彩色多普勒超声与磁共振成像在乳腺癌诊断中的应用价值

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摘要目的探讨彩色多普勒超声（CDUS）与磁共振成像（MRI）在乳腺癌诊断中的应用价值。方法收集2014年6月～2016年5月我院收治的130例乳腺病变患者的临床资料。对照病理检查结果，比较CDUS弹性成像与3.0 T MRI对乳腺癌的诊断符合率以及肿块、毛刺征、钙化检出情况。结果MRI对乳腺良性、恶性病变的诊断准确率分别为73.3%和67.4%，CDUS弹性成像对乳腺良性、恶性病变的诊断准确率分别为74.6%和75.6%，均具有一定漏诊率。CDUS弹性成像对肿块的敏感性较高，但对钙化、毛刺征的敏感性不高；MRI对毛刺征和肿块的敏感性较高，但对钙化的敏感性低，两者单独应用各有优劣。CDUS弹性成像结合MRI能进一步提高乳腺癌患者的肿块、毛刺征以及钙化的检出率（χ2=10.736、3.125、22.428，均P＜0.05）。结论CDUS弹性成像和MRI单独用于诊断乳腺癌均具有一定的漏诊、误诊率，但将两者结合后，其对乳腺肿块、毛刺征、钙化的诊出率均明显提高，能为乳腺癌早期诊断提供参考。

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	杨迪
	郭顺林
	李一平
	谢瑶

关键词 ：超声成像, 磁共振成像, 乳腺癌, 诊断

Abstract：ObjectiveTo explore the application value of color Doppler ultrasound (CDUS)and magnetic resonance imaging (MRI)in the diagnosis of breast cancer.MethodsThe clinical data of 130 patients with breast diseases admitted to our hospital from June 2014 to May 2016 were collected.Control pathological examination results,the diagnostic accuracy of breast cancer and mass,Mao Cizheng,calcification of CDUS elastography and 3.0 T MRI were compared.ResultsThe diagnostic accuracy of MRI for benign and malignant breast lesions was 73.3%and 67.4%,respectively.The diagnostic accuracy of CDUS elastography in benign and malignant breast lesions was 74.6%and 75.6%,respectively, with a certain rate of missed diagnosis.CDUS elastic imaging was sensitive to the masses,but it was not sensitive to calcification and Mao Cizheng.MRI had high sensitivity to burr sign and mass,but had low sensitivity to calcification.There were own advantages and disadvantages in the two separate applications.CDUS elastography combined with MRI could further improve the detection rate of breast cancer patients,Mao Cizheng and calcification (χ2=10.736,3.125,22.428,P＜0.05).ConclusionCDUS elastography and MRI alone for the diagnosis of breast cancer have a certain rate of missed diagnosis and misdiagnosis,but after the combination of the two methods,the rate of diagnosis of breast mass,Mao Cizheng and calcification are significantly increased,it can provide reference for early diagnosis of breast cancer.

Key words： Ultrasound imaging Magnetic resonance imaging Breast cancer Diagnosis

引用本文:

杨迪;郭顺林;李一平;谢瑶. 彩色多普勒超声与磁共振成像在乳腺癌诊断中的应用价值[J]. 中国当代医药, 2016, 23(35): 114-116转119.
YANG Di;GUO Shun-lin;LI Yi-ping;XIE Yao. Application value of color Doppler ultrasound and magnetic resonance imaging in the diagnosis of breast cancer. 中国当代医药, 2016, 23(35): 114-116转119.

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[2]	张青，杨汉丰，顾鹏，等.超声成像与钼靶X线摄影对乳腺癌肿瘤大小术前评价的对比研究[J].中华医学超声杂志，2010，7（12）：2127-2132.
[4]	史春颖，李亭亭，于兰英，等.位相对比乳腺摄影和彩色多普勒超声成像对早期乳腺癌诊断价值的对比研究[J].哈尔滨医科大学学报，2014，48（5）：416-418.
[1]	Park AY，Seo BK.Real-time MRI navigated ultrasound for preoperative tumor evaluation in breast cancer patients：technique and clinical implementation[J].Korean J Radiol，2016，17（5）：695-705.
[3]	Sheikhbahaei S，Trahan TJ，Xiao J，et al.FDG-PET/CT and MRI for evaluation of pathologic response to neoadjuvant chemotherapy in patients with breast cancer：a meta-analysis of diagnostic accuracy studies[J].Oncologist，2016，21 （8）：931-939.
[5]	杨志伟，赵亚平，周翔平，等.早期乳腺癌的超声和X线摄影的对照研究[J].临床放射学杂志，2001，20（1）：14-16.
[6]	李文华，尹立雪.超声成像评价乳腺癌相关淋巴结的研究现状[J].中华超声影像学杂志，2011，20（9）：815-818.
[7]	Felix AS，Lenz P，Pfeiffer RM，et al.Relationships between mammographic density，tissue microvessel density，and breast biopsy diagnosis[J].Breast Cancer Res，2016，18（1）：88.
[8]	戴萦企，杨奔，左文述，等.超声与磁共振成像对乳腺癌新辅助化疗疗效评价的比较分析[J].中华肿瘤防治杂志，2015，22（12）：958-963.
[9]	黄飞，龚兰.彩色多普勒超声与磁共振成像对乳腺癌诊断价值的对比分析[J].中国肿瘤临床与康复，2015，22（2）：152-154.
[10]	夏长虹，王莉，陆建平，等.超声联合磁共振成像诊断乳腺癌与病理学对照研究[J].中华医学超声杂志，2011，8 （6）：1267-1271.
[11]	Gillman J，Chun J，Schwartz S，et al.The relationship of obesity，mammographic breast density，and magnetic resonance imaging in patients with breast cancer[J].Clin Imaging，2016，40（6）：1167-1172.
[12]	Mittal S，Khalid M，Sabir AB，et al.Comparison of magnetic resonance imaging findings between pathologically proven cases of atypical tubercular spine and tumour metastasis：a retrospective study in 40 patients[J].Asian Spine J，2016，10（4）：734-743.
[13]	蒋卓晋，苏芬莲，李雪萍，等.乳腺癌磁共振成像与多普勒超声的诊断结果分析[J].广西医学，2014，36（9）：1342-1343.
[14]	秦甫.乳腺钼靶、超声弹性成像和MRI临床用于诊断乳腺癌的随机对照分析[J].中国CT和MRI杂志，2016，14 （1）：66-68.
[15]	Sun H，Wang B，Ding C，et al.Report：evaluation on diagnosis significance of single high frequency ultrasonography and mammography and combination on breast cancer[J]. Pak J Pharm Sci，2016，29（4 Suppl）：1461-1466.
[16]	Thompson A，Santucci G，Curcio M.The impact of preoperative magnetic resonance imaging in detecting additional disease in breast cancer patients[J].J Registry Manag，2016，43（2）：87-89.