动态增强磁共振成像和高频彩超在乳腺癌诊断中的应用比较(1)
【摘要】 目的：探讨动态增强磁共振成像和高频彩超在乳腺癌诊断中的应用价值。方法：选取本院95例高度疑诊乳腺癌患者，全部患者采用德国西门子1.5T超导型磁共振成像仪行动态增强磁共振成像检查，应用Philips5000型彩超声诊断仪行高频彩超检查。比较两者单独应用及联合应用对乳腺癌的诊断效能。结果：以术后病理检查作为金标准，动态增强磁共振成像对乳腺癌的诊断符合率为84.21%(96/114)，高频彩超对乳腺癌的诊断符合率为84.21%(96/114)，动态增强磁共振成像和高频彩超两者联合对乳腺癌的诊断符合率为95.61%(109/114)，与单独应用动态增强磁共振成像比较差异具有统计学意义(P<0.05)，两者联合诊断符合率较单独应用高频彩超比较差异亦有统计学意义(P<0.05)。结论：动态增强磁共振成像和高频彩超在乳腺癌诊断中的应用价值相当，但两者联合应用具有显著提高乳腺癌诊断准确度。
【关键词】 动态增强磁共振成像； 高频彩超； 乳腺癌； 诊断
Application Comparison of Dynamic Enhanced Magnetic Resonance Imaging and High Frequency Ultrasound in the Diagnosis of Breast Cancer/LONG Hua，DU Chao-hui，YI Yi-jie，et al.//Medical Innovation of China，2015，12(23)：028-030
, 百拇医药
【Abstract】 Objective：To investigate the application value of dynamic enhanced magnetic resonance imaging and high frequency ultrasound in the diagnosis of breast cancer.Method：95 patients with highly suspected breast cancer in our hospital were selected，all patients were given dynamic enhanced magnetic resonance imaging examination by Germany's SIEMENS 1.5T superconductive enhanced magnetic resonance imaging，Philips5000 type color ultrasonic diagnostic apparatus was used for high frequency color Doppler ultrasound examination.The diagnostic efficacy on separate application and combined application for breast cancer were compared.Result：The postoperative pathology as the gold standard，the diagnosis coincidence rate of dynamic enhanced magnetic resonance imaging for breast cancer was 84.21%(96/114)，the diagnosis coincidence rate of high frequency ultrasound for breast cancer was was 84.21%(96/114)，the diagnosis coincidence rate of the combination of dynamic enhanced magnetic resonance imaging and high frequency ultrasound for breast cancer was 95.61%(109/114)，compared with separate application of dynamic enhanced magnetic resonance imaging and high frequency ultrasound，the differences were statistically significant(P<0.05).Conclusion：The application value of dynamic enhanced magnetic resonance imaging and high frequency ultrasound in the diagnosis of breast cancer are equivalent，but the combined application can significantly increase the diagnosis accuracy of breast cancer.
, 百拇医药
【Key words】 Dynamic enhanced magnetic resonance imaging； High frequency ultrasound； Breast cancer； Diagnosis
First-author’s address：Yichun People’s Hospital，Yichun 336000，China
doi：10.3969/j.issn.1674-4985.2015.23.010
乳腺癌是常见的妇科恶性肿瘤，发生率占癌症约8%，近几十年来，乳腺癌的发生率逐渐上升，中国国内每年新诊断的乳腺癌病例可高达5万[1]，且乳腺癌的发生已逐渐年轻化，因此，乳腺癌的早期诊断和及时治疗具有非常重要的意义。乳腺动态增强磁共振成像(dynamic contrast enhanced-magnetic resonance imaging，DCE-MRI)是在磁共振成像的基础上进一步增加病灶成像的清晰程度，在显示肿瘤新生血管形成、肿瘤侵袭转移和肿瘤血流动力学特征具有重要的价值[2]。随着高频彩超广泛应用于临床，为乳腺癌的影像学诊断提供了依据[3]。但乳腺动态增强磁共振成像与高频彩超在乳腺癌中的诊断价值比较研究较少，现具体报道如下。, 百拇医药(龙华 杜朝晖 易宜杰 等)
【关键词】 动态增强磁共振成像； 高频彩超； 乳腺癌； 诊断
Application Comparison of Dynamic Enhanced Magnetic Resonance Imaging and High Frequency Ultrasound in the Diagnosis of Breast Cancer/LONG Hua，DU Chao-hui，YI Yi-jie，et al.//Medical Innovation of China，2015，12(23)：028-030
, 百拇医药
【Abstract】 Objective：To investigate the application value of dynamic enhanced magnetic resonance imaging and high frequency ultrasound in the diagnosis of breast cancer.Method：95 patients with highly suspected breast cancer in our hospital were selected，all patients were given dynamic enhanced magnetic resonance imaging examination by Germany's SIEMENS 1.5T superconductive enhanced magnetic resonance imaging，Philips5000 type color ultrasonic diagnostic apparatus was used for high frequency color Doppler ultrasound examination.The diagnostic efficacy on separate application and combined application for breast cancer were compared.Result：The postoperative pathology as the gold standard，the diagnosis coincidence rate of dynamic enhanced magnetic resonance imaging for breast cancer was 84.21%(96/114)，the diagnosis coincidence rate of high frequency ultrasound for breast cancer was was 84.21%(96/114)，the diagnosis coincidence rate of the combination of dynamic enhanced magnetic resonance imaging and high frequency ultrasound for breast cancer was 95.61%(109/114)，compared with separate application of dynamic enhanced magnetic resonance imaging and high frequency ultrasound，the differences were statistically significant(P<0.05).Conclusion：The application value of dynamic enhanced magnetic resonance imaging and high frequency ultrasound in the diagnosis of breast cancer are equivalent，but the combined application can significantly increase the diagnosis accuracy of breast cancer.
, 百拇医药
【Key words】 Dynamic enhanced magnetic resonance imaging； High frequency ultrasound； Breast cancer； Diagnosis
First-author’s address：Yichun People’s Hospital，Yichun 336000，China
doi：10.3969/j.issn.1674-4985.2015.23.010
乳腺癌是常见的妇科恶性肿瘤，发生率占癌症约8%，近几十年来，乳腺癌的发生率逐渐上升，中国国内每年新诊断的乳腺癌病例可高达5万[1]，且乳腺癌的发生已逐渐年轻化，因此，乳腺癌的早期诊断和及时治疗具有非常重要的意义。乳腺动态增强磁共振成像(dynamic contrast enhanced-magnetic resonance imaging，DCE-MRI)是在磁共振成像的基础上进一步增加病灶成像的清晰程度，在显示肿瘤新生血管形成、肿瘤侵袭转移和肿瘤血流动力学特征具有重要的价值[2]。随着高频彩超广泛应用于临床，为乳腺癌的影像学诊断提供了依据[3]。但乳腺动态增强磁共振成像与高频彩超在乳腺癌中的诊断价值比较研究较少，现具体报道如下。, 百拇医药(龙华 杜朝晖 易宜杰 等)