摘要
目的探讨3.0T磁共振弥散加权成像(MRIDWI)鉴别乳腺纤维腺瘤(FA)与乳腺叶状肿瘤(PTB)的价值。方法回顾性选取2018年6月-2022年10月收治的52例FA患者(FA组)与22例PTB患者(PTB组)作为研究对象,两组均行3.0T MRI-DWI,比较两组表观扩散系数(ADC)值,并分析MRI-DWI影像学特征在鉴别FA与PTB的价值。结果FA组和PTB组ADC值比较,差异无统计学意义(P>0.05);FA组和PTB组在瘤体形态、瘤体大小、囊变、T2WI抑脂信号、DCE信号、瘤周晕征、瘤周曲血管方面差异具有统计学意义(P<0.05)。结论FA和PTB在MRI-DWI中瘤体形态、瘤体大小、囊变、T2WI抑脂信号、DCE信号、瘤周晕征、瘤周曲血管存在差异,其对FA和PTB的临床鉴别诊断具有一定应用价值。
Objective To explore the value of 3.0T magnetic resonance imaging diffusion-weighted imaging(MRIDWI)in the differential diagnosis of breast fibladenoma(FA)and phyllode tumor of the breast(PTB).Methods A total of 52 patients with FA(FA group)and 22 patients with(PTB group)were retrospectively enrolled as the research objects between June 2018 and October 2022.All underwent 3.0T MRI DWI examination.The apparent diffusion coefficient(ADC)was compared between the two groups.The value of MRI-DWI characteristics in the differential diagnosis of FA and PTB was analyzed.Results There was no significant difference in ADC between FA group and PTB group(P>0.05),and there were also significant differences in tumor morphology,tumor size,cystic degeneration,lipid-suppression signal on T2WI,DCE signal,peritumoral halo sign and peritumoral curved vessels(P<0.05).Conclusion There are differences in MRI-DWI characteristics(tumor morphology,tumor size,cystic degeneration,lipidsuppression signal on T2WI,DCE signal,peritumoral halo sign,peritumoral curved vessels)between FA and PTB,which have certain clinical value in the differential diagnosis of FA and PTB.
作者
王巍巍
刘艳超
王琦
WANG Wei-wei;LIU Yan-chao;WANG Qi(CT Room,Handan Central Hospital,Handan 056001,Hebei Province,China;Department of Ultrasound,Handan Central Hospital,Handan 056001,Hebei Province,China)
出处
《中国CT和MRI杂志》
2023年第9期114-116,共3页
Chinese Journal of CT and MRI
基金
邯郸市科学技术研究与发展计划项目(1823208034ZC)。
关键词
磁共振
弥散加权成像
乳腺纤维腺瘤
乳腺叶状肿瘤
Magnetic Resonance Imaging
Diffusion-weighted Imaging
Breast Fibroadenoma
Phyllode Tumor of The Breast
