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中华乳腺病杂志(电子版) ›› 2008, Vol. 02 ›› Issue (03) : 6 -8. doi: 10.3877/cma.j.issn.1674-0807.2008.03.003

临床研究

乳腺肿瘤MRI 形态学表现在临床诊断中的价值
蒋宏传1, 刘小娟2, 李杰1, 王丽2   
  1. 1.100020 北京,首都医科大学附属北京朝阳医院普外科
    2.100020 北京,首都医科大学附属北京朝阳医院放射科
  • 收稿日期:2008-01-29 出版日期:2008-06-01

MRI in clinical diagnosis of breast tumours

Hong-chuan JIANG1, Xiao-juan LIU1, Jie LI1, Li WANG1   

  1. 1.Department of Genery Surgery, Chaoyang Hospital, Capital University of Medical Sciences, Beijing 100020, China
  • Received:2008-01-29 Published:2008-06-01
引用本文:

蒋宏传, 刘小娟, 李杰, 王丽. 乳腺肿瘤MRI 形态学表现在临床诊断中的价值[J/OL]. 中华乳腺病杂志(电子版), 2008, 02(03): 6-8.

Hong-chuan JIANG, Xiao-juan LIU, Jie LI, Li WANG. MRI in clinical diagnosis of breast tumours[J/OL]. Chinese Journal of Breast Disease(Electronic Edition), 2008, 02(03): 6-8.

目的

探讨乳腺肿瘤MRI形态学表现在临床诊断中的价值。

方法

对99例患者回顾性分析MRI 特征,明确良、恶性乳腺病灶在MRI 下的影像学特点,并加以鉴别。

结果

99 例患者的MRI检查结果与术后病理结果相比,乳腺MRI 发现恶性肿瘤54 例,良性肿瘤43 例,误诊2 例,诊断率为98%。

结论

乳腺MRI 能够检出乳腺X 线摄影及临床上隐匿性的早期和小乳腺癌,是乳腺检查的重要补充。

Objective

To explore MRI (magnetic resonance imaging ) for the diagnosis of breast tumours.

Methods

A retrospective analysis of MRI characters of 99 patients with breast tumors was made to differentiate benign from malignant breast lesions.

Results

Compared with postoperative pathology result, the MRI examination of the 99 patients showed malignant lesion in 54 patients, benign lesion in 43 cases, and 2 cases were misdiagnosed. The diagnosis rate was 98%.

Conclusion

By MRI, occult early and small breast carcinoma can be detected, and malignant lesion of dense breast can also be identified. MRI can raise the rate of diagnosis and is helpful in preoperative staging of breast cancer. It is an important complementarity in breast examination.

[1]
Nuns L W, Schnall M D, Orel S G. Update of breast MR imaging architectural interpretation model. Radiology,2001,219:418 -494.
[2]
Orel S G, Schnall M D. MR imaging of the breast for the detection, diagnosis, and staging of breast cancer. Radiology,2001 ,220:13 -30.
[3]
刘小娟, 翟仁友, 蒋涛, 等. 乳腺磁共振成像:组织学与病灶定性、定量特性的相关性. 实用放射学杂志,2004,20:1121 -1126.
[4]
Kuhl C K, Schild H H. Dynamic image interpretation of the breast. JMRI,2000,11:965 -974.
[5]
Nunes L W, Schnall M D, Orel S G, et al. Correlation of lesion appearance and histology findings for the nodes of a breast MR imaging interpretation model. Radiographics,1999,19:79 -92.
[6]
周丽娟,陆之安,沈钧康,等. 乳腺疾病的动态增强MRI 研究.实用放射学杂志,2002,18:418 -421.
[7]
刘玉品.磁共振波谱技术在乳腺肿瘤中的应用.实用放射学杂志,2003,19:886 -888.
[8]
Stomper P C, Herman S, Klippenstein D L, et al. Suspect breast lesions:findings at dynamic gadolinium-enhanced MR imaging correlated with mammographic and pathologic features.Radiology,1995,197:387 -395.
[9]
Kuhl C K. MRI of breast tumors. Eur Radiol, 2000,10:46 -58.
[10]
郭勇,蔡祖龙,蔡幼铨,等. 动态增强MRI 鉴别乳腺良恶性病变的前瞻性研究.中华放射学杂志,2001,35:671 -675.
[11]
Daniel B L, Yen Y F, Glover G H, et al. Breast disease:dynamic spiral imaging. Radiology,1998,209,499 -509.
[12]
Sorensen A G, Tievsky A L, Ostergaard L, et al. Contrast agents in functional MR imaging. J Magn Reson Imaging,1997,7:47 -55.
[13]
Kuhl C K, Bieling H, Gieseke J. Breast Neoplasms:T2 susceptibility-contrast, first-pass perfusion MR imaging.Radiology,1997,202:87 -95.
[14]
Kvistad K A, Rydland J, Vainio J, et al. Breast lesions:evaluation with dynamic contrast-enhanced T1-weighted MR imaging and with T2-weighted first-pass perfusion MR imaging Radiology,2000,216:545 -553.
[15]
Kvistad K A, Lundgren S,Fjosne H E,et al. Differentiating benign and malignant breast lesions with T2-weighted first pass perfusion imaging. Acta Radiol,1999,40:45 -51.
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