摘要
目的研究3.0T磁共振多模态成像在乳腺良恶性病变鉴别诊断中的价值。方法回顾性选取江西省宜春市人民医院2018年3月至2020年3月收治的62例乳腺疾病患者作为研究对象,根据病理学检查结果为68个病灶,将其分为良性组和恶性组,病灶个数分别为26、42个。对所有患者进行3.0T磁共振多模态成像检查(包括常规平扫和动态增强检查),观察病灶的不同形态特征并比较不同参数下的诊断价值。结果恶性组的毛刺征及分叶征多于良性组,差异有统计学意义(P<0.05);两组的时间-信号强度曲线类型比较,差异有统计学意义(P<0.05);两组的达峰时间比较,差异有统计学意义(P<0.05);动态增强指标中以早期增强率>100%为诊断标准可达到100%的灵敏度,其次为Ⅱ、Ⅲ型曲线,为90.48%,差异有统计学意义(P<0.05)。结论在临床诊断乳腺病变中,3.0T磁共振多模态成像可更准确地鉴别病变组织,进而提高诊断价值。
Objective To study the value of 3.0T magnetic resonance multimodal imaging in the differential diagnosis of benign and malignant breast lesions.Methods Retrospectively selected 62 patients with breast disease admitted to the Yichun People′s Hospital of Jiangxi Province from March 2018 to March 2020 were selected as the research objects.According to the pathological examination results,a total of 68 lesions were divided into the benign group and the malignant group,the number of the benign group was 26 cases and the malignant group was 42 cases respectively.All patients were examined by 3.0T magnetic resonance multimodal imaging(including regular flat sweep and dynamic enhancement inspection)to observe the different morphological characteristics of the lesions and compare the diagnostic value under different parameters.Results The burr and lobular signs of the malignant group were more than those of the benign group,and the differences were statistically significant(P<0.05).The time-signal intensity curve classification of the two groups were compared,and the difference was statistically significant(P<0.05).And the peak time of the two groups were compared,and the difference was statistically significant(P<0.05).Among the dynamic enhancement indicators,the early enhancement rate>100%can be used as the diagnostic criteria to achieve 100%sensitivity,followed by typeⅡandⅢcurves,which were 90.48%,the difference was statistically significant(P<0.05).Conclusion In the clinical diagnosis of breast lesions,3.0T magnetic resonance multimodal imaging could more accurately identify lesions,thereby improving the diagnostic value.
作者
龚涛
陶娜
袁武
GONG Tao;TAO Na;YUAN Wu(Department of Radiology,Yichun People′s Hospital,Jiangxi Province,Yichun 336000,China)
出处
《中国当代医药》
CAS
2021年第31期135-138,共4页
China Modern Medicine
基金
江西省宜春市科技计划项目(JXYC2018KSB012)。
关键词
乳腺
良恶性病变
磁共振多模态成像
诊断价值
Breast
Benign and malignant lesions
Magnetic resonance multimodal imaging
Diagnostic value
