MRI动态增强扫描在乳腺癌辨证分型中的应用

The Application of MRI Dynamic Enhancement Scanning in Syndrome Differentiation of Breast Cancer

目的探讨MRI动态增强扫描在乳腺癌中医辨证分型中的应用效果。方法选取乳腺癌患者120例,进行中医辨证分型,MRI动态增强扫描,对比不同中医分型患者的MRI影像学特点。结果在TIC曲线中,不同分型的流出型曲线存在统计学差异(P<0.05)。对于分叶征,不同分型之间无显著性差异(P>0.05);对于毛刺征以及不规则征不同分型之间有显著性差异(P<0.05)。正虚毒炽证的MRI成像参数明显高于冲任失调证、肝郁痰凝证(P<0.05);冲任失调证的MRI成像参数与肝郁痰凝证比较无显著性差异(P>0.05)。结论乳腺癌患者的中医辨证分型与MRI征象、血流动力学的关系较为密切,通过血流动力学可以为乳腺癌患者的辨证施治提供有效参考。

Objective To explore the effect of MRI dynamic enhancement scanning in TCM syndrome differentiation of breast cancer patients.Methods There were 120 cases of breast cancer in our hospital,which were characterized by TCM syndrome differentiation,MRI dynamic enhancement scanning,and contrast of MRI imaging features of different TCM typing patients.Results In the TIC curve,the efflux curve was statistically significant(P<0.05).There was no significant difference between different typing groups(P>0.05).In the aspects of burrs and irregular morphology,there had significant difference(P<0.05).The MRI imaging parameters of positive virtual poison were significantly higher than that of the blunt dissonance syndrome and the liver depression and phlegm(P<0.05).The MRI parameters of the attrition dissonance were compared with those of the liver and depression(P>0.05).Conclusion The TCM syndrome differentiation of breast cancer patients is closely related to MRI and hemodynamics,which can provide effective reference for the treatment of breast cancer patients through hemodynamics.