延边大学医学学报2024,Vol.47Issue(3) :289-292.DOI:10.16068/j.1000-1824.2024.03.018

1.5T磁共振动态对比增强(DCE-MRI)技术联合表观弥散系数(ADC)值对乳腺肿块样强化病变良恶性的鉴别诊断价值

The value of 1.5T dynamic contrast-enhanced magnetic resonance(DCE-MRI)combined with apparent diffusion coefficient(ADC)value in the differential diagnosis of benign and malignant breast mass like enhanced lesions

龙敏 王跃斌
延边大学医学学报2024,Vol.47Issue(3) :289-292.DOI:10.16068/j.1000-1824.2024.03.018

1.5T磁共振动态对比增强(DCE-MRI)技术联合表观弥散系数(ADC)值对乳腺肿块样强化病变良恶性的鉴别诊断价值

The value of 1.5T dynamic contrast-enhanced magnetic resonance(DCE-MRI)combined with apparent diffusion coefficient(ADC)value in the differential diagnosis of benign and malignant breast mass like enhanced lesions

龙敏 1王跃斌1
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作者信息

  • 1. 三明市第二医院,福建 三明 366000
  • 折叠

摘要

目的:分析1.5T磁共振动态对比增强(DCE-MRI)技术联合表观弥散系数(ADC)值对乳腺肿块样强化病变良恶性的鉴别诊断价值.方法:选取2021年10月至2024年4月在三明市第二医院治疗的163例乳腺肿块样强化病变患者的临床资料进行回顾性分析.选取的患者均接受1.5T DCE-MRI检查.根据强化方式、时间-信号强度(TIC)曲线、病灶形态、病灶边界,计算ADC值.以病理诊断结果为金标准,以1.5T DCE-MRI诊断结果为对照1组,以ADC诊断结果为对照2组,以联合诊断结果为观察组.对比三种诊断方式在乳腺肿块样强化病良恶性鉴别诊断中的应用价值.结果:以病理诊断结果为金标准,对比对照1组与对照2组的各项诊断效能指标,差异无统计学意义(P>0.05).观察组的各项诊断效能指标均明显优于对照1组以及对照2组,差异具有统计学意义(P<0.05).结论:在乳腺肿块样强化病变良恶性的鉴别诊断中,应用1.5T DCE-MRI联合ADC值具有更高的诊断效能,临床应用价值显著.

Abstract

Objective:To analyze the value of 1.5T dynamic contrast-enhanced MRI(DCE-MRI)combined with apparent diffusion coefficient(ADC)in the differential diagnosis of benign and malignant breast mass like enhanced lesions.Methods:The clinical data of 163 patients with breast mass like enhanced lesions treated in the Second Hospital of Sanming City from October 2021 to April 2024 were selected and retrospectively analyzed.All patients received 1.5T DCE-MRI examination.ADC values were calculated according to the enhancement mode,time-signal strength(TIC)curve,lesion shape and lesion boundary.The pathological diagnosis results were taken as the gold standard.The 1.5T DCE-MRI diagnosis results were taken as the control group 1,the ADC diagnosis results were taken as the control group 2,and the combined diagnosis results were taken as the observation group.To compare the application value of three diagnostic methods in the differential diagnosis of benign and malignant breast mass like enhanced lesions.Results:Taking the pathological diagnosis results as the gold standard,there was no significant difference in the diagnostic efficacy indexes between the control group 1 and the control group 2(P>0.05).The diagnostic efficacy indexes of the observation group were significantly better than those of the control group 1 and the control group 2,and the difference was statistically significant(P<0.05).Conclusion:In the differential diagnosis of benign and malignant breast mass like enhanced lesions,the application of 1.5T DCE-MRI combined ADC value has higher diagnostic efficiency and significant clinical application value.

关键词

乳腺肿块样强化病变/1.5T磁共振动态对比增强技术/表观弥散系数值

Key words

Breast mass like enhanced lesions/1.5T dynamic contrast-enhanced MRI(DCE-MRI)technique/Apparent diffusion coefficient(ADC)value

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出版年

2024
延边大学医学学报
延边大学

延边大学医学学报

影响因子:0.308
ISSN:1000-1824
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