磁共振乳腺动态增强曲线在乳腺疾病诊断中的价值分析

The value of dynamic contrast-enhanced magnetic resonance imaging in the diagnosis of breast diseases

目的分析磁共振乳腺动态增强曲线在乳腺疾病诊断中的价值。方法对2014年6月—2016年6月我院收治的乳腺疾病患者26例进行磁共振平扫及动态增强扫描检查。结果 26例患者一共发现病灶37个,恶性肿瘤8例,良性病变18例。恶性病变表现Ⅲ型流出型6例,Ⅱ型平台型2例,良性病变表现Ⅰ型即流入型曲线10例,Ⅱ型平台型曲线8例。8例恶性肿瘤显示:5例中呈现显著不均匀强化、边界不清,边缘呈分叶、毛刺征象;另外3例(37.5%)诊断显示病灶中心不强化、周边强化特征,而周围卫星灶结节状显著均匀强化。18例良性病灶中度强化,边界清晰,边缘光整。结论磁共振乳腺动态增强曲线诊断乳腺疾病具有显著的应用价值。

Objective To analyze the value of dynamic contrast-enhanced magnetic resonance imaging in the diagnosis of breast diseases.Methods Magnetic resonance plain scanning and dynamic enhanced scanning were performed in 26 patients with breast disease in our hospital from June-2016 to June 2014.Results The inclusion of the study of 26 patients found a total of 37 lesions,8 cases of malignant tumors,benign lesions in 18 cases. Malignant lesions showed type Ⅲ outflow in6 cases,type Ⅱ platform in 2 cases,benign lesions showed type Ⅰ 10 cases of inflow curve,type Ⅱ platform type curve in 8cases. 8 cases of malignant tumors showed：5 cases showed significant heterogeneous enhancement,the border is unclear,the edge was lobulated,glaring signs. The other 3 cases（37.5%） showed no enhancement of the lesion center,peripheral enhancement features,and significant uniform enhancement of nodules around the satellite foci. Another 18 cases of benign lesions with moderate enhancement,the border is clear,the edge of the whole.Conclusion The diagnosis of breast disease with dynamic enhancement curve of magnetic resonance is of good value and has significant application value in clinic.