examation before and after neoadjuvant chemotherapy(NAC)were enrolled in our study.Three-dimensional fast spin echo images(3D-FSE)(TR/TE 5.4/2.8ms;FOV 34cm;Slice thickness 3.0mm;Gap 0mm) were acquired on a 1.5T MR system after administration of a bolus injection of 0.2mmol/kg g...
Keywords:Breast neoplasms  Neoadjuvant chemotherapy  Magnetic resonance imaging  
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